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Asking for Father, Male, 65 years old, Rawalpindi
Hello, my father is complaining about chest discomfort sometimes specially while walking in a fast way. ECG was normal I am attaching a chest x-ray and report saying "No active lung parenchymal lesion seen correlate clinically" please tell what does it mean and is it something to worry and which dr we should consult if it needs further investigation.
Salaam
Firstly is your father diabetic, hypertensive, smoker, etc or any other comorbids
Secondly weight or sudden increase in weight n height
Thirdly family history
so reply for this
Please do Echo and then if echo is normal go for ETT. From how long he is feeling chest discomfort and is he having diabetes hypertension ?
Member
yes, he has diabetes but under control like after eating it stays like 160-210 from the last few days he had hypertension issue like suddenly blood pressure was 180-110 so he started taking Zestril 5mg on daily basis also he has a little cough. respected dr we need to visit cardiologist is the chest x-ray fine ? as ecg was fine but ok we will go for echo too
4 years ago
Yes X-ray is normal.
4 years ago
Also ask your doctor to change hypertension medicine as cough maybe side effect of zestril. If it’s started after taking zestril.
4 years ago
Family history of any disease
Any past medical history like diabetes blood pressure
Taking any medication
Weight
Member
He has diabetes but under control like on fasting 130-140. He is not a smoker his blood pressure suddenly elevated a few weeks ago at 180-110 then we visited the dr and he prescribed ECG it was fine now a day also lipid profile was fine just triglycerides were 197(borderline) he is not overweight but his face is like getting weak with age his age is 63 he is daily taking Zestril tablet for blood pressure but he says when we walk in the fast way his chest hurts he also has little cough may be seasonal as staying cause of weather changes.
4 years ago
We have to rule out angina, kindly consult a local dr or book a online consultation for detailed history
Please note that only very minor issues can be dealt with via messaging. Most medical problems cannot be handled without appointment. it is unsafe to request or prescribe medicines without talking in detail with patient.
trying to take shortcuts to medical treatment for a symptom such as chest pain can kill.
https://www.marham.pk/doctors/karachi/internal-medicine/dr-ayesha-khalil
salam, please do an EET and book appointment with me.He needs complete check up which cannot be done by messages.
Please take him to clinic for proper check up.. don’t take short cuts and risk your father life.
Member
Respected dr. what kind of shortcut did I take? I shared his x-ray and asked which field dr we should consult for further investigation.
4 years ago
Hi! Your father with the presenting complaint of chest pain on exertion should be seen by a cardiologist who will advise the appropriate test for heart eg Stress Echocardiography/Thalium scan initially and plan for any further course of action.
Also worthwhile would be to rule out Hiatus hernia.
please see a Cardiologist ASAP.
Member
He has diabetes but under control like on fasting 130-140. He is not a smoker his blood pressure suddenly elevated few weeks ago at 180-110 then we visited the dr and he prescribed ECG it was fine now a day also lipid profile was fine just triglycerides was 197(borderline) he is not overweight but his face is like getting weak with age his age is 63 he is daily taking Zestril tablet for blood pressure but he says when we walk in fast way his chest hurts he also has little cough may be seasonal as staying cause of weather changes.
4 years ago
MBBS, FCPS (Training Complete) | Karachi | Book Appointment
Cough if dry can be one side effect of zestril
If he is diabetes n smoker without any further delay he should be seen by a cardiologist for Echo,
and may need further conservative n invasive management
4 years ago
Member
ok sure he has diabetes but not a smoker but sure ok we will visit the cardiologist for echo and then I will share the results in this forum thank you respected dr for giving the right directions.
4 years ago
MBBS, FCPS (Training Complete) | Karachi | Book Appointment
Your welcome if any further query please contact me on WhatsApp nine sis six five five one nine three eight six zero seven
4 years ago
Member
thank you dr so nice of you may ALLAH bless you and your family
4 years ago