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Dr. Andrew Rynne

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What causes elevated C reactive protein levels?

Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1717 Questions

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Posted on Mon, 13 Mar 2017 in General Health
Question: Please also check for creactive protine is raised so what medicine or trarment to be dome
doctor
Answered by Dr. Sagar Makode 4 minutes later
hello,
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.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sagar Makode 58 minutes later
Sir , indis not get you i hav allewady infoem i am high blood pressor paitance as i have upload my all the reports specially for urlogist as have some blood in urine and Dr. Ask me urine cultur report which inhabe upload and mention also so if any more report require can donit ans upload
doctor
Answered by Dr. Sagar Makode 2 hours later
Brief Answer:
See the description

Detailed Answer:
hello,
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.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sagar Makode 11 hours later
Thank younvery much will upload reports and what medicine i am taking and i am pur veg do not smoke but l drink quality casully and note more than XXXXXXX 120ml like once in a week is possible or not but will sent all the reports as you said today
Thanks in asvanc efor your kind cooperation and prompt reply
doctor
Answered by Dr. Sagar Makode 33 minutes later
Brief Answer:
Ok

Detailed Answer:
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.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Sagar Makode 3 hours later
Respected Dr. Sagarjee,

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

KINDLY ADVICE
THANKS WITH REGARDS, XXXXXXX
doctor
Answered by Dr. Sagar Makode 1 hour later
Brief Answer:
See the description

Detailed Answer:
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.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Sagar Makode 15 minutes later
Respected Sir,

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
doctor
Answered by Dr. Sagar Makode 16 minutes later
Brief Answer:
See the description

Detailed Answer:
ya it's ok, you continue above things, get back with things which I mentioned. Change ramipril to morning instead of evening.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Sagar Makode 1 hour later
Respected Dr. Sagarjee,

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
doctor
Answered by Dr. Sagar Makode 1 hour later
Brief Answer:
You are welcome

Detailed Answer:
you are welcome.
Feel free to ask if you have any doubts. All the best.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sagar Makode 1 hour later
Sir can i atart Ramipril 5mg and stop cardic 2.5 mg or both to take please advice
doctor
Answered by Dr. Sagar Makode 9 minutes later
Brief Answer:
See the description

Detailed Answer:
cardace is a brand name for ramipril. You can start 5 mg if upper bp is more than 120. If below it then continue 2.5.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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