Dear Doctor, Kindly go throug
  Dear Doctor, Kindly go throug

Total Views: 960

Dear Doctor, Kindly go through this lengthy letter to you with patience and kindly advise me proper advise to clear my mind . I am 72 year old male from India and strictly Vegetarian.I am not sedentary type and walks 4 ½ km every day in the morning and always active. IHD and BP and TYPE II DIABETES I have had IHD (T wave inversion) in the year 1977 and mild hypertension in 1981. DIABETES IN 2010. The doctor who has attended then on me prescribed Aten 50 in 1977. Since then I have been using Aten 50 in one form or other like Aten 50/Atenlol/Stamlobeta. 37 long years have passed with out any problem with either of these two conditions . My BP is quite normal 120/80 and some times 110/70 and some times on very few occassions 140/80 or 90 and my pulse rate will be around 58 to 65 most of the time . My BP on the day of the visting my physician is 140/80 as on 12th dec 2014. My diabetes is under control and am taking glycomet 250 mg twice a day. The attending physician who is an MD has prescribed Cresar 40 mg (Telmisartan) and asked me to stop taking Stamlobeta 50 mg which i am taking from 2006 and further said since i am using this Amlodipine combined Atenlol ,its time to change the medicine and Cresar will also take care of the diabetes and kidneys and heart (IHD) besides BP. As on 12th july 2014 my Lipid profile is very normal. Cholestrol 123 , Tryglycerides 141 ,HDL 53 and VLDL 23. Kindly advise on the following. 1. Since I am taking Stamlobeta since 2006 and prior to that Aten 50 from 1977 to 2006., do I have to taper stamlobeta dosage besides taking Cresar 40 mg? 2. Do i have to continue taking Stamlobeta in small dosage along with Cresar 40 mg?.If so in which dosage do I have to take? 3.Is cresar 40 mg safe for IHD patients also? Please do not form the impression that i have no confidence in my Physician. But i have a tendency to go for second opinion on new drugs before starting a new one. I do not blindly or in hasty manner take any new medicine .Hence I require an expert advise in the matter on the following. If you require any further info, kindly advise me. sincerely somayajulu

PAST HISTORY : Given above

1 Answers

Hi, Cresar medication is not only safe for IHD patients but also is beneficial, and it really takes care of kidney, protects kidney from diabetic damage. if your blood pressure allows you can take both Cresar 40 and Atenolol 25 mg once daily

Have a similar question? Ask our top doctors now !
Matching Already Answered Queries

I hv been having problems of dizziness, and spinning sensations since last 4/5 days. Had the same earlier abt 2 yrs back but on a very mild scale and they went away without any medication. This time it has been rather acute. Visited the physician and hv been prescribed Vertin 8 mg 1x3 times a day before bkfst, lunch and dinner. After three days feeling better but the sensations are still there albeit milder. Feel the spinning sensation especially when I look straight up/down and then bring the head back to normal posn.Again when I am changing sides on bed while lying down from left to right rpt left to right I feel the same sensation. Tho' the dizziness and the spinning sensations are less now after taking the dosages of Vertin 8 last three days would u hv any advice as to how long it takes normally for the problems to be totally eliminated? I am particularly concerned as I am, tho' a retired person, a man of fairly active habits and for the various domestic chores often hv to drive quite a bit in heavy city traffic and as a result of this problem am completely grounded which is affecting our day-to-day life styles and needs.

  Doctor's Answer

Hi, Tablet Vertin is used for relief of vertigo due to several reasons, but it is to be known why is this vertigo occurring. For that reason MRI and other tests needs to be done. The possible causes could be some problem in the brain or ear. If there is chronic disease in the ear, the internal ear is effected and there will be vertigo. The duration of vertigo will depend on the cause. To prevent worsening of symptoms during episodes of vertigo, try the following: - Keep still, sit or lie dow ...
Read Full Answer


My father is 78 years old and has been suffering from constipation for the last 2 years. He has also lost a lot of weight around 10 kgs in this time span. In the last couple of months he has been complaining that his abdominal muscles have torn due to bowel straining and now he says there is loss of muscle in his stomach area. Which is why when he lies down everything is fine but when he sits up and walks around he feels like he is carrying a weight in his stomach. After intake of food it becomes worse and he also gets bloating. We have done all possible tests - colonoscopy, CT scan, ultrasound sometime last year and everything was clear. The doctors gave a verdict of idiopathic constipation and left it at that. His blood work is fine, haemoglobin levels, cholestrol etc. He still suffers from constipation. His prostrate is enlarged but results are fine. What is the solution to his stomach muscle problem ? Is it lack of exercise, lack of protein ? He doesnt have a pot belly and has never had and had always been physically active and fairly slender.

  Doctor's Answer

Hi, History told by you favours irritable bowel syndrome ( IBS ). There are two alarming signs in your case : Firstly, loss of weight and that to10kg approx. Secondly, sensation of carrying a weight in stomach. Both of them do occurs in IBS. But to be on safer side,I would suggest you to go for colonoscopy again because it was done 1 yr back and symptoms have aggravated few months back. Treatments available for IBS - - Increase the level of physical activity. - Have regular meals and take t ...
Read Full Answer


Dear Sir/Madam, I have had intercourse with my boyfriend 5 months back and had abortion pills by consulting a Doctor online. Now my problem is im getting married next month and scare with all these problems because my boyfriend is no more with me he had left me and my parents have fixed my marriage dates to some other person im in a critical situation to handle all the problems. I cant tel my partner that i had intercourse I had abortion pills so is there any problem in getting pregnant again or not I have not gone for any kind of checkup as off now I have itching in my vaginal area. I dont no its due to (wetness in the area or white discharge or any infection coz im using a common toilet in college) My white discharge is white in color and not in any other color. its in liquid form.. It comes 5 to 6 drops a day or sometimes may be little bit more or little.... Please help me out with all the questions i have been worrying about. My mind is totally upset due to all this problems. I need to go for a checkup but im scare to go for a checkup can you please suggest a doctor in Coimbatore,TamilNadu

  Doctor's Answer

Hi! The only blood test that can show whether you are pregnant or the previous abortion was an incomplete one is a serum beta hcg -this checks the hormone for pregnancy in the blood.If less than 5 ,then pregnancy is negative. A normal gynae check up can reveal past pregnancy only if earlier pregnancy led to an incomplete abortion which can be made out by an ultrasonogram of the pelvis or the serum beta hcg.Otherwise no doctor can make out whether you were pregnant in the past and have taken abor ...
Read Full Answer


Hello, I have had a nail fungus for a good ten years or so. When I first noticed it, I went to my doctor and he game me lamasil which I stopped taking after a few days since it had negative affects on me. Thereafter, I stopped taking care of it and just let it go for a good 7 or 8 years. I eventually grew up and started getting very self conscious of how it looked and wanted to wear sandals and flip flops and not have people think nasty things about me. A few years ago I went to my doctor again and he gave me a topical oil which I used for over a year and did not see any results. About two years ago, I noticed that a vertical brown line was starting to grow from the bottom up. I went to a dermatologist who took a sample of my nail but did not take a sample of the nail bed or from the cuticle. Biopsy came back as of course it being a fungus. He in turn gave me pills to take which I also had to stop taking since it was having a bad affect on my liver. After that, my dermatologist said that he would give me laser treatments which I did two of. They did not clear it but it looks a little bit better then what it was before. Still thick, yellow, crumbling below the nail, nail bed where new nail is growing is darker then the others and the brown line is still there. It is a thick brown line. How did I get this brown line? Did I get it because of the prolonged damage of the nail bed due to the years of having the nail fungus?

  Doctor's Answer

You're most welcome. Nail Melanoma does not affect multiple nails together while Longitudunal Melanonychia (LM) often does. The fact that an additional nail is showing changes is nearly conclusive that this is LM, which as I said is harmless. However it would be best to see your doctor to get this confirmed since I cannot see the affected area. I would recommend getting the entire nail removed if its the only one affected by fungus, but this will be solely to treat the fungus not because I thin ...
Read Full Answer


hi my dad (68 years) has undergone a Turp sugery on 23rd Dec.He has been fitted with a cathether..He has been prescribed the following medicines (Pan 40 mg, levomac,augmentin 625 mg, chymoral fote)..He is taking it regularly...But the problem is he feels sleepy always and in a day sleeps for atleast 16 hrs (altough not so tight sleep)..am not sure of the reason why he feels so drowsy..can it be because of the tablets..also for info he was given spinal anaesthasia for the sugery..please advise..

  Doctor's Answer

Hi, I would recommend you to get a serum electrolyte done of your dad. If sodium levels comes out to be low then you have the cause and you will have to add a bit of salt in his diet and he will improve. You can consult a urologist since all these problems you had were after the surgery. Feel free to ask more question. ...
Read Full Answer


Doctors Related to

Dr. Ritu Sethi

  • Gynecologist
  •  Gurgaon, India

Dr. Ramesh Madan

  • Internal Medicine
  •  New Delhi, India

Dr. Puneet Madan

  • General Physician
  •  New Delhi, India

Dr. Vivek Nair

  • Dermatologist
  •  Gurgaon, India

Dr. Pravin Gore

  • Colon and Rectal Surgeon
  •  Mumbai, India

Dr. Gladson Uchil

  • ENT
  •  Bangalore, India

Dr. Alok Kalyani

  • Rheumatologist
  •  New Delhi, India

Dr. Sanjay Pandey

  • Homeopathist
  •  Kolkata, India

Dr. jayaprakash Thirumalareddy

  • Dentist
  •  Hyderabad, India

Dr. HARJEET SINGH

  • Opthalmologist
  •  Kolkata, India
Articles Related to
Get Answer from online doctors now !

Ask Doctor Online 24/7

Verified Panel of Certified Doctors
Complete Privacy, Stay Anonymous
Full Satisfaction Guaranteed

By proceeding i accept Terms and Conditions

11 Doctors online to answer your health query now! 11 Doctors online !

Top Related Questions
I hv been having problems of dizziness, and spinning sensations since last 4/5 days. Had the same earlier abt 2 yrs back but on a very mild scale and they went away without any medication. This time it has been rather acute. Visited the physician and hv been prescribed Vertin 8 mg 1x3 times a day before bkfst, lunch and dinner. After three days feeling better but the sensations are still there albeit milder. Feel the spinning sensation especially when I look straight up/down and then bring the head back to normal posn.Again when I am changing sides on bed while lying down from left to right rpt left to right I feel the same sensation. Tho' the dizziness and the spinning sensations are less now after taking the dosages of Vertin 8 last three days would u hv any advice as to how long it takes normally for the problems to be totally eliminated? I am particularly concerned as I am, tho' a retired person, a man of fairly active habits and for the various domestic chores often hv to drive quite a bit in heavy city traffic and as a result of this problem am completely grounded which is affecting our day-to-day life styles and needs.
1 Answer
My father is 78 years old and has been suffering from constipation for the last 2 years. He has also lost a lot of weight around 10 kgs in this time span. In the last couple of months he has been complaining that his abdominal muscles have torn due to bowel straining and now he says there is loss of muscle in his stomach area. Which is why when he lies down everything is fine but when he sits up and walks around he feels like he is carrying a weight in his stomach. After intake of food it becomes worse and he also gets bloating. We have done all possible tests - colonoscopy, CT scan, ultrasound sometime last year and everything was clear. The doctors gave a verdict of idiopathic constipation and left it at that. His blood work is fine, haemoglobin levels, cholestrol etc. He still suffers from constipation. His prostrate is enlarged but results are fine. What is the solution to his stomach muscle problem ? Is it lack of exercise, lack of protein ? He doesnt have a pot belly and has never had and had always been physically active and fairly slender.
1 Answer
Hello, I have had a nail fungus for a good ten years or so. When I first noticed it, I went to my doctor and he game me lamasil which I stopped taking after a few days since it had negative affects on me. Thereafter, I stopped taking care of it and just let it go for a good 7 or 8 years. I eventually grew up and started getting very self conscious of how it looked and wanted to wear sandals and flip flops and not have people think nasty things about me. A few years ago I went to my doctor again and he gave me a topical oil which I used for over a year and did not see any results. About two years ago, I noticed that a vertical brown line was starting to grow from the bottom up. I went to a dermatologist who took a sample of my nail but did not take a sample of the nail bed or from the cuticle. Biopsy came back as of course it being a fungus. He in turn gave me pills to take which I also had to stop taking since it was having a bad affect on my liver. After that, my dermatologist said that he would give me laser treatments which I did two of. They did not clear it but it looks a little bit better then what it was before. Still thick, yellow, crumbling below the nail, nail bed where new nail is growing is darker then the others and the brown line is still there. It is a thick brown line. How did I get this brown line? Did I get it because of the prolonged damage of the nail bed due to the years of having the nail fungus?
2 Answers
GOOD MORNING SIR,I NAVEEN KUMAR,I AM JUST 25 YEARS OLD.I AM SUFFERING FROM HYPERTENSION FROM 2 MONTHS,I USED STAMLO BETA FOR HYPERTENSION,TWO WEEKS BACK I MET A CARDIOLOGIST,IN THAT TIME MY BP170/100.PREVIOUSLY IT WAS CONTROLLED BY STAMLOBETA.DOCTOR WROTE FOR ECG&ECHO TEST,ECG TELLS THAT 'RBBB.'&ECHO TELLS THAT MILD CONCENTRIC LVH.OTHERWISE NORMAL.DOCTOR PRESCRIBE BP MEDICATIONS CHANGED FROM STAMLO BETA(ATENALOL+AMOLDOPINE)TO METXL-O(METOPROLOL+OLMESARTAN)&SAID THAT NOTHING TO WORRY ,RBBB&MILD CONCENTRIC LVH WILL BE REGRESS.BUT MY BP WAS NOT CONTROLLED ALL THE DAY IT IS RAISED AT NIGHT TIME.TELL ME YOUR SUGGESTION&IS RBBB&LVH REGRESSED,IF WITH CONTROLLED HYPERTENSION?&I HAVE DONE COMPLETE MASTER HEALTH CHECK UP,ALL ARE NORMAL.TELL ME SUGGESTION PLEASE.THANKS®ARDS,NAVEEN KUMAR.
1 Answer
I am a 38 years old male having high blood pressure and Now doctor advise to taking a tablet every morning and evening called LOTENSYL 10mg,Storrvas 10mg,minipress2.5mg Arkarmin ,phostat trice in a day and Febutaz 40 before sleeping. most of time Bp has 150/90 at morning,evening quite high like 160/100 ,PR 86. Lipid profile TC 190. HDL - 34mg/dL, LDL - 104.0 mg/dL, VLDL - 52.00,TRIGLYCERIDES- 306.00 mg/dL.
1 Answer