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3 months back my ech,2d echo, threadmil normal , 1 week back again ech and troponine normal but my inflamations are high bcoz of gut issues am facing
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Cardiac & Vascular Health
Question #10308
280 days ago
408

3 months back my ech,2d echo, threadmil normal , 1 week back again ech and troponine normal but my inflamations are high bcoz of gut issues am facing - #10308

yeshaswini

with the gut issues -infamation iron areabnormal -shall i again go for cardiao tests or it will be for nutritional deficiencies With iron deficiency ferritin low levels i feel dizzy , low energy -canyou please suggest.

Age: 33
Chronic illnesses: gastric issues with chronic inflamation
I had severe gatritis issue which all symptoms reflects heart -can you pelase guide me
300 INR (~3.53 USD)
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Doctors' responses

Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
280 days ago
5

Hello As you have all your cardiac parameters normal I would suggest you to get tested for porphyria with is associated with high inflammation and iron deficiency For gastritis tab PANTOP 40 mg morning empty stomach daily And get back with report

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
280 days ago
5

Hello dear Please be aware See as per my clinical experience go for just deficiency tests especially of vitamin b. Complex No need for cardiac tests now Kindly share reports with general physician for improvement and further details Regards

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
280 days ago
5

At age 33, if you’re experiencing iron deficiency, low ferritin, dizziness, and low energy, it’s essential to find the root cause. Gut inflammation may impair iron absorption, so evaluation for malabsorption issues (like celiac disease, IBD, or H. pylori infection) is important. Start by consulting a gastroenterologist to assess gut health and nutritional deficiencies—cardiac tests may be needed only if you also have chest discomfort, palpitations, or breathlessness.

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
280 days ago
5

1) Tab Orofer Xt 1 tab after lunch for 3 months 2) Tab pan 40 1 tab before breakfast for 2 weeks 3) Cap darolac 1 cap after meal for 2 weeks 4) tab neurokind OD 1 tab daily for 1 month 5) Vitamin D3 sachet 60k 1 sachet weekly for 2 months

Investigation:

Complete Blood Count (CBC) – for anemia type

Serum Iron, TIBC, Ferritin – to monitor deficiency

CRP, ESR – to assess inflammation levels

Vitamin B12, Vitamin D3 – often low in gut-related inflammation

Stool Routine & Occult Blood – to rule out gut blood loss

Upper GI endoscopy – to rule out gastritis, ulcers, or H. pylori (if not done recently)

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Based on the recent normal cardiac evaluations, it looks like your heart is probably not the underlying problem right now. If your gut-related inflammation and low iron have been identified with blood tests, addressing these could be the key to feeling better. The low ferritin you’ve mentioned suggests iron deficiency, which can indeed make you feel dizzy and low in energy. It might be best to focus on nutritional deficiencies rather than immediately jumping again to cardiac tests, unless new symptoms suggest differently. To manage iron deficiency, consider increasing dietary iron from sources like lean meats, leafy greens, beans, and fortified cereals. Pairing these foods with vitamin C-rich foods can enhance absorption. There are also oral iron supplements available over-the-counter, but checking with your doctor before starting an iron supplement is crucial. They will guide you on the appropriate dosage to prevent issues like constipation or other side effects. Meanwhile, your ongoing gut issues could be contributing to the suboptimal absorption of nutrients. Seeking advice from a gastroenterologist might help tailor a plan to reduce inflammation and improve your overall gut health. Monitoring your symptoms closely and keeping regular follow-ups with your doctor is important to track your progress and adjust treatment as needed. If there are immediate red-flag symptoms like severe abdominal pain, blood in stool, or syncope, seek medical attention promptly to rule out serious conditions.

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