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Dr Ashit

Dr Ashit Hegde  |180 Answers  |Ask -

Consultant Physician, Internal Medicine and Critical Care Expert - Answered on Jun 01, 2023

Dr Ashit Hegde specialises in internal medicine and intensive care. He has nearly 40 years of experience and is consultant physician, intensivist and head of the critical care section at the PD Hinduja Hospital and Medical Research Centre.
He is actively involved in teaching and training residents for post graduate programmes in internal medicine and critical care.
He holds an MD degree in general medicine and therapeutics from the Lokmanya Tilak Municipal Medical College, Mumbai, and an MRCP from the Royal College of Physicians, Edinburgh.... more
mahendra Question by mahendra on May 31, 2023Hindi
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My wife is 56 year old, she was taking TELMA - AM for the last 5-6 years to control BP and was okay and controlled. 6 months back her BP reduce to 110/70, her regular physician advise to Take TELMA-20, the BP is controlled but some time reduce to 110/70. Do we stop the medicine gradually? please advise.

Ans: If her usual BP is now below 120 , you could try stopping the medication but need to monitor her BP after stopping the medication. we also need to find out why the BP has now decreased. Is she otherwise well. Has she started taking any other medication?
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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Kidney Health Specialist - Answered on Apr 28, 2024

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Dear Sir, Below is the report of my wife CT SCAN CONTRAST My question is for KIDNEY damage that how much chances are there if kidney stone operation done successfully, means as of now kidney is works or not works. MSCT SCAN OF KUB MSCT imaging was performed using submillimeter thin contiguous axial scan of KUB with oral and I.V. contrast. Coronal and sagittal Reformatted images were obtained. FINDINGS/OBSERVATIONS: Right kidney and ureter: RK measures :72 x 36 mm 4 mm sized calculus (800 HU) is noted in lower calyx of right kidney. Rightkidney shows moderate hydronephrosis with dilated upper ureter with presence of 11.5 x 7 mm sized calculus (1400hu) approximately 3.6 cm distal to the right PUJ. There is seen multiple cortical scarring and thinning of parenchyma involving the right kidney. No renal mass or other lesions. N Left kidney and ureter: LK measures :107x50 mm. No calculi. No hydronephrosis or hydroureter. No renal mass or other lesions. No urothelial lesions: No filling defect, dilation, stricture or wall thickening. Urinary bladder: Well distended. No evidence of calculi or obvious mass lesion. On post-contrast study, both the kidneys shows normal post-contrast enhancement and simultaneous excretion. IMPRESSION: 1. Right kidney shows moderate hydronephrosis with dilated upper ureter with presence of 11.5 x 7 mm sized calculus (1400hu) approximately 3.6 cm distal to the right PUJ. 2. Multiple cortical scarring and thinning of parenchyma involving the right kidney.
Ans: Need to consult an Urologist.
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