I am 78 years old. I had open heart bypass surgery in the year 1994. In January, 2023 , I was provided 2 stents in one of the artery. Presently, I have been prescribed Brilent a, Rosuvas, Nebicard,Isolazine, Nikoran, and Dytor. I have been taking these medicines regulary but I am unable to walk more than 500 meters in the morning as Angina pain starts. Not only that there is swelling on both the feet upto calf level , As my Hemoglobin has fallen to 8 only, I have also been recommended iron capsules. What is your expert advice for me. Thanks and Regards.

Ans: Do you have any symptoms of bloating or acidity. Can try taking drugs for acidity after consulting your physicican. Can try switching rom Ecospirin to another blood thinner after consulting your cardiologist

Ans: To get out of the supportive medication, you need to strictly follow certain disciplines in yourlifestyle
1.Timely meals-Atleast early dinner by 6 pm
2.Periodic fasting(varies with your ability and will) , maybe once a fortnight
3.Regular exercise according to your ability, safest-walks 30 mts five days a week

Ans: Mr Thaiagrajan,
based upon your information, it seems that you have Chronic Kidney disease CKD 3a. Some of the medicines are helpful in that. However, I would advise that your Dapagliflozin could be increased to maximum dose of 10 mg (currently, you are using only half of the dose). Dapa which is a SGLT2i category of medicines are proven to benefit in kidney and heart issues as well.
Please discuss with your diabetologist and get your medications reviewed.
Also, please get Urine Albumin Creatinine ratio done which would provide information on microalbuminuria.

Best wishes
Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi