Hello doctor, Six months ago, my father was hospitalized due to pleural effusion. After doing all the tests, we got to know that he has cardiomyopathy, for which the doctor prescribed some medicines. He is taking Atorfit CV 20, Nitrocontin 2.6 mg, Coversyl plus, Concor 2.5, Glyciphage and Glynase. But recently almost every night at the time of sleeping his both chest and back burns and pains. We did a chest x-ray, echocardiography, blood test and ECG. Please suggest.
Hello. Did he undergo angiography at that time? Can you attach his test reports or summary? Firstly, you should consult your cardiologist again and get him checked for the cause of pain. This pain may be related to noncardiac cause as well, like musculoskeletal or gastric reflux. Does he also get pain on exertion or activities which relieve at rest? If yes, then it could be related to the heart. In that case, he will need angiography, and some medicines to be added. There is no antacid medicine mentioned here. So you should discuss regarding starting antacids like tablets Pan-DSR (Pantoprazole and Domperidone) before breakfast once daily. He should avoid having oily, spicy foods and heavy meals, especially at night. So it is important to visit your cardiologist and get him examined and modify some medicines, especially antacids. Also, discuss the need for angiography and adding cardiac medicines. I hope this helps.