answer:Hello!Welcome and thank you for asking on HCM!I read carefully your question and understand your concern. You should know that amlokind is a calcium channel blocker, with its main effect on the blood pressure and fewer effects on the heart rate. I would recommend consulting with your doctor to consider the possibility of adding a beta blocker to this therapy, such as atenolol or nebivolol. Betablockers have their main effect on the heart rate and less effect on the blood pressure. So a combination of these drugs, could normalize his blood pressure and heart rate. You should wait up to a week from the change of the therapy to achieve the effect of the new therapy (antihypertensive drugs need up to a week to show their complete effect). Hope to have been helpful!Greetings!Dr. Iliri

answer:Hello!Thank you for asking on HCM!I understand your concern, and would explain that these symptoms may be related to an infection, such as a pneumonia. Diabetes can lead to a higher risk for infections, comparing with non diabetic persons. What are his blood pressure values? Does he take any medication for high blood pressure?I recommend consulting with the GP for a careful physical examination, a resting ECG, a chest x ray and some lab tests: - fasting glucose and HbA1C- complete blood count for infection- inflammation tests ( fibrinogen, PCR, sedimentation)- liver and kidney function tests- blood electrolytes. You should closely monitor his blood pressure. If it is not stabilized with his therapy, you should bring him to the ER. Hope to have been helpful!Best regards, Dr. Iliri

answer:Hello!Welcome to HCM and thank your for your question!I understand your concern, and would explain that these are common symptoms after brain stroke (also called pseudo bulbar palsy). Unfortunately there are not specific medications, which are proved to improve this situation. The best therapy in this case would be physiotherapy and psychotherapy. Recovery after stroke takes time. It is greatest in the first few months, and gradually plateaus, although small gains may be made for the next 1 to 2 years. I recommend continuing the anti vomiting medications(besides the other antihypertensive and prevention therapy) and try time after time to make proves if he can swallow without vomiting (some patients remain with a feeding tube for months). A psychiatric consult may be needed to establish the proper therapy for his mood changes. Many persons have depression after stroke, which makes their recovery more difficult. Hope to have been of help!Best wishes, Dr. Iliri

answer:Hello!Welcome and thank your for asking on HCM!I read your question and understand your concern. Your symptoms may be related to a musculo-skeletal pain or an esophageal spasm. The fresh drink after physical exercise could trigger the above disorders. Did you have any other symptoms like chest pain, difficulty breathing, dizziness, etc. These symptoms could raise the suspicion of a cardiac cause.It is not typical of any cardiac disorder shock pain that lasts for seconds, without leaving any symptoms after. I would like to know your age and your past medical history. If these symptoms repeat, I recommend consulting with the GP for a careful physical examination, a resting ECG, a chest x ray and some lab tests (a complete blood count, inflammation tests, fasting glucose, kidney and liver function tests, blood electrolytes), to exclude other possible causes related to this clinical scenario. Hope to have been helpful!Best wishes, Dr. Iliri

answer:Hello!Welcome to HCM and thank you for your question!I understand your concern, and would explain that your symptoms coupled with your past medical history are very concerning for a possible coronary artery disease. I recommend going to the ER for a careful physical examination, a resting ECG, a chest x ray and some lab tests : fasting glucose, complete blood count, kidney and liver function tests, blood electrolytes and cardiac enzymes to exclude possible acute coronary disease. Further tests (like a coronary angiography, etc) may be needed if suspicions are raised. Hope to have been helpful!Best wishes, Dr. Iliri

answer:Hi, welcome to healthcare magic.I understand your query and concern.Your symptoms are suggestive of Myocardial infarction leading to Right-sided heart failure and pulmonary edema.I advise you to get an ECG,2D Echo of your heart, lipid profile,hsCRP.Troponin I and chest x-ray immediately to confirm the diagnosis.Monitor your blood pressure, heart rate immediately.Drugs like clopilet,ecosprin, at or as, betaloc,pan top.Avoid stress and anxiety.Avoid smoking and alcohol.Coronary angiogram with or without stenting will be the procedure of choice.Exercise regularly for 30 min.Stress management is mandatory in your case.Consult your cardiologist for expert management and follow up.Hope I have answered your query at the moment.Post your further queries if any,Thank you