i have heart condition and problem that is CAD and MVA. i m also consulting to psychologist as my cardiologist advise. now my problem is walk. i can walk because i have MVA and some time my heart can not bear load of walk. i m 40 year old male. cardiologist gave Aspirin 75 mg, Bisoprolol fumarate 5 mg and Rosuvastatin 10 mg. Psychologist gives me Clomipramine HCL Bp 100 mg and Bromazapam 3 mg.
now i have dry mouth all time plus constipation. i told my psychologist that your medicine giving me this problem. but he said eat fruid fiber etc. but i m still have this problem. next appointment is after 15 days.
I want to ask you is this problem dry mouth and constipation singling or symptom of any serious heart problem or any disease.
second question is tha i have MVA that show in ETT. I feel my HEART is STOP taking oxygen when i put load on heart as walk. i can not walk, so i need to continue walk or i have quit this.
thank you very much
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QasimRaza
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Qazim, some medications do cause constipation and a dry mouth, I have taken several over the years and had to stop them. From the list you gave, I think it will be the Clomipramine or the Bromazapam. Dry mouth and constipation are a known side effect of a certain type of medications. If you cannot control the constipation by eating more fruit, fibre and roughage, etc., you should say to your Doctor that you want to have a short trial period off one medication at a time, to see if, and which one, is causing the problem. When you find what is causing it then they can look at alternatives
i m really very thankful to u that you give me very detailed answer. i also think that Clomipramine is doing constipation and dry mouth. i told my dr he also adive to eat fruit. but its not much effects. i told him , now problem is this if he change medicine he again start treatment from begining . when i have next time meeting INSHA ALLAH on 18 November, i will again discuss with him.
The pain in your chest, shortness of breath and inability to walk is of more concern to me, especially as you describe that you have trouble even walking. By CAD, do you mean coronary artery disease? And MVA is microvascular angina (you can look it up on the internet e.g. see here: bhf.org.uk/informationsuppo... ). When are you next seeing your Cardiologist? If it is not very soon, I would suggest that you see your GP as these symptoms are very indicative that your heart condition needs prompt attention, especially in a man of only 40. Please make sure you see a doctor soon about this. With angina, you can get a GTN spray to help you with shortness of breath, but it may not work with MVA, that article suggests your Cardiologist has done well to identify MVA in you as it is not easy.
There has been alot of recent research into Microvascular dysfunction/ angina and vasospastic angina which means even more is beginning to be understood about these possible causes of Ischaemia with non obstructive coronary arteries INOCA.
INOCA is referred to as non obstructive coronary artery disease NOCAD
Here is a more recent article about Microvascular angina.
i m thankful to u with tears in my eyes. i am tired to visit doctors and hospital. my ct angio same result non obstructive arteries disease. but u said right it is difficult to live with mva. every day is challenge for me.
thanks again. yes you got right mean by mva and cad. mva decleared by ETT. i discuss with doctors. and doctors are not confirmed. cardiologist said your problem is psycho problem because every second day u r in hospital with your heart problem. psychologist said no need to go to see cardiologist. i m rolling ball in hospitals and doctors. dr said mva a not dangerous. i dont know where i go and what to do.
i told thousand of times yo doctors they r say from many years u have anxiety. u think about heart so u feel pain in heary. they say u habe CBT. but told they i hv not psycho problem its heart problem . they said your angio graphy is normal so no meed to worry about micro vascular angina. i m from Pakistan.
Qasim, obviously without seeing all the results and discussing your case with you as your doctors have I don't know. But I do think that if you are having such physical problems, then having anxiety about it is only expectable, especially if your treatment is not being effective - and I don't think the anxiety could be the *main* cause of such extreme physical issues.
Two possibilities - you are getting bounced from Cardiologist to Psychologist and back again - perhaps you could ask them for an MDT review of your case - Multi-Disciplinary Team - this is always best in complex cases.
Or, sometimes you just have to get a second opinion. [edit: post edited to delete para]
Thanks, very useful information. I had also not realised Qasim is *in* Pakistan, not just from Pakistan, I read it too literally. I will edit my other post
thanks cliff. at this time 2am at night i also have breathing problem. i agree with u and change many doctors and cardiologist. cardiologist said you have anxiety issue. but i agree with u that its not only anxiety issue. what what i do. i took more than 5 opinion. when they see thay best doctors diagonosed its anxiety other joinior dr dont denie him. and said u anxiety. i want to.ask u that do i need thalium scan test of heart. and if any disease diagonosed in thalium scan then is there any treatment available for this. plz give advise. some people said that if in thslium scan ur disease disgonsed like narrow or block small arteries then also there is no treatment for that. you have to continue same previous medicine.
Qasim, I am not familiar with MVA other than basically what it is. With two of my own conditions I did manage to find special support groups who helped me a lot, on Facebook. Try here... m.facebook.com/groups/28796... . Also see if you can find authoritative information. More than that I don't know.
I am so sorry that you are having such a hard time. Sometimes the meds can cause alot of things. Or you may want to check your blood sugars as a dry mouth can be a sign of diabetes or or prediabetes. I have benefitted greatly by changing my diet to the "Preventing and Reversing Heart Disease" by Dr. Caldwell Esselstyn. Since doctor's education is paid for by the pharmaceutical companies, the docs are not taught and don't believe that these things can be fixed with a dietary approach. But there are countless testimonies from people who have been healed by it, even when the doctors have said there is nothing more that can be done.
Could you please provide the evidence that supports your statement below?
'Since doctor's education is paid for by the pharmaceutical companies, the docs are not taught and don't believe that these things can be fixed with a dietary approach. '
Here in the UK every doctor is taught according to an approved curriculum by the General medical council.
Sorry I am not in the UK, however doctors in North America are all under the medical system and they learn very little about natural and nutritional ways to get healthy. Big Pharma controls what they learn.
Your comment I feel is disingenuous and insulting to the medical profession by suggesting they are more interested in money than following the hippocratic oath.
Also could I ask you to read this link from BHF admin.
You can read his book. Sorry you feel that was insulting. I never said the doctors are in it for the money. I said they are trained more in medicine than in natural and nutritional healing. Many people don't get well because they are not told about other ways to be healed. If you use only medicine, it does not fix the underlying issue that created the problem in the first place.
sir thanks. but i dont understand much. because my english is not good. i cannot totally understand Dr. Caldwell Esselstyn lectures.
can you tell me how i change my diet plan. what i eat in breakfast in lunch and dinner. what diet plan you adopted and how much time u r using it. i will be very thankful to you if you help me to explain in simple words what i change in my life.
His plan is to eat greens like kale, lettuce, collards, broccoli, chard and others, 6 times per day and eat nothing that comes from an animal and no oils and no nuts, just 2 Tablespoons of ground flax ground flax and no high fat foods (no avocado and no coconut) and soy should be low fat. No processed foods and only whole grains. Eat lots of beans also. Also it helps to have vinegar with the greens.
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Micro vascular angina, coronary artery spasm now heart murmur and possible valve disease
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