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What Causes Angina Pains And Headache?

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Posted on Sat, 3 May 2014
Question: I am concerned about my husband's health. He is 65, having angina pains, possible prostate problems and suffers headaches all the time. His doctor has recommends a second angiogram and he has had every test possible for the headaches, with no cause found. The problem is that he is lying to his doctor about his smoking, as he is on-again/off-again all the time, and won't smoke in front of me, even though obviously I would rather he did not smoke at all, I would tolerate it better than put up with his withdrawal symptoms, which he claims he does not have. My question is, should I tell his doctor that he is smoking? I feel his doctor is trying his best to help him but does not know the truth. By the way, he denies smoking to me, but everyone who knows him says he smokes in front of them, and I am not fooled by his attempts to cover up. I am at my wit's end.
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Answered by Dr. Dr. Prasad J (4 hours later)
Brief Answer: You should bring it to his doctor's notice. Detailed Answer: Hi, Well, there are blood nicotine and cotinine test that are performed at some centres to determine whether or not someone is smoking. However in this circumstance, I don't feel that is necessary. Smoking does has have detrimental effects on heart and blood vessels. Those ill-effects are screened by cardiologist through various investigations. Treatment is personalised according to ill effects found. You did not mention his medications here. Can you add them in your follow up? Nevertheless, it is extremely important that his doctors talk to him about smoking. I am sure they will be able to counsel him and get him out of this habit much better than your trial. Withdrawal effects that I know from smoking are not extremely bad and can be easily managed. Hence if you ask me, you should inform his doctor about this suspicion. They will be able to handle/manage him better. Hope this answers your question. Let me know if you need clarifications. Regards
Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Prasad J

General & Family Physician

Practicing since :2005

Answered : 3708 Questions

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What Causes Angina Pains And Headache?

Brief Answer: You should bring it to his doctor's notice. Detailed Answer: Hi, Well, there are blood nicotine and cotinine test that are performed at some centres to determine whether or not someone is smoking. However in this circumstance, I don't feel that is necessary. Smoking does has have detrimental effects on heart and blood vessels. Those ill-effects are screened by cardiologist through various investigations. Treatment is personalised according to ill effects found. You did not mention his medications here. Can you add them in your follow up? Nevertheless, it is extremely important that his doctors talk to him about smoking. I am sure they will be able to counsel him and get him out of this habit much better than your trial. Withdrawal effects that I know from smoking are not extremely bad and can be easily managed. Hence if you ask me, you should inform his doctor about this suspicion. They will be able to handle/manage him better. Hope this answers your question. Let me know if you need clarifications. Regards