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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain, High BP. History Of Hep C, Portal Hypertension, Throbmocytopenia. Eliza Shows Active Virus. Advice

Hi...I want to discuss about my father.. He is hep C patient since last 7 years and two times get treatment for this problem I.e interferon and ribavarin. His Eliza shows virus is33.4 time active and now his AFP is 264 He is also having portal hypertension and thrombocytopenia. His ESR is 33. Now he is having a pin point chest pain ECG showing just PVC n LVH. Some time his Blood pressure becomes high. I want to know what will be the treatment for this kind of patient...although he was very active but from a month he is not able.
Thu, 6 Jun 2013
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Cardiologist 's  Response
Dear Sir
Thanks for writing to us.
1. A pinpoint chest point is something which is against cardiac or anginal pain. If this pain lasts for less than 2 minutes or lasts for many hours continuously, the possibility of this being non-anginal pain becomes very high.
2. An increase in blood pressure can be managed by a variety of drugs which include aldosterone antagonists, beta-blockers and calcium channel blockers. Some of drugs belonging to first two classes helps both in high BP and portal hypertension. You can consult your physician for a prescription.
3. For his liver condition, please seek opinion of a hepatologist.
Sincerely
Sukhvinder
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Chest Pain, High BP. History Of Hep C, Portal Hypertension, Throbmocytopenia. Eliza Shows Active Virus. Advice

Dear Sir Thanks for writing to us. 1. A pinpoint chest point is something which is against cardiac or anginal pain. If this pain lasts for less than 2 minutes or lasts for many hours continuously, the possibility of this being non-anginal pain becomes very high. 2. An increase in blood pressure can be managed by a variety of drugs which include aldosterone antagonists, beta-blockers and calcium channel blockers. Some of drugs belonging to first two classes helps both in high BP and portal hypertension. You can consult your physician for a prescription. 3. For his liver condition, please seek opinion of a hepatologist. Sincerely Sukhvinder