Suggest treatment for a heart ailment in a 50 year old lady
Patient: hello doctor..my mom-in law is an heart patient from her childhood...her age is arnd 50..she has been consulting many doctors from childhood..sometimes she becomes fit n sometimes feels unhealthy..now she is not eating well n looks tired ..she is having BP..n now she is not intrested in talking..she always sits quiet..n seems abnormal...please help..the medicines which she is having now is glucobay M50,trinicalm forte,trinicalm plus,neurobion forte and betaglim M1 Doctor: Hello,The kind of description you have given it seem she is having psychological problems like depression or mood disorders. I would advise to talk to her ask for any specific complaints like any chest pain, shortness of breath or any complaints.  If not then it seems she is having psychological issues and get one psychiatry consultation. Also you should regarding any worries or stress is disturbing her and try to council her. Otherwise healthy lifestyle like avoiding void fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode