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Hi Doc My Dad Is A Heart Patient And Had
Question: Hi doc
My dad is a heart patient and had sufffred acute mi which made his lvef to 35% which is the dysfuncyion. This was last year in november and he had got one stent done as it wasb100% blockage but still it was in an emergency so doc said not to do bypass...
My dad has got sever acidity problem from past 5 yrs he has been taking several medicines for the same like panum l , rantac, sumpraz d and many antacids. He burps a lot and his upper abdomen pains a lot and it bulges out after eating. Doc adviced ro do endoscopy which did not rule out any main reason it said hernia in the food pipe and doc said that is very minor and does not require any specific treatmeant.
Since he has lot of pain in the upper abdomen whcih offen radiates back at the center and he keeps complaining of the pain and acidity a lot doc adviced for CT contrast.
My dad did the ct scan and endoscopy report looks normal he has been taking perinorm tablet and pantadoc along with mucaine and softavac powede.
But his pain in the upper abdomen bloating and blenching has not stoppped his stomach pains a lot
We visited another doctor and he prescribed two tableta cintodac capsule and tablet revotril which i saw on internet is for seizzeers or nervous system and its an anti depressent.
He has now been prescribed are which he is going to start today
Gastractiv
Cintodac
Rivotril
And doc has adviced fo test named ct abdomen with abdomen angiogram ptotocal which is non invasive. Hia present complaint is severe pain in the upper abdomen immediately after food which last for atleast 1 hour.
My question is whether he shud go for this tests as it involves contrast XXXXXXX both oral and injection and he has done ct abdomen with contrast in the month of august only
His current cardiac medications are
Ecosprin tablet
Prax 10 mg
Cardivas 3.125
Atorva tablet
My dad is a heart patient and had sufffred acute mi which made his lvef to 35% which is the dysfuncyion. This was last year in november and he had got one stent done as it wasb100% blockage but still it was in an emergency so doc said not to do bypass...
My dad has got sever acidity problem from past 5 yrs he has been taking several medicines for the same like panum l , rantac, sumpraz d and many antacids. He burps a lot and his upper abdomen pains a lot and it bulges out after eating. Doc adviced ro do endoscopy which did not rule out any main reason it said hernia in the food pipe and doc said that is very minor and does not require any specific treatmeant.
Since he has lot of pain in the upper abdomen whcih offen radiates back at the center and he keeps complaining of the pain and acidity a lot doc adviced for CT contrast.
My dad did the ct scan and endoscopy report looks normal he has been taking perinorm tablet and pantadoc along with mucaine and softavac powede.
But his pain in the upper abdomen bloating and blenching has not stoppped his stomach pains a lot
We visited another doctor and he prescribed two tableta cintodac capsule and tablet revotril which i saw on internet is for seizzeers or nervous system and its an anti depressent.
He has now been prescribed are which he is going to start today
Gastractiv
Cintodac
Rivotril
And doc has adviced fo test named ct abdomen with abdomen angiogram ptotocal which is non invasive. Hia present complaint is severe pain in the upper abdomen immediately after food which last for atleast 1 hour.
My question is whether he shud go for this tests as it involves contrast XXXXXXX both oral and injection and he has done ct abdomen with contrast in the month of august only
His current cardiac medications are
Ecosprin tablet
Prax 10 mg
Cardivas 3.125
Atorva tablet
Brief Answer:
Please go through detailed answer.
Detailed Answer:
Hello and Welcome to 'Ask A Doctor' service.
I have reviewed your query and here is my advice.
Answers are-
1)"My question is whether he shoud go for this tests as it involves contrast XXXXXXX both oral and injection and he has done ct abdomen with contrast in the month of august only"-If his renal function tests and glomerular filtration rate are normal yes he can go for test.No problem.
For that get a-
KFT and GFR test done.
Dyes are excreted by kidney so if kidney is normal go for it.
2)Though not asked yet would explain you
"We visited another doctor and he prescribed two tableta cintodac capsule and tablet revotril which i saw on internet is for seizzeers or nervous system and its an anti depressent"
Revotril is clonazepam. A particular medication can be used to cover things ranging from a small matter as anxiety to big problems like seizures etc.The purpose of giving clonazepam in his case is to relieve his autonomous nervous system.When autonomous nerves are hyper stimulated then they worsens the symptoms of gastritis acidity etc secondly vagus nerve is stimulated which causes increased spasms in intestines causing pain.
Cintodac contains Pantoprazole which is an acid inhibitor with a prokinetic drug which inhibits the reflux of formed acid into esophagus.In very high doses cinitapride a constituent of cintodac is used in depression and other pyschiatric cases but as i said earlier those doses are very high.
A suggestion is that you can ask you gastroenterologist to add CIBIS thrice daily it contains three anti spasmodic's in combination and could be very helpful.
Hope i explained you well.
Follow ups are welcome!
Please go through detailed answer.
Detailed Answer:
Hello and Welcome to 'Ask A Doctor' service.
I have reviewed your query and here is my advice.
Answers are-
1)"My question is whether he shoud go for this tests as it involves contrast XXXXXXX both oral and injection and he has done ct abdomen with contrast in the month of august only"-If his renal function tests and glomerular filtration rate are normal yes he can go for test.No problem.
For that get a-
KFT and GFR test done.
Dyes are excreted by kidney so if kidney is normal go for it.
2)Though not asked yet would explain you
"We visited another doctor and he prescribed two tableta cintodac capsule and tablet revotril which i saw on internet is for seizzeers or nervous system and its an anti depressent"
Revotril is clonazepam. A particular medication can be used to cover things ranging from a small matter as anxiety to big problems like seizures etc.The purpose of giving clonazepam in his case is to relieve his autonomous nervous system.When autonomous nerves are hyper stimulated then they worsens the symptoms of gastritis acidity etc secondly vagus nerve is stimulated which causes increased spasms in intestines causing pain.
Cintodac contains Pantoprazole which is an acid inhibitor with a prokinetic drug which inhibits the reflux of formed acid into esophagus.In very high doses cinitapride a constituent of cintodac is used in depression and other pyschiatric cases but as i said earlier those doses are very high.
A suggestion is that you can ask you gastroenterologist to add CIBIS thrice daily it contains three anti spasmodic's in combination and could be very helpful.
Hope i explained you well.
Follow ups are welcome!
Above answer was peer-reviewed by :
Dr. Kampana
My dad got the ct abdomen and ct angiogram done can you please evaluate the reports and let me know
Brief Answer:
Follow up.
Detailed Answer:
Hello dear,
In simple his reports just means that fecal material is stagnating inside his intestines.This causes development of toxic colonies of bacteria and other pathogen causing formation of large amount of gas.This causes severe spasms and irritation of intestines causing pain.
Deposits in arteries etc are age related senile changes.
Follow medications as advised
Add cibis thrice daily to control spasms.
Pankreoflat thrice daily to absorb gas and a laxative like polyethylene glycol.
Regards!
Follow up.
Detailed Answer:
Hello dear,
In simple his reports just means that fecal material is stagnating inside his intestines.This causes development of toxic colonies of bacteria and other pathogen causing formation of large amount of gas.This causes severe spasms and irritation of intestines causing pain.
Deposits in arteries etc are age related senile changes.
Follow medications as advised
Add cibis thrice daily to control spasms.
Pankreoflat thrice daily to absorb gas and a laxative like polyethylene glycol.
Regards!
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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