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What causes persistent nausea after a placing of stents in heart?

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Posted on Mon, 2 Jun 2014
Question: Im 55 Years Old , Had Umbilical Hernia Surgery Back In Feb of 13 , There After I Had A Heart Attack And Had 3 Stents Placed In My Right Artery . That Was On XXXXXXX 7th 2013 . Every Since Ive Has Nausea Everyday For Atleast 10 Months . Wake Up With It & It Stay With Me !! I Was Takeing Metetropol , Then Went To Atentnol , Cant Take It , Then Norvasc , Last 4 Months , My Wife And I Both Were Thanking Something In It Was Or Is Makeing me Sick Still. So I Go To Regular Doctor Yesterday And He Puts Me On Cozaar 50 mg , It Causes Nerviousness & Seems To Be Causeing Upset Stomach , running off , sorry . But Would Like Your Opinion On This Please.


O, Yeah , I Also Have Prostate Problems !! ( Alittle Enlaged ) !!! My Urologist Is Suppose To Be Faxing Me A Prescription For This . I Was On Flomax , But It Makes Me Very Tired And Not Working Good At All !!!!

Please Reply Back ( ASAP ) Please Today !!!

Thanks XXXX!!

Im Sorry I Cant Remember Everything Im Takeing . Im Also On Dexilant 60Mg 1 Pill First Thing Every Morning Before I Eat !!! Had Reflux For Years , It Seems To Be Ok Now . But Im Thinking They Got Me Still On This To Clear Up The Gastritis ? Is That Right Or Wrong . I Went From Nexium Back To Dexilant !! Nexium Wasnt Helping. Do You Think Its A Possibility The Dexilant Could Be Causeing My Nausea / Stomach Hurting ? Please Tell Me In Detail What You Thank About All 3 Of These Boxes I Left Questions For You About ? Maybe I Dont Even Need Blood Pressure Medicine Any More , Its Been 10 Months Since My Heart Attack , And My Palpatations Are All Gone !! Since My Stomach Is So Sensitive To Alot Of Things , Im Wondering If I Could Try Skipping My Meds For At Least 1 Day And See How I Feel And See If The Nausea Goes Away !!! Its Terrible To Have Nausea Everyday Of Your Life For 10 Almost 11 Months ? Please Answer In Deatail All These Questions And What You Thank Please !!! Today ASAP Please !!!
Thanks Alot !!! Im Waiting On An Answer Please !!!

Thanks XXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (10 hours later)
Brief Answer:
Multiple reasons

Detailed Answer:
Hi,

I definitely understand to stay with nausea all throughout the day and empathize you.

However there are no simple explanations for the queries that you posted. They are complex sometimes misunderstood. However I would like to simplify the answers for all the queries posted.

You should continue your blood pressure medications even though the Blood pressure target is reached (120/80). However the doctor can minimize the dose. At this age I rarely remove anti BP medicine from the list.

Medication induced nausea is extremely common and sensitive for people who are on multiple medicines. You should take the help of another medication to off set it or try other alternatives to get off it. Ondensetron is commonly prescribed to offset it. Dexilant is known to cause diarrhoea, itching and rash. Nausea was not described. It is supposed to clear up gastritis.

Skipping medicines one day to test if the medicines actually cause nausea is a good idea. But make sure you do not skip more than one day. It would not cause major harm if all the vital parameters are within acceptable limits. Hence I suggest you to inform your doctor before you do it.
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (6 hours later)
Ok. Thanks . I Will Try Leaveing ff 1 medication At the time to try To Determind Which Ones Is Causeing The Nausea , Then Hopefully We Can Weed Out The Culprit . Ok.


Thanks Again. I May Have More Questions Later Today .

Thanks XXXX
Dr. XXXXXXX Mazumdar :

Hello As I Told You I Was On Flomax For My Prostate , But It Was makeing me Tired And Feel Bad All Day & Really I Think It Was Maybe Makeing me Sick To . Now The Doctor Give Me Finasteride / Proscar 5 Mg !!! Is This A Good Medicine And Does It Work Well And Does It Make You Feel Bad Or Sick . Hope Not !! Im Going To Take My 1st Pill Tonight Before Bed About 10:00 Or 11:00 O,Clock !!!! And Does It Work Better Takeing It At Night !!! Thats When Ive Always Taken My Prostate Medicine ? Please Reply Back Today ( ASAP ) Please !!!! I Will Be Waiting On Your Reply !!! Your Opinion Please ? P.S Im Hopeing Between Changeing My Blood Pressure Medicine And My Prostate Medicine That This Nausea Will Go Away For Good ? Your Expert Opinion Again Please !!!!

Thanks XXXX

Please Reply To My Last Questions Today Please !!! Doctor !!!!

And Also Ive Noticed Every Time I Take My 81Mg Aspirin , It Makes Me Jettery & Nervous , And Makes My Stomach Hurt . I Need To Take Something As A Substitute For The Aspirin ? I Believe Were Narrowing My Problem Of The Nausea Ive Had For 11 Months , To My Medicines Mixed !! I Believe It Was The Norvasc , Dexilant , And Aspirin Causeing The Problem . I Know When I Woke Up This Morning , I ( DID NOT ) Take The Dexilant This Morning !! First Thing After I Ate Breakfast I Took A Half Of The Cozaar , My Blood Pressure Med , Then About A Hour Or Less Later I Took A 1 Mg Xanax , Everything Seemed To Be Going Good , Know Nausea To Speak Of , Maybe Just A Tiny Queezy , But That Didnt Last But A Little Bit . Then I Ate Lunch , Then After 4 Hours I Took 1 1Mg Xanax , Then Late This Afternoon About 7 PM I Took 1 / 81Mg Aspirin And After A Bit My Stomach Started Hurting Again , Aspirin Doesnt Agree With Me , My Stomach Is So Sensitive Because Of The Gastritis Im Guessing !!! So I Dont Take Nothing Ealse For Blood Thinning !!! Tried Lipitor , But That Made Me Sick To Months & Months Back So I Quit !!! But Its Been 10 Months Since My Heart Attack , And As I Said The Doctor Put 3 Stents In My Right Artery !!! Is That Long Enough To Take Aspirin , If Not What Can I Take To Substtute It With , That Thins The Blood , Or Would You Say Know Worries About Takeing It Any More ? Please Reply Back ASAP Please And Explain In Detail Your Opinion Please ?

Thank You , Im Waiting Please !!!
Thanks XXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (45 hours later)
Brief Answer:
finasteride is good for enlarged prostate.

Detailed Answer:
Yes. You can better take finasteride if flomax does not work. We cannot exactly determine the effective XXXXXXX of a medicine for a given individual. So initial trial is important as is follow up. You can take it at night. I cannot guarantee The nausea subside.

Aspirin cause nausea and gastritis big time. Clopidogrel is better. Better blood thinners are available. You shud talk to a cardiologist now.
Above answer was peer-reviewed by : Dr. Aparna Kohli
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Follow up: Dr. Chakravarthy Mazumdar (1 hour later)
So Its Better To Take Like ( Lipitor ) Instead Of Aspirin !!!

Theres No Reason To Take Them Both Are They , Each Day ?

I Want To Get Away From Aspirin ?

I Have Some Lipitor The Doctor Give Me Right After My Heart Attack 11 Months Ago ?

Wouldnt It Be Ok To Start Back On My Lipitor And Leave Off The Aspirin ?

Please Reply Back Today & Let Me Know In Your Detailed Opinion Please ?

Thank You XXXX
So Its Better To Take Like ( Lipitor ) Instead Of Aspirin !!!

Theres No Reason To Take Them Both Are They , Each Day ?

I Want To Get Away From Aspirin ?

I Have Some Lipitor The Doctor Give Me Right After My Heart Attack 11 Months Ago ?

Wouldnt It Be Ok To Start Back On My Lipitor And Leave Off The Aspirin ?

Please Reply Back Today & Let Me Know In Your Detailed Opinion Please ?

Thank You XXXX

Or I Think Lipitor Is For cholesterol Isnt It ?

So I Would Need Plavix Or What Ealse Could I Use Please !!!

Thanks XXXX

Dr : Is There Anything I Can Take , Besides Fish Oil , It Makes Me Sick , For Or To Help Thin The Blood Over The Counter I Can Get Please Reply Back Today !!!!
I Need Something Beside Aspirin !!!

Is It Ok If I Stop Useing Aspirin , It Makes Me Nervous & Hurts My Stomach Very Much !!! Could I Be Allergic To It Maybe ?

Please Explain And Answer All My Questions In Detail Please !!!
And Reply Back To Me Today ( ASAP ) So I Can Get Something To Help Me !!!!
I Need Something Now !!!!

Thanks XXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (19 hours later)
Brief Answer:
Blood thinners like Aspirin should not be stopped

Detailed Answer:
Hi

Aspirin and other blood thinners are life saving drugs. If aspirin is not suiting you I suggest you with clopidogrel. I was asking you to check with your Cardiologist about new drugs called Platelet Glycoprotein IIb/IIIa Inhibitors. They may be of help in your case. Please DO NOT STOP aspirin till then.

Lipitor is for cholesterol and not a right replacement for Aspirin. Fish oils cause nausea, bloating and uncomfortable burrps. You should take them with meal or at night during meal. You may avoid them if you do not wish to. Replace it with twice a week herring/salmon oil fish in the meal.


Above answer was peer-reviewed by : Dr. Aparna Kohli
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Follow up: Dr. Chakravarthy Mazumdar (7 hours later)
Dr. XXXXXXX Mazumdar "

I Have A Couple Of Questions Please !!!!
I Just Started Takeing Cozaar , And Proscar About 4 Days Ago !!!
Because We Thought The Norvasc & Lisinopril, Plus The Flomax Ive Been Takeing May Not Be Mixing Together Right Or Something And makeing me Queezy First Thing In The Morning When I Wake Up And Nauseated ? I Thought With Me Aasking You And My Other Doctors Here , Plus Me & My Wife , We All Could Or Can Figure Out Why Im Nauseated Everyday ? PLus Me Takeing An 81 Mg Aspirin Also During The Day !!! I Had An ( EDG ) Done Last Month And The Doctor Only Found Mild Gastritis He Said . I Went To My Urologist The Other Day And He Said My Prostate Was Enlarged Alittle , But It Was Round , With Know Lumps Or Anything ? He Also Done A ( PSA ) test , Waiting On The Results On That Now !!! Not Sure How Long It Takes To Get Results Back Do You ? With All This Being Said !!! Can You Please Think Very Hard And Please Reply In Detail What You Thank Maybe Going On !!!And How Long Does It Take The New Blood Pressure Meds And Prostate Meds To Start Working As It Should Please ? Ive Been Sick For 11 Months Now And Im Very Tired OF Being Sick. Its Not Normal To Wake Up Nauseated Everyday Of Your Life !! Theres Got To Be An Underlieing Cause For It Or The Medicines Causeing It ? Please Help Me Figure This OUt Please !!! Please Reply Back Today (ASAP ) PLease !!! Not Tomorrow , Please Reply Back Today 4/7/14 Ok !!!! P.S The 1 Mg Of Xanax Calms It Down , Plus I Take Half Of An 8 Mg Of Zofran , It Helps Some To. But Nothing Really Gets Rid Of It Completely . Once In A While I Feel Ok . But Still Not Like Im Suppose To !!!

Thanks Alot Dr !!! ( Waiting On A Reply Back Quickly Please ) !!!!!

Sincerely XXXX

Dr. XXXXXXX Mazumdar :

I Have One Other Very Important Question Please !!!

Since My Heart Attack Back In XXXXXXX The 7th Of Last Year !!!

Could My Heart In Anyway Be Causeing My ( Nausea ) ?

Please Be Honest And Let Me Know If Theres Anyway This Could Happen ?

Can You Be 100% Sure Also ?

Please Reply To This Question And The Questions In The Box Above Also In Detail Please !!!
Please Reply Back Today Please ( ASAP ) Please !!!!!

Thanks XXXX!!!! ( Waiting Please ) !!!!!

Dr. XXXXXXX Mazumdar :

Could You Please Reply Back To My Questions Today Please !!!
The Ones I Left You In The 2 Boxes Above !!!


Thanks XXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (26 hours later)
Brief Answer:
my statements were clear about nausea

Detailed Answer:
While we discuss here. You had started on two more medications. However I reckon the drugs as possible cause of nausea. While the peak effectiveness of the new medications can be compared between individuals. You can wait for two weeks before you question their need to your doctor.

Cardiac cause of nausea is not unheard of. If it not otherwise proven this should be put in the list of causes. Angina can sometimes follow nausea and vice versa.
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (5 hours later)
Ok.      Dr. XXXXXXX Mazumdar :

I Was Looking Up Some Things And I Ran Across This ?

Here:> Low Stress Harmone ? Can Cause Nausea ?

Would This Be Something , That You Thank That Maybe Going On With Me ?

What Do You Think Dr ? Trying To Pin Point This Nausea Problem ?

Please Reply Back Today Please !!! I Need To Know Your Oiinion Please ?

Waiting On A Reply Please !!!!

Thanks XXXX

Dr. XXXXXXX Mazumdar :

I Also Have This Question Please !! Before My Heart Attack I Drinked Black Tetley Tea Off And On !!! But I Havent Dranked Any In A Year !!! Im Talking About
Lightly Sweeten Black Tea !!! Is It Ok Or Good For You !!!
From What Ive Read , Its Good For You ?

Its Got Caffene In It , 40 or 50 Mgs , But Thats Not That Much is It ?

Would It Be Ok For Me To Drink 3 To 5 Glasses A Day , Spaceing Them Out Or Sipping On It Most Of The Day Would Be Ok?

Please Reply Back To This Question And The Questions In The Box Above Please In Detail Please ?

Is There A Benefit To Maybe Help The Nausea Also , Being It Has Detoxifing Effects In It ?

Thanks XXXX
Dr. XXXXXXX Mazumdar :

I Made Me A Pitcher Of Tea And Drank Some & Yes It Did make Me Nervous ?
So I Do Know Now I Cant Drink Black Tea !!!

And With My Stomach Trouble / Nausea , I Cant Drink Soft Drinks Either , Now I Love Ginger Ale , I Buy The 2 Litter Bottles Of It And Drank Several Glasses Of That A Day ?
Is The Ginger Ale Just As Bad As The Soft Drinks / Carbinated / Drinks ?

Please Make Sure You Reply To This Question ?
Im Trying To Find Something I Can Drink That Want Hurt My Stomach ?
And How Much Or How Many Glasses Of Ginger Ale Per Day Would You Say Is Enough ?

Please Reply Today ( ASAP ) !!!!

Thanks XXXX

Dr. XXXXXXX Mazumdar :

Sorry To Ask So Much , But These Are Very Important Questions Please !!!

I Have Very Bad Anexity , Bad Nerves , Like Out The Roof So To Speak !!!

Could Or Would This Cause All This Nausea From The Time I Get Up In The Mornings & Off And On Thru Out The Day ?

If So , Im On Xanax , I Know Most Times When I Take A 1Mg Pill , After 30 Mins Or Longer , Sometimes Longer , The Nausea Goes Away ?

Please Leave Me Your Opinion On This Please Also In Detail Please ?

Maybe Between Me & My Wife , My Doctor Here And With Your Help We Can Find Out Why I Get Sick Feeling And Nausea , Sometimes Hurting Stomach , In The Mornings First Thing , And Sometimes Last Part Of The Day Or Mostly All Day Until I Get Enough Medicine In Me To Subside The Nausea ?



Thank So Much For All Your Help !!!!! ( Waiting ) !!!!

Thanks XXXX!!!! P.S Reply To All Questions In All Boxes You Havent Answered Yet Please !!!!! Thank You Dr. XXXXXXX Mazumdar :
doctor
Answered by Dr. Chakravarthy Mazumdar (32 hours later)
Brief Answer:
Please find the opinion below

Detailed Answer:
Low stress hormone can possible cause nausea. How do we prove it for you unless we measure the level in the blood. I do not think of this as cause for your nausea for now.

A lot of times an online doctor will not be able to pin point the reason for nausea and a few times by your own physician initially. Hence frequent follow up is necessary with the physician.

In my opinion Tetley tea should not harm you. It is good if taken in moderation that is XXXXXXX 3 cups a day.
Ginger ale without soda is good for health. It has a lot of healing and antiinflammatory properties. I do not advise soft drinks and carbonaated ones at all.

You can try accupressure for nausea. You can find an expert in your area. At the same time there is some anxiety related to nausea. You should try to manage that as well. Bread and milk is excellent bland diet to help one against nausea. So is the smell of lime and its leaves.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chakravarthy Mazumdar (5 hours later)
What About If My Electrolytes Maybe Low , Would That Cause Nausea ?
And Is Gatorade Good To Build Them Back Up ?
And Or Would You Suggest Drinking Or Takeing Something Ealse ?
Please Reply Back Today Please ?
I Drank Some Gatorade Yesterday & It Seemed To Settle My Stomach Some ?
How Much Gatorade Would You Think I Should Drink Per Day ?
Just Went To The Doctor Yesterday And He Put Me On Bentyl For IBS !!!
Thats What He Said I Have And Was Causeing The Nausea ?
Do You Agree With Him ?
Also I Cant Remember , But Is It Best To Take This Medicine Before I Eat or After ?
Does It Matter ? And Should I Take It Before Or After My Blood Pressure Medicine In The Mornings ? I Take My Dexilant 1st Thing , Then Should I Take The Bentyl , Or Should I Take My Blood Pressure medicine ? Please Reply Back Today Please !!! I Also Take A Tylenol After The Bentyl Yesterday , Because I Got A Headache , Is That Ok ? Please Answer All In Detail Please !!!

Need Your Opinion & Advise Please ? Reply Back ( ASAP ) Please Today !!!!!


Thank You Very Much !!! XXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (3 days later)
Brief Answer:
Bentyl is Dicyclomine cause nausea

Detailed Answer:
If your doctor labels as IBS and prescribes it I am fine but Bentyl causes more nausea.
This is better taken before meal and before bed time.

Gatorade is good to build the electrolytes back if they seem to be problem. There is no harm taking Gatorade in moderation. Moderation needs to be defined properly may be 4 Oz a day can be taken or take it as a tonic (50ml) each time you have nausea. Please inform your doctor about Gatorade.

All the best.
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (9 hours later)
My Doctor Prescribed My Bentyl , And Its Slowly Working For Me !!!
I Havent Had Nausea For 2 Days !! Only Wake Up With Just A Little Bit On The Quezzy Side , But After I Take My Bentyl Pill About 9:30 , About 30 Mins To And Hour My Stomach ( STOPS ) Hurting And No Nausea !!!
My Question Is Will Or Can Bentyl Heal Or Cure My ( IBS ) Over Time , And If So How Long Does It Take It To Keep My Bowels To Smooth Out ? It Helps My Whole Intestinal Tract To Relax ? But I Want To Know If After A Few Months Or A Year , Will My ( IBS ) Go Away Completely !!!! And Also I Take 60 MG of Dexilant 1st Thing When I Get Up ? Should Or Could I Take The Bentyl 1st Thing In The Mornining & The Dexilant After Wards , And Before My Blood Pressure Medicine Cozaar ? Please Reply Back Today Please!! Dont Wait 3 Days To Reply Back Please !!! I Need To Know As Quick As I Can Get A Reply Please !!!! Explain In Detail How You Would Take These 4 Medicines IN Line With Each Other And How Far Apart Would You Take Them To !! I Also Take 1Mg Xanax After The Bentyl ? PLEASE REPLY BACK TODAY ? Thank You For Your Help !!!Also 1 Other Question To Go With The Others Please !!

Can I Take Dexilant & Bentyl Together At The Same Time , With Out Food , 1st Thing When I Wake Up ?

Want To Make Sure , The Nurse Said It Would Be Ok !!!
I Just Like To Be Safe ?

And Can I Take One Or The Other 1st ?
Which One Would You Take 1st , Then The Other ?
And Would You Take Them With Or Without Food 1st Thing In The Morning ?

Please Reply Back Today Please !!!!
I Need To KNow , This Is Very Important To Me !!!!
Please Reply Right Back !!!


Thanks XXXX
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Follow up: Dr. Chakravarthy Mazumdar (3 hours later)
Also 1 Other Question To Go With The Others Please !!

Can I Take Dexilant & Bentyl Together At The Same Time , With Out Food , 1st Thing When I Wake Up ?

Want To Make Sure , The Nurse Said It Would Be Ok !!!
I Just Like To Be Safe ?

And Can I Take One Or The Other 1st ?
Which One Would You Take 1st , Then The Other ?
And Would You Take Them With Or Without Food 1st Thing In The Morning ?

Please Reply Back Today Please !!!!
I Need To KNow , This Is Very Important To Me !!!!
Please Reply Right Back !!!

Thanks XXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (14 hours later)
Brief Answer:
Dexilant early morning and Bentyl before breakfast

Detailed Answer:
Very happy that Bentyl started working for you. It may need a month to two months for treating IBS. It controls the symptoms to maximum extent. The disease comes back if you are stressed out and have too much anxiety. Be careful because it may have small addiction potential.

Yes you can take Dexilant once before breakfast. You can t medicines before meal and with a gap of 1 hour. You can take either of them first and the second the later after one hour.

You can take Cosart before bed time.


Above answer was peer-reviewed by : Dr. Aparna Kohli
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Follow up: Dr. Chakravarthy Mazumdar (34 hours later)
Dr. XXXXXXX Mazumdar :

Hello : Im Going For An ( Untra Sound Of The Abdomen ) In The Morning To See If We Can Determind What Is Going On Or If Anything Ealse Is Causeing My Nausea Problem !!!

Im Hopeing That Everything Turns Out Good !!!
Dont Want Any Bad News , Ya KNow !!!!

If You Had To Say , As Your Opinion , Whats Going On , Thats Causeing This Nausea , What Would Be Your Answer Please !!!

The Bentyl Has Calmed It Down , Only Taken 6 Pills , So Far !!!

Didnt You Say That The ( IBS ) I Have Could Very Well Be Causeing This Nausea ? Because I Woke Up This Morning With A Quezzy Stomach , Not So Much Nausea ? Please Explain Please ?

Please Reply Back Today Please With Your Detailed Answer PLease !!!
I Will Be Waiting On Your Message Reply Today Please !!!!

Thanks For All The Help !!!

Thanks XXXX

Dr. XXXXXXX Mazumdar :

I Also Need To Ask You If Its Ok To Take Xanax & Bentyl Together , Or An Hour Apart , To Help With The IBS & Nausea ?

I Believe They Work Good Together To Help The Complete Digestive System , Plus Nervous System To , Right ?

Please Reply To This Box And The One Above Please !!!
ASAP , Tonight Please !!!!

Very Important I Need An Answer Tonight Please !!!

Thanks Alot : XXXX

Dr. XXXXXXX Mazumdar :

I Found Out Something Today On My Own !!!
I Was Ok , With Takeing My Meds , ( EXCEPT ) When I Take Aspirin I Get Hurting In My Stomach And Sick , With Nausea ?

Ive Narrowed It Down To That ?

My Question Is This ?
Can My Regular Doctor Perscribe Me ( Plavix ) !!!
If So I Will Call Them And Get Him To Call Me In Some ?

Because Im Quiting ( Aspirin ) !!! I Must Be Allergic To It ?
I Cant Stand It, Makes Me To Sick ?
Please Dr , Reply Back To Me Today Please !!! ( ASAP ) PLease !!!!

I Need To Know THe Answer AS Quick As Possible Please !!!!
Reply Back Today Or Night !!!!
Im Waiting Please !!!

Thanks So Much !! XXXX

DR :

Or Can I Take A Herb Supliment !!!

But Anything But Fish OIl !!! It Makes Me Sick , I Cant Take Fish Oil !!!

Please Reccomend The Very Best Herb To Thin The Blood ?

So I Can Quit This Aspirin !!! Cant Take This Hurting Any More !!!

Please Reply Back In Detail Please !!!

Thank You : XXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (4 days later)
Brief Answer:
Replace Aspirin with alternatives proposed

Detailed Answer:
Hi,

By now you should have understood that there is nothing obvious on Ultrasound abdomen.

Xanax & Bentyl can be taken one hour apart. Your regular doctor can prescribe you Plavix. It is good that you found aspirin to be related to aspirin on your own.

Do not wait any more, ask your doctor to omit it and prescribe you the alternatives. As I said earlier Aspirin can be the cause but it is also life saver. So till the time you find alternative you should keep taking it.
Above answer was peer-reviewed by : Dr. Aparna Kohli
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Follow up: Dr. Chakravarthy Mazumdar (6 hours later)
Dr. XXXXXXX Mazumdar :

I Was Reading And Researching Where ( Ginger ) Is A Natural Blood Thinner
Plus Helps With ( Nausea) And ( InFlamation ) & ( Reheumatism ) !!??

Can I Get A Ginger Suppliment And Use It For The Blood Thinning ?

Please Reply back Today As Soon As You Get This Message !!!
So I Will Know !!!
Im Going To The Store And Pick Up Some Today !!!

Reply Back As Soon As You Get This Message Please !!!

Thanks Alot :XXXX!!!!! Very Important Please For A Reply Back Today !!!!!
doctor
Answered by Dr. Chakravarthy Mazumdar (21 hours later)
Brief Answer:
Ginger is a good anti inflammatory agent

Detailed Answer:
Hi

Ginger is known to possess anti inflammatory properties. It helps in acute rheumatism but it is not good to depend on natural products for healing. The exclusive use of such natural therapies may interfere with the drugs that you currently take.

So use it as a herb in your cooking every day and not for plain therapy.
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (7 hours later)
Dr. XXXXXXX Mazumdar :

Doctor Is It Possible This ( Cozaar ) Im On For My Blood Pressure is Causeing My Nausea ?
Because I Stay Very Tired And Have Headaches And Stomach Pain In The Mornings And Some Thru OUt The Day ?

I Ask My Doctor To Change Me To Something Ealse , Maybe ( Ziac ) , Is This A Good Blood Pressure Medicine Without Alot Of Side Effects ?

Ive Tried , Metetropol , Atenolol , Norvas , Now Cozaar , Cant Take Them ?

What Blood Pressure Medicine Do You Like That Works Good For Your Patients ?

Please Reply Back To Me When You Get This Message Please !!!
I Need To Know , Right A Away Please ?

Waiting On Your Reply Please !!!

Thanks XXXX!!!!! Very Important Please !!!!
doctor
Answered by Dr. Chakravarthy Mazumdar (17 hours later)
Brief Answer:
Cozar is good and first line drug

Detailed Answer:
I could not think of any other drug other than cozar. It is as safe as other.


Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (10 hours later)
Dr. XXXXXXX Mazumdar:

Ok. Doctor !! I Got My Results Back From The Ultra Sound I Had Done On My Abdomen And It Shows I Have A ( Fatty Liver ) ?

Will You In Your On Words Explain This To Me Please ?
What This Means ? And Is It Back ?

The Nurse Said It Wasnt Nothing Bad ?
Said I Have To Watch My Diet Or Something ?

Is There Not Medicine I Need To Be Takeing For This Or Not ?

Please Reply Back And Explain In Detail This Symptom ?

And What I Need To Do About It In Your Opinion Please ?

And As I Said , Is It Bad Or Serious Or Not ?

And Can It Be Healed Completely And How ?My Regular Doctor Prescribed Me A Different Kind Of Blood Pressure Medicine Today !

Its Call ( Atacand 16Mg ) !!! Is This A Good Blood Pressure Medicine , with Little Side Effects ? And Is It ( Coated Or Not ) ?

Going To Start On It Thursday Around Noon ?

Please Reply Back Your Opinion On This Medicine In Detail Please !!!
Do You Like This Medicine And As I Said Does It Work Good And Not Have Side Effects Or Very Little Side Effects ?

Please Reply Back Today ASAP Please !!! ( Waiting On A Reply ) !!!!!

Thanks XXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (11 hours later)
Brief Answer:
Fatty liver is not always serious

Detailed Answer:
Fatty liver on ultrasound is a common finding and is found in half of the people who undergo routine ultrasound. Most times it is benign and likely due to sedentary lifestyle, smoking, alcoholism, diabetes etc. Your nurse was right. Proper choice of Diet and exercise should be part of your routine. It may not be serious all the time. You need to keep a watch on it once a year. In theory fatty liver is still reversible but after 55 yrs of age it is difficult to reverse it.

Your doctor prescribed candesartan (Angiotensin receptor blocker) to treat blood presssure. It is not a bad drug. I am not sure if it is coated or not. I cannot find that information. Check if it helps you get out of nausea.
Above answer was peer-reviewed by : Dr. Aparna Kohli
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Follow up: Dr. Chakravarthy Mazumdar (30 hours later)
Dr. XXXXXXX Mazumdar :

I Need To Ask You Something Please ?

Is ( Baked Chicken ) Ok To Eat If You Have Fatty Liver ?

Ive Looked Online And Everywhere Tells You Not To Eat Red Meat And This And That ?

But I Have To Have Something , My Weight Has Droped Down To 181 . Several Months Back I Was Almost Up To 198 , So I Really Dont Need To Lose Anymore Weight Do I ?

And I Like ( Baked Chicken ) . I Love Fried Chiecken , But I Know I Cant Have That Right , Or Am I Wrong , Can I Have Some Fried Food Each Month And How Much Would You Say Its Ok To Eat ?

Is ( Baked Chicken ) Ok Everyday ?
Is Potatoes Baked Ok For Me To Eat ?
Is ( Sweet Potatoe Fries ) Ok To Eat If Baked ?
Can I Eat A Hamberger Once Or Twice A Week Or Not ?
Im Eating Honey Wheat Bread , Is That Ok ?
I Dont Eat Plain White bread Anymore ?
Can I Eat A Little Sweets Once In A While , Like A ( Honey Bun ) ?
Can I Drink ( Ginger Ale ) I Buy The 2Lt Bottles And Sip On It All Day , And Drink Water Inbetween Off And On All Day , Is This Ok ?
Is ( CornBread ) Ok To Eat ?
Can I Have A ( Scrambled Egg ) For Breakfast ?
If Not What Part Of The Egg Can I Have Scrambled , The Yellow Or White ?

Please Reply Back ( ASAP ) Please And Explain Each Item Ive Mentioned About Eating , If I Can Or Cannot Have To Eat Please ?

This Is Very Important , Please Reply Back Today Friday 4/25/14 Please !!!!!
I Need To Know Please !!!

Thanks And I Will Be Waiting On Your Reply Please !!!

Thank XXXX

One More Question Doctor !!!

Fatty Liver Doesnt Mean I Have ( Cirrhosis ) Does It !!!
The Nurse Said Herself That My Fatty Liver , Was Or Is Caused By Diet Or I Guess She Ment , From What Ive Eaten Over The Years ?

As A Doctor , Your Opinion Of This Is What ?

Its Nothing Bad Is It ?
As Long As I Eat Good , Everything Will Be Ok Right ?
The Liver Will Heal Itself Then ?

I Just Need A 100% Reasureance From A Professonal StandPoint Please ?

Please Reply Back Today ( ASAP ) Please !!!!!

Thanks XXXX

One Other Question Please !!

When They Done The Ultra Sound , If ( Cirrhosis ) Would Have Been Present
They Would Have Seen It Right ?

So This Means I Only Have A Slightly Enlarged Liver Right ?

Thanks And Please Reply Back Today !!!

Theres 3 Boxes Of Questions , I Have To Know About Please !!!

Thanks XXXX

Dr. XXXXXXX Mazumdar :

Hello Dr !! Please Reply Back To My Questions , Its Been 3 Days Or More !!!

Heres Something Ealse I Need An Answer To !!!
I Noticed I Can Take A Peace Of ( Phenergan ) At About 11:00 At Night And Sleep Good & I Dont Have ( Nausea ) The Next Day ? I Dont Take A Whole 25Mg Pill !!
All I Do Is Take A 25Mg Pill Split It In Half And Then Take Half Of That , Which Isnt Much ? This Is Ok Isnt It ? I Can Eat Good The Next Day And Fill Better Also ?
Please Explain To Me Why This Is ? And Its Ok To Take A Little Bit Of Phenergan Each Night Isnt It ? I Finally Found Something And Some Way Not To Have Nausea All The Time And Everyday ?
This Want Bother My Fatty Liver Will It ?
Please Reply To This Box And The Other Questions In The Above Boxes Also Please !! Today ( ASAP ) Please !!!!

Waiting On A Reply Please !!!!
Thanks XXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (3 days later)
Brief Answer:
My opinion below

Detailed Answer:
Is ( Baked Chicken ) Ok Everyday ? ===== Not ok every day, once in week
Is Potatoes Baked Ok For Me To Eat ?===== Not ok every day, once in two weeks
Is ( Sweet Potatoe Fries ) Ok To Eat If Baked ? ==== Not ok every day, once in two weeks
Can I Eat A Hamberger Once Or Twice A Week Or Not ? ===== You can taste it once a month
Im Eating Honey Wheat Bread , Is That Ok ? === It is ok
I Dont Eat Plain White bread Anymore ? === Good prefer whole wheat one
Can I Eat A Little Sweets Once In A While , Like A ( Honey Bun ) ? == You can eat once in a month.

Can I Drink ( Ginger Ale ) I Buy The 2Lt Bottles And Sip On It All Day , And Drink Water Inbetween Off And On All Day , Is This Ok ? === You can take one litre on three days
Is ( CornBread ) Ok To Eat ? == You can have it once in two weeks
Can I Have A ( Scrambled Egg ) For Breakfast ? == You can take twice in a week
If Not What Part Of The Egg Can I Have Scrambled , The Yellow Or White ? == You can have white more frequently than yellow.

As I said earlier, fatty liver may be reversible but sometimes not. You should eat right, take prescribed medicines, no alcohol and anything that injures liver further.

You should not abuse phenergan. It has defined limits. So you have to judge what is overshooting your tolerance and then take it, otherwise you should learn other ways to tolerate nausea.


Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (2 days later)
Dr. XXXXXXX Mazumdar :

Dr I Need To Know Something Please ?
Which Of These Medications Would You Take 1st Thing In The Mornings And Which Ones Would You Take After ? In What Sequence ?

Dexilant
Bentyl
Atacand
Xanax
Aspirin
Proscar
Phenergan When Needed Or As You Say Dr ?
Zofran When You Say or As You Say ? ( But The Zofran Constipates Me ) !!!

Please Tell Me In What Order You Would Take These Meds And How Far Apart You Would Take Them Please?

Very Urgent You Please Answer This Today ( ASAP ) Please !! I Need A Reply Back Today !!! Urgent Please Ok !!!!

Thanks XXXX ( Waiting On Your Reply ) Please !!!!!!!!
doctor
Answered by Dr. Chakravarthy Mazumdar (20 hours later)
Brief Answer:
Drugs may interact it is better to spk to pcp

Detailed Answer:
Hi

Drugs can interact each other, I suggest to speak to the prescribing doctor.

I suggest my patient to start with Dexilant before breakfast, Bentyl and Zofran for every meal. Atacand and Xanax at night bed time unless anxiety bothersome you during day take xanax. Aspirin once a day after breakfast. Proscar is in the afternoon meal.

Hope this helps.
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (3 hours later)
Doctor !!!

Can I Take My Aticand Blood Pressure Medicine Every 12 Hours ?

Like Take One At 10:00 At Night , And Then Take One At 10:00 The Next Day And Keep Rotating Them Like That !!!!

Please Reply Back ASAP Please !!! Im Waiting Please !!!

Very Important Question !!
Reply Back Today ( Friday ) Please !!!!

Thanks XXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (2 days later)
Brief Answer:
As directed by your physician

Detailed Answer:
Hi

Atacand can be taken twice but it all depends on your blood pressure control.

Thank you.
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (3 days later)
Doctor !!

Can Or Is Dexilant Takeing 1st In The Stomach Ok, And Can Bentyl Be Taken Right Behind It ? Or How Far Apart Can You Take Them ? Then Can You Take A 1Mg Xanax After Them , If So How Far Apart Or With Them !!!
Please Explain This All To Me In ( Detail Please) ?
I Notice ( Bentyl Calms The Stomach But makes Me Feel ( High ) Or Alittle Foggy headed ? Is This Normal Also ? Please Explain Which Ones You Would Take 1st , 2nd , & 3rd Please And How Far Apart ? And Does Any Of These Bother Or Effect Your Heart Also !!!

Please Reply Back ( ASAP ) Please !!!

Thanks XXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (4 days later)
Brief Answer:
No additional value

Detailed Answer:
Hi XXXX

I think I am not adding any value to your further queries. The questions are posted in different way though the answers were already given to you.

Dexilant before morning breakfast. You can take Bentyl post breakfast. You can also take Xanax along with Bentyl.

The link has nothing to day about the surgery you had. Can you be clear? If you have any specific question.



Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
Answered by
Dr.
Dr. Chakravarthy Mazumdar

General & Family Physician

Practicing since :2004

Answered : 1778 Questions

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What causes persistent nausea after a placing of stents in heart?

Brief Answer: Multiple reasons Detailed Answer: Hi, I definitely understand to stay with nausea all throughout the day and empathize you. However there are no simple explanations for the queries that you posted. They are complex sometimes misunderstood. However I would like to simplify the answers for all the queries posted. You should continue your blood pressure medications even though the Blood pressure target is reached (120/80). However the doctor can minimize the dose. At this age I rarely remove anti BP medicine from the list. Medication induced nausea is extremely common and sensitive for people who are on multiple medicines. You should take the help of another medication to off set it or try other alternatives to get off it. Ondensetron is commonly prescribed to offset it. Dexilant is known to cause diarrhoea, itching and rash. Nausea was not described. It is supposed to clear up gastritis. Skipping medicines one day to test if the medicines actually cause nausea is a good idea. But make sure you do not skip more than one day. It would not cause major harm if all the vital parameters are within acceptable limits. Hence I suggest you to inform your doctor before you do it.