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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have High BP. Taking Nabistar. Have Chest Pain, Cough And Acidity. Diagnosed With Hypertrophy. Guidance?

R/sir,

i am 45 yr. old and i have suffring high bp around 100/150 + side. from last 2yr. i have taken nabistar 2.5mg irregularly when feel helth is down. now i feel mild chest pain left side. and suffring by cough and acidity problem after taking the food.
i have examin by physian and test like ecg , he called you have "hypertrophy"
pls. suggested i will do ?
Tue, 21 May 2013
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Internal Medicine Specialist,  's  Response
Hi,
Thanks for posting your query.
With the available described details, there appears to be possibility of hypertension induced left ventricular hypertrophy with gastritis.
LVH is due to excessive load on cardiac muscles and may cause ischemic changes in ECG.
You should consult with internal medicine specialist/ gastroenterologist and cardiologist and should go for thorough check up.
You should also go for complete blood count, blood sugar, thyroid profile, and renal function test.
You should also go for endoscopy with urea breathe test for H. Pylori.
If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria.
Meanwhile, you should also take proton pump inhibitors along with prokinetics and angiotensin converting enzymes inhibitors.
ACE inhibitors helps in remodelling of heart.
Take care,
Dr. Mayank Bhargava
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Have High BP. Taking Nabistar. Have Chest Pain, Cough And Acidity. Diagnosed With Hypertrophy. Guidance?

Hi, Thanks for posting your query. With the available described details, there appears to be possibility of hypertension induced left ventricular hypertrophy with gastritis. LVH is due to excessive load on cardiac muscles and may cause ischemic changes in ECG. You should consult with internal medicine specialist/ gastroenterologist and cardiologist and should go for thorough check up. You should also go for complete blood count, blood sugar, thyroid profile, and renal function test. You should also go for endoscopy with urea breathe test for H. Pylori. If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria. Meanwhile, you should also take proton pump inhibitors along with prokinetics and angiotensin converting enzymes inhibitors. ACE inhibitors helps in remodelling of heart. Take care, Dr. Mayank Bhargava