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66-Year-Old Diabetic with Chest Pain: Seeking Advice

Dr Rajiv Kovil |30 Answers |Ask -Follow

Diabetologist - Answered on Dec 10, 2024

Dr Rajiv Kovil is a senior diabetologist, obesity specialist and founder of Zandra Healthcare Private Limited and Rang De Neela, an initiative integrating art with health to promote healing and awareness.
With over 25 years of experience, he has served as an honorary diabetologist Mumbai’s Nanavati Super Specialty Hospital, S L Raheja Hospital and CritiCare Hospital.
A staunch advocate for preventive diabetes care, Dr Kovil co-founded the United Diabetes Forum, a non-profit organisation uniting diabetologists across India to enhance diabetes management.
He is a sought-after speaker at national and international conferences and has authored numerous articles in peer-reviewed journals.
Dr Rajiv earned his MBBS and diploma in diabetology from Topiwala National Medical College, Mumbai.
He remains deeply committed to advancing diabetes care, education and holistic approaches to health through initiatives like Rang De Neela, Blue Dot and Meethas Ek Ehsaas.... more

Question by bikash on Nov 10, 2024Hindi

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My age is 66 yrs. I am diabetic patient for the last 25+ years andy sugar level though fasting remain normal but pp remain around 200 and sometime 200 plus now-a-days. During the last four years myself diagnosed high pressure and taking bp medicine regularly. During the last couple of months I feel chest pain on right side during walking, heavy breath and blur on right eye. If I stop walking for 2-3 minutes the problem vanish and again problem starts if I restart walking. I did ECG, echo, color Doppler as advised by doctor and prescribed bp medicines twice a day. On asking Dr. said there is no serious problem but due to high pressure this problem persists. Kindly suggest if I go for any further investigation of chest and medication.

Ans: What you have is exertional angina.
You. Need to consult a cardiologist and you may require to do a stress test in a hospital setting

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Iam 63 years old with comorbidites diabetic & bp for the last 10 years.i used to walk daily more than 14000 steps average.but for the last 3 months iam not able to walk as i develop breathing problem so i got it checked i tmt it shows positive to cardio vascular decease,hence they advice me to go for Angiogram that also done,doctor said that no major blocks it can be cured by medicines,they have changed the medicines,now i have to takeAzulix for diabetes & other medicines for bp etc with statins,though i take my breakfast between 9.30 to 10.00 am by 2.30 i dont know what happens i get dizziness.my whole body shakes & i will be hungry like anything what is going on for the last one month it worries me a lot please suggest me doctor.

Ans: Please have your break fast before 8/8.30 am, lunch by 1/1.30pm and dinner by 6/6.30pm.
Have 5 hrs gap between meals
Have a complex Carb and adequate good protein with break fast and lunch
Dinner meal should not have any Animal protein and fatty food

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Asked by Anonymous - Sep 28, 2024Hindi

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I am age of 50 yrs , since from last year I got chest pain I went to doctor ie cardiologist ,he has done ECG,eco, tmt and even angiography all the test are negative, as he suggested that u got BP I started BP tablets,as Taxolac am 40 promoted xl 25, which I am taking last 6 months, but still my chest is paining I went recently he told don't worry it is musal pain, so what to do with my chest pain I am doing daily 1 hr walk, all the exercises and some yoga, what to do I am worried. Pls guide me

Ans: Please continue the medications prescribed.
Alongside, may consider some physiotherapy or possibly a consultation with a family physician.
Going by the description you provided and history shared by you, there doesn't appear any major issue.

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

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I am age of 50, I went to hospital last month back due to chest pain, as per doctor advice I done ECG, tmt , angiography all are normal, later days I got BP 170/100 ,so doctor to start BP medicine,as per his advice I started , now I am taking Tazolac Am 40mg and prolomet 25mg after morning food, still my chest pain, again I went to hospital sir told nothing happened it is muscle pain it will go naturally, do daily 1hr walking that I am doing from so many years, still it is paining what to do......

Ans: If these reports are normal and you had only high BP, then starting on BP medication is a good start. alongside, please adopt a healthy lifestyle and regularly monitor your BP - atleast twine in a day.
It will be a good idea to visit a physician for in person consultation. Sometimes a detailed history taken by doctor can elicit some health issues.

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

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