What causes elevated C reactive protein levels?
C reactive protein, is a general marker of inflammation which can be increased in any disease like infection, sometimes in heart disease also. We don't treat it, but we have to treat the cause. So get back with your symptoms and if absolutely no symptoms then needs some test.
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First your urine report is absolutely normal. Few RBC upto Five and also few pus cells is a normal finding. So don't have Urinary infection. Now, if you are not having any other symptoms like fever, cough etc. then cause of CRP elevation is considered to be a cardiac cause. Elevated CRP basically identifies a group of people who are at increased risk of heart diseases.
Please let me the absolute value of CRP and reference range of the lab. I assume you are not having any symptoms of heart disease like chest pain or heaviness or chest discomfort on exertion. You should undergo lipid profile, sugars, ecg and treadmill test if ecg is normal. So you can get back with these reports. We will see after the report if any medicine needs to be added or not. You continue blood pressure medication.
In treatment, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If bp is persistently more than 140/90 mmhg, then we need to optimize the medicines for it. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get back if you are having any further doubts.
Thanks in asvanc efor your kind cooperation and prompt reply
you are welcome. That's good you don't smoke or eat non veg, minimal alcohol intake is acceptable. All the best and shall review.
I have sent my details report if any more require suggest please note I am taking
ecosprine Gold 150 (Combination of ecosprine and clopilate) and Cardace 2.5 mg. please note i use to take medicine before sleep but most of time i have to wake up 3 to 4 time for urinal so is disturb my night also is it any cause of this medicine. I am pure Veg.
also i would like to give my breif history that from my both parent history is not good my Mother and father both have done angeography and bypass surgery and their parents also was having same problem
Me too have done year 2006 ( 1 Stent) and in 2012 ( 2 Stent in angiplasty)
My Mother is also diabetic patience
generally my blood pressure is below 140 and 90 if take medicine regularly
my life style generally sitting mainly do not do exercise weight is 75 k.g. Hight 5. 10 inch and Normal
As I got Cartilage Problem in Knee so avoid jogging so please what exercise i can do and as food you have all ready explain
THANKS WITH REGARDS, XXXXXXX
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hello once again,
Firstly regarding your reports, most of them are normal. Your CRP is also normal. Urine should some rbcs but that's ok, sometimes they can be present, also culture is normal. So no need to worry. I think sugar and lipid profile test you should undergo once. Was echo done any time in the past, if not then you should have one baseline echo as well. Did you have heart attack any time in the past, if not then continue same treatment. If yes we may need to add some more medicine.
Secondly, ecosprin gold will not lead to Urinary problem instead ramipril sometimes may cause, so you can have in the morning. Avoid plenty of water or liquids in the evening time.
Exercise is very important and if not able to jog then at least brisk walking or just walking should be done. Also, do yoga daily, it will be helpful. You monitor blood pressure at home as advised previously for a week and make a chart, then upload the chart, if it's deranged we may need to increase ramipril to 5 mg once a day. Lower the blood pressure, more beneficial it is. I hope it helps you, if you have any doubts please free to ask.
Thank you very much, i never get a Hear Attack, have done all echo i think was normal but will do again and also lipid profile and sugar will do again till will continue with brisk walking exercise and will make B.P Chart
is Cardech 2.5 mg can cause for Urinal ?
Thank you very much for your advice and will follow your instruction
with warm regards, XXXXXXX
Thank you very much as per your advice will do the same and after 15 days will report you the progress
Thanks with warm regards, XXXXXXX Shah
You are welcome
you are welcome.
Feel free to ask if you have any doubts. All the best.
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