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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Enlarged Prostate, High Blood Pressure, Gout And High Cholesterol

I was admitted to the emergency room on 12/15 and released on 12/16. . I am 80 years old and weigh 180 lbs. 5 7 tall, do not smoke, do not drink and no drugs other than prescription. I was feeling light headed and loss of balance (diagnosed as ataxia). This condition began about 3 weeks ago and kept progressing and this is what led me to call 911. I have not changed my usual diet. I am a diabetic, enlarged prostate, high blood pressure, and have gout and high cholesterol. I take medicine for all these conditions. I have had an MRI, MRA w/wo contrast, CAT scan of the head, x-ray of chest, electrocardiogram (Abnormal R-wave progression, early transition). All the tests found nothing abnormal. Blood tests show the following: HCT is 35.3, HGB is 12.0, RBC is 3.83, Sed rate is 36, and A1C is 8.1, homocysteine of 11.6 and MPV of 6.7. The neurologist doctor said that with time, I will get better. I am confident I do not have clogged arteries, no blockages in brain, heart size normal, I am not having a stroke. Is ataxia caused by anemia and/or diabetes? Do the sinuses have anything to do with my condition. And if so why is it happening now? Is it because of my age that all of these conditions adding up are causing the ataxia? MRI findings: Age-related generalized cerebral atrophy with commensurate ventricular dilation. Mild T2/flair signal hyper intensity in the periventricular subcortical and deep white matter nonspecific but likely secondary to chronic small vessel ischemic disease. Few punctate foci of susceptibility artifact noted in the bilateral cerebral hemisphere on gradient echo images which may reflect chronic hemosiderin deposition versus tiny cavernous malformations. No acute hemorrhage. No acute infarction. Ventricles. See above. Bones/joints: Unremarkable. Sinuses: Scattered mild mucosal thickening in the paranasal sinuses with air Fluid levels in the sphenoid sinuses. Mastoid air cells: Unremarkable as visualized. No mastoid effusion. Orbits: Unremarkable as visualized.
Fri, 28 Feb 2020
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Internal Medicine Specialist 's  Response
Hi,

The best drug for prostate inflammation with hypertension is what we call alfa blockers like mini press tablets. As for cholesterol, you can take Atorvastatin tablet.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Salah Saad Shoman, Internal Medicine Specialist
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Suggest Treatment For Enlarged Prostate, High Blood Pressure, Gout And High Cholesterol

Hi, The best drug for prostate inflammation with hypertension is what we call alfa blockers like mini press tablets. As for cholesterol, you can take Atorvastatin tablet. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist