Dr Sadqa Gul
Q: Can angina be diagnosed by symptoms alone? Hira
A: The diagnosis of angina is based on the patient's description of the symptoms. Angina is usually defined as a tightening chest pain that is brought on by effort and relieved by rest. The usual cause of angina is atherosclerosis or hardening of the coronary arteries. Investigations are performed to establish the extent of the coronary artery disease and also to decide on which form of therapy is most appropriate in a particular patient. Sometimes angina can present in an atypical manner in which case investigations may be necessary to make a diagnosis. However, in the majority of cases a cardiologist would be confident in making a diagnosis of angina on the basis of the history alone.
Q: Is it normal for the first period after having a baby to be very heavy? Yusra, Karachi
A: It is very common for the first period after giving birth to be quite heavy. In fact the first few periods can be heavy but the problem usually subsides after a few months. This may contribute to anaemia especially if the mother's iron stores are low at the end of the pregnancy or if she has experienced extra blood loss during the delivery. If anaemia develops this can contribute to even further blood loss during menstruation. If the problem persists beyond the first couple of cycles it would be worth seeing your GP and having a blood test performed.