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What Do These Following Lab Reports Indicate?
Question: I have shared my mother in law XXXXXXX XXXXXXX reports through mail.
Kindly review
Kindly review
Brief Answer:
Please find test result, treatment and medicine details below
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. The medicines prescribed for her are the following
(i) NEBISTAR 2.5 mg for heart and hypertension
(ii) TELISTA CH for hypertension
(iii) TONACT for cholesterol
(iv) GASTROSEC for gastritis
(v) This medicine name is not clearly understandable. Please write back with correct name as mentioned on the strip
(vi) S.CAL D3 is calcium and vitamin D tablet to make bones strong
2. The ECG/ ECHO shows essentially heart chambers are normal. There is a mention of ?mild calcification in heart (not clearly written).
3. The blood test reports show that her sodium is presenty less. She should take adequate amount of salts and maintain sodium and chloride levels within normal limits.
4. VLDL cholesterol was high earlier and is presently normal. This is not a serious concern and can be corrected with medicines that she is prescribed. HDL is good cholesterol and is normal in present report.
5. Kidney function is normal including urea and creatinine.
6. Hemoglobin and fasting blood sugar is normal.
7. Since details on clinical complaints is not mentioned in your query it is requested to please add more information on clinical symptoms that has been discussed with your doctor including duration and severity with improvement or worsening.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find test result, treatment and medicine details below
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. The medicines prescribed for her are the following
(i) NEBISTAR 2.5 mg for heart and hypertension
(ii) TELISTA CH for hypertension
(iii) TONACT for cholesterol
(iv) GASTROSEC for gastritis
(v) This medicine name is not clearly understandable. Please write back with correct name as mentioned on the strip
(vi) S.CAL D3 is calcium and vitamin D tablet to make bones strong
2. The ECG/ ECHO shows essentially heart chambers are normal. There is a mention of ?mild calcification in heart (not clearly written).
3. The blood test reports show that her sodium is presenty less. She should take adequate amount of salts and maintain sodium and chloride levels within normal limits.
4. VLDL cholesterol was high earlier and is presently normal. This is not a serious concern and can be corrected with medicines that she is prescribed. HDL is good cholesterol and is normal in present report.
5. Kidney function is normal including urea and creatinine.
6. Hemoglobin and fasting blood sugar is normal.
7. Since details on clinical complaints is not mentioned in your query it is requested to please add more information on clinical symptoms that has been discussed with your doctor including duration and severity with improvement or worsening.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
The first test was done in Dec 2014 when she experienced little pain with fast heart beat on the left hand side chest. The missing medicine name is Selmin, Dr adviced for ECG and 2D ECO based on the reports. also adviced dietry precautions over a period of time such as avoid green leafy vegitables, Pulses with skin,Cabbage and fruits like XXXXXXX Bannatyne and Chiku , avoid taking extra slt in salads, less sugar, desi ghee etc. Dr informed about swelling in heart based on intial reports .. kindly advice on following 1) Can we continue eating this medicines or go for another round of tests? What was the problem identified at first place? Food precaution is required? Family history from parents side is clean ..recently she has been relocated with us in XXXXXXX .kindly advice
Brief Answer:
Medicine and lifestyle changes will control hypertension and cholesterol
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. The heart rate in ECG is 78 beats/ minute which is normal.
2. Medicine SELMIN is not to be found on the commonly referred directory of prescribed medicines, however I guess it it a vitamin preparation and contains minerals.
3. Diet like green leafy vegetables, cabbage, bananas and mangoes might have been restricted due to high potassium content which affect the heart function.
4. Extra salt is to be avoided to control high blood pressure but minimum salt has to be ingested to maintain normal sodium level.
5. The main problems are high blood pressure and increased cholesterol and these require medicines to be taken. The cholesterol problem is in early stages but high blood pressure requires strict control.
6. Food control is important to have normal cholesterol and blood pressure. However, if she wants to have banana or XXXXXXX then once in a week she can have half banana or XXXXXXX Green vegetable can be given occasionally in small amount like you give a child. Ghee is to be completely avoided. Please use olive oil for cooking at home. Lifestyle modification plays important role in maintaining blood pressure and cholesterol within normal range. Medicines should also be given.
7. Since the recent tests are in the month of April 2014 therefore you can wait for 6 months before doing test again. Please continue medicines as suggested by the cardiologist. Any additional test like angiography is to be done later and only if required. If she has any chest pain or discomfort then please have her consult a cardiologist on emergency basis at any time.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Medicine and lifestyle changes will control hypertension and cholesterol
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. The heart rate in ECG is 78 beats/ minute which is normal.
2. Medicine SELMIN is not to be found on the commonly referred directory of prescribed medicines, however I guess it it a vitamin preparation and contains minerals.
3. Diet like green leafy vegetables, cabbage, bananas and mangoes might have been restricted due to high potassium content which affect the heart function.
4. Extra salt is to be avoided to control high blood pressure but minimum salt has to be ingested to maintain normal sodium level.
5. The main problems are high blood pressure and increased cholesterol and these require medicines to be taken. The cholesterol problem is in early stages but high blood pressure requires strict control.
6. Food control is important to have normal cholesterol and blood pressure. However, if she wants to have banana or XXXXXXX then once in a week she can have half banana or XXXXXXX Green vegetable can be given occasionally in small amount like you give a child. Ghee is to be completely avoided. Please use olive oil for cooking at home. Lifestyle modification plays important role in maintaining blood pressure and cholesterol within normal range. Medicines should also be given.
7. Since the recent tests are in the month of April 2014 therefore you can wait for 6 months before doing test again. Please continue medicines as suggested by the cardiologist. Any additional test like angiography is to be done later and only if required. If she has any chest pain or discomfort then please have her consult a cardiologist on emergency basis at any time.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Prasad
Thanks .At present she is taking 6 medicines. Does she require to continue taking all these medicines or can stop few such as vitamin etc. Tonac is ok or is there better medicine to control colestrol . I noticed 2 medicines for hypertension so shall we continue taking both the medicines
Brief Answer:
Hypertenstion and cholesterol medicines are essential
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. The blood pressure is important for her and she should continue taking the blood pressure medicines. Two medicines are given for better control. With it extra salt is to be avoided. High blood pressure might become a problem if not controlled right now. It might affect kidney and eye at later stage. Therefore taking prescribed medicines is suggested.
2. Since cholesterol problem is in early stage, TONACT is a good medicine to control it. There are higher medicines but for now she can take what is prescribed and it will help her.
3. Calcium and vitamins are required in elderly women. If she is taking a complete balanced diet containing 1800 kcal daily including vitamins and minerals then supplements can be stopped but if she takes these supplements then there will be no problem. Gastritis is also common in elderly and that is the reason your doctor has given medicine to decrease stomach acid for her.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Hypertenstion and cholesterol medicines are essential
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. The blood pressure is important for her and she should continue taking the blood pressure medicines. Two medicines are given for better control. With it extra salt is to be avoided. High blood pressure might become a problem if not controlled right now. It might affect kidney and eye at later stage. Therefore taking prescribed medicines is suggested.
2. Since cholesterol problem is in early stage, TONACT is a good medicine to control it. There are higher medicines but for now she can take what is prescribed and it will help her.
3. Calcium and vitamins are required in elderly women. If she is taking a complete balanced diet containing 1800 kcal daily including vitamins and minerals then supplements can be stopped but if she takes these supplements then there will be no problem. Gastritis is also common in elderly and that is the reason your doctor has given medicine to decrease stomach acid for her.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
can we use lycowell in place of Selmin as it is not available in XXXXXXX .I have attached image of both the medicines
Brief Answer:
The medicine lycowell contains multivitamin and is usable
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. Lycowell contains lycopene and multivitamins.
2. It is a dietary supplement and available in many places.
3. I am unable to find any image of both the medicines attached. However you can use lycowell for multivitamin requirement.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
The medicine lycowell contains multivitamin and is usable
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. Lycowell contains lycopene and multivitamins.
2. It is a dietary supplement and available in many places.
3. I am unable to find any image of both the medicines attached. However you can use lycowell for multivitamin requirement.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am unable to send image due to system shortcoming however I make a point to share it through mail
Brief Answer:
Please email with subject "query Id 200210 ATTN DR XXXXXXX CHAIL"
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. Please send image through mail to YYYY@YYYY and YYYY@YYYY and include "query Id 200210 ATTN DR XXXXXXX CHAIL" in the subject line and please send in a follow up query once your mail is sent
Regards,
Dr XXXXXXX
Please email with subject "query Id 200210 ATTN DR XXXXXXX CHAIL"
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. Please send image through mail to YYYY@YYYY and YYYY@YYYY and include "query Id 200210 ATTN DR XXXXXXX CHAIL" in the subject line and please send in a follow up query once your mail is sent
Regards,
Dr XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have shared the doc through mail. Kindly check and advice
Brief Answer:
Please give a vitamin B complex and folic acid capsule to her daily.
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. There is a slight difference between the composition of medicines in the image.
2. The image shows that lycowell does not contain vitamin B complex and folic acid which is there in selmin. However both contain lycopene, vitamin A, vitamin C, zinc, selmin and vitamin E.
3. You can give one vitamin B complex capsule and folic acid to her daily with lycowell.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please give a vitamin B complex and folic acid capsule to her daily.
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. There is a slight difference between the composition of medicines in the image.
2. The image shows that lycowell does not contain vitamin B complex and folic acid which is there in selmin. However both contain lycopene, vitamin A, vitamin C, zinc, selmin and vitamin E.
3. You can give one vitamin B complex capsule and folic acid to her daily with lycowell.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
can you please advice vitamin B and folic acid tablets
Brief Answer:
Please give her A TO Z vitamin tablet once daily
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. I suggest you please give her vitamin tablet A TO Z. She might take lycowell till it gets over.
2. The name of the medicine is A TO Z and this is manufactured by Alkem Laboratories Ltd and it contains essential nutrients. It is available everywhere in our country.
3. This is a more complete vitamin and mineral composition and to be taken once daily. I prescribe it to my patients and family. Please confirm that it is manufactured by Alkem Laboratories Ltd and it comes in a red color packaging.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please give her A TO Z vitamin tablet once daily
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. I suggest you please give her vitamin tablet A TO Z. She might take lycowell till it gets over.
2. The name of the medicine is A TO Z and this is manufactured by Alkem Laboratories Ltd and it contains essential nutrients. It is available everywhere in our country.
3. This is a more complete vitamin and mineral composition and to be taken once daily. I prescribe it to my patients and family. Please confirm that it is manufactured by Alkem Laboratories Ltd and it comes in a red color packaging.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
ya I am aware of this tablet., I use to take it. so you mean to say she should take Lycowell plus A to Z daily one tablet
Brief Answer:
Please give any ONE tablet only as mentioned below
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. I meant let her take only A TO Z tablet which is given to most patients. It contains most of the required vitamins and minerals in elderly age group. The lycopene which is not there in A TO Z can be got from her daily diet in our country which includes common fruits and vegetables that are red in color.
2. If she does not take fruits and vegetables then we can give her another multivitamin called MULTIVITE WOMAN manufactured by Universal Medicare Limited and this contains lycopene which is not there in A TO Z. However I am not sure if it is available in XXXXXXX Please confirm name of medicine and company when purchasing
3. Lycopene supplement does not make much of a difference in XXXXXXX diet because we eat a lot of red fruits and vegetables.
4. In conclusion, she might take ANY ONE tablet, A TO Z or MULTIVITE WOMAN.
5. Lycowell is not necessary because it contains less vitamins and minerals than the other two medicines above.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please give any ONE tablet only as mentioned below
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. I meant let her take only A TO Z tablet which is given to most patients. It contains most of the required vitamins and minerals in elderly age group. The lycopene which is not there in A TO Z can be got from her daily diet in our country which includes common fruits and vegetables that are red in color.
2. If she does not take fruits and vegetables then we can give her another multivitamin called MULTIVITE WOMAN manufactured by Universal Medicare Limited and this contains lycopene which is not there in A TO Z. However I am not sure if it is available in XXXXXXX Please confirm name of medicine and company when purchasing
3. Lycopene supplement does not make much of a difference in XXXXXXX diet because we eat a lot of red fruits and vegetables.
4. In conclusion, she might take ANY ONE tablet, A TO Z or MULTIVITE WOMAN.
5. Lycowell is not necessary because it contains less vitamins and minerals than the other two medicines above.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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