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Suggest Remedies For Pain And Flatulence After CABG Procedure

Posted on Tue, 28 Jun 2016

Question: My father(55 age) underwent CABG, 2 months back and now he is using medicines storvas 40 mg,metxl 12.5,pan d,ceruvin af 75/150 and recently he is getting slight pain in left and right side while he walks fast in the morning and stays for the entire day and gets relieved only when he sleeps at night.If he walks slowly he doesn't get any pain and also he is getting gas every day from noon after he takes ceruvin af(75+150 mg) and the gas pain spreads to the upper part of abdomen to the chest.Is the pain the in chest any thing to worry or is it a muscle pain.He also gets pain the legs,ankles,hand joints.Is this any side effects for the high power of atorvastatin. Can these pains be ignored or is it any thing to worry.How to reduce the gas formation.In the recent medical tests the serun creatinine value has increased form 1.28 to 1.32.Is this also anything to worry?

Answered by Dr. Aashish Raghu (25 hours later)

Brief Answer:
Gastritis or Peptic ulcer. Endoscopy need Kidney disease induced Osteoporos

Detailed Answer:
Hi there.

He could be suffering from Gastritis or Peptic ulcer. He needs to her an upper GI Endoscopy done to look for the findings.

He is on many medication without any antacid. Please give him Tablet Ranitidine 150mg twice a day, before meals.

Since his Serum Creatinine is rising, this is not a good sign and could indicate impending renal failure. This can be associated with Osteoporosis or weak bones which could be causing the bone and Joint pains.

Kindly get him a DEXA Scan of hip and spine to look for Osteoporosis. Consult a Nephrologist regarding his riding Creatinine values.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Aashish Raghu (10 minutes later)

He is already taking pan d once daily.When he gets gas problem only he is having more pain in the limbs,joints.

Answered by Dr. Aashish Raghu (23 hours later)

Brief Answer:
Need to rule out Osteoporosis and type of arthritis

Detailed Answer:
He needs to do certain investigations like ESR, CRP, Rheumatoid factor, ASLO titre. Type of arthritis needs to be ruled out. Her his PTH, Serum Calcium, Serum Phosphorus, Vitamin D3 levels assessed as well to look for kidney disease associated Osteoporosis.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Aashish Raghu (25 hours later)

Can this also be viewed by any of the cardiologists since he is again getting chest pain when he walks more time and walks fast.Can this pain be ignored or is this anything to worry.

Answered by Dr. Aashish Raghu (40 minutes later)

Brief Answer:
Kindly don't ignore exertional chest pain. Could be angina

Detailed Answer:
Chest pain recurring after CABG must not be ignored. Proper evaluation using EKG and 2D ECHO needs to be done by his Cardiologist.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Aashish Raghu (22 minutes later)

He is getting the chest pain from past 2-3 weeks and if it's a recurrent heart attack can he withstand the pain.Please let me know

Answered by Dr. Aashish Raghu (18 hours later)

Brief Answer:
Heart attacks can be painless too. Needs a thorough workup

Detailed Answer:
Actually one can't tell if it's just Angina or heart attacks. It is best he consult his Cardiologist and get tested as advised to rule out sinister pathology. There can even be painless heart attacks so any kind of chest pain is of concern especially if recurrent.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad