<s>[INST] Hi doctor, My mother is 47 years old. Firstly, I want to tell you that (at present) my mother has a uterus tumor and kidney calculus. Last year her triglyceride was 402, cholesterol was 260, ECG was normal and TMT was showing negative. But the doctor said that she has a minor blockage that the machine is not showing. After that, she was taking Starpress XL 100, Rabiros 20 and Ecospirin AV 150/20 for one year. Now for the past two months, she is taking Starpress XL 100, Rabiros 20 and Ecospirin AV 150. But she is facing some problems. During this time period (approximately 18 months) she often feels severe hurtburn and sometimes severe headache. For this problem, we consulted many times, but the doctor does not do anything. Why does she this problem? Her TMT was going to be done this year but that time her Hb was 10 g/dL. Doctor asked her to consume juice and jaggery, but nothing happened. After that, he gave Biofer XT and also consumed juice but her Hb is still the same 10 g/dL. If she consumes pomegranate juice and Biofer XT daily she gets loose motion that is why she left some dose of Biofer XT. Now, she is not feeling any chest pain and because of these problems, she wants to reduce Ecosprin dose every three days. She wants to quit it and wants to take Ayurvedic treatment but the doctor is not allowing her to miss even a single dose. And I also read from the internet that if we leave Aspirin dose it may cause heart attack. Please suggest what to do? [/INST] Hello. I want to see the lipid profile, ECG (electrocardiogram), TMT (treadmill stress test) and echocardiography report of your mother to guide you better but still, I recommend you the following: Your mother is taking a high dose of Aspirin i.e. 150 mg (a component of Ecosprin). It may cause heartburn. Reduce it to 75 mg. Another component is Atorvastatin 20 mg. That is fine. Rabiros 20 mg (Rabeprazole) used for heartburn is fine. Reduce the intake of tea and coffee, avoid spices in food. For Hb (hemoglobin), eat healthily. She is taking iron supplements that may also cause heartburn. Take iron supplement after two hours of Rabiros 20 mg to decrease heartburn. Take iron for three months and repeat CBC (complete blood count). Take all the medicines daily, without interruption. Repeat the lipid profile after three months. Reduce weight, adopt active lifestyle, and do exercise. I hope this helps. </s>