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My husband of 82 years is on multiple medications for heart disease and Parkensons. His feet are very swollen ...is this because he is retaining fluids and if so what can he do to relieve this. He is under the care of several doctors but they have not offered or explained or shed any light on the cause. margaretmidea@ ...
hi, thank-you for the brief history.to reduce the retention there should be some muscular activity. it will be active or passive. a physical therapist will play a key role. also keeping the legs elevated will be good for reducing some swelling. use lower limb stockings for compression effect. as due to lack of mobility...
Hi! I am very lonely all the time........I really dont know why but i end up with wrong people at the wrong time. I have a tendency to slash by body with scalpel. I have tried searching 4 someone to whom ican talk clearly and heart out but no one seems to be there
degree understand your concerns went through your details. i suggest you not to worry much. this is not loneliness, but pure depression. negative thinking and uncontrolled thinking during loneliness do bring self harming behavior. please consult a psychiatrist for better treatment and to save your future. if you requir...
Dimethylformamide (DMF) is widely used as a solvent in the production of synthetic leather. Previous studies have focused on workers exposed to DMF in leather factories; however, little attention has been paid to the general population. This study was conducted to examine the effects of DMF exposure on elderly resident...
The effects of dimethylformamide exposure on liver and kidney function in the elderly population: A cross-sectional study.
Q:A 50-year-old man is brought to his neurologist by his wife for bizarre behavior. On several occasions over the last several days, he had started to complain about ‘bunnies, tigers, and emus’ in the living room. The patient has a history of multiple sclerosis and was last seen by his primary neurologist 2 weeks ago f...
A: Medication side effect
I am 82 and I have been dizzy most of the time. My doctor sent me to many other doctors for balance evaluation and therapy, heart eval., hearing and inner ear tests and a brain scan. The only abnormality was a heart murmur which I ve had all my life. I ve cut back or eliminated all pills except for a vitamin tablet. My...
hi your murmur can be only due to cardiac problem, mostly regurgitation murmur. multivitamin therapy is totally a different entity, it does not suppress the murmur. this dizziness can be due to uncontrolled heart rate or due to electrolyte imbalance or cervical disc problem. small dose of beta blockers like metoprolol ...
hello doctor,my mother has stage 3/4 heartfailure, she is 54 years old. in the past few months her crp levels are very high 60plus but the docs say they dont want to treat it until they know the infection site they have done many ct and mri scans aswell as blood cultures but they havent found teh site. just recently th...
in case if the pacemaker leads were infected her tlc /dlc counts would have increased her blood culture and sensitivity test must have been positive for bacteria any infection in body is frequently associated with rise in body temp(pyrex) as you is a patient of chf on icd prophylactic antibiotic therapy can be given fo...
I ve been going to the gym (cardio and weights) I have a slight pain on the right side with a lump type feel. It is located right below my ribcage. when I was on the elliptical yesterday my heart rate went up to 155 during the tough workout. should I be concerned.
hi, thank-you for providing the brief history of you. as to let you know one of the primary act is thorough musculoskeletal assessment is advised and also the cardiac clearance before undergoing gym. it is on a safer side to get clearance and then proceed. as mentioned by you that you have a pain under the rib cage or ...
HI IV NOT BEEN FEELING TO GOOD TODAY EARLIER MY BLOOD PRESSURE WAS PRETTY HIGH IV BEEN DIZZY FEELING SICK AND ANXIETY ALSO HIGH HEART RATE OF 88 HAVE RESTED IN BED ALL DAY BEEN SLEEPING QUITE A LOT JUST I FEEL A LITTLE BETTER JUST TOOK MY BLOOD PRESSURE AGAIN ANG GOT A READING OF 147/80 AND A HEART RATE OF 67 IS THIS A...
hello, i have gone through your question. thanks for using chatbot. your heart rate of 88 is certainly not high. normal heart beats vary between 60 and 100.so you need not worry about heart rate. you appear quite anxious.i would like to know your age to guide you for pressure as above age of sixty bp up to 150/90 is no...
Hi, my father have been suffering from some heart pain whenever he coughs. He is in his early fifties and does not have any previous heart condition. What should he do? He already arranged an appointment with a doctor but it will be on July and he is quite worried.
hello! welcome and thank you for asking on chatbot! i understand your concern and would explain that his symptoms don't seem to be related to the heart. a chest pain, which is aggravated by the cough or respiration is related to extracardiac causes (pleuritic, lungs, musculoskeletal). i recommend consulting with your g...
hi im almost 8 weeks pregnant and a week ago i had some brownish spotting so i went to er and they done blood test and smear? and internal and said everything was fine then 2 days later i woke up and went to the toilet and was bleeding red.. so i when hospital again and they did an scan and said 2 things it could be th...
dear madam, i empathize your situation. in fact whenever there is brown bleeding during any stage of pregnancy, the first suspicion is death of the baby. when brown bleeding takes place in the first three months, there is a possibility of old or stale abortion. however, in spite this when the abortion does not take pla...
IVE BEEN HAVING HEART PALPATATION EVERY DAY THAT STOPS IF I COUGH ONCE ITS VERY SCARY HAD A EKG TURNED OUT GOOD AND THEY TOOK BLOOD TEST TO SEE IF ANY DAMAGE TO MY HEART EVERYTHING GOOD. I ALSO HAVE A VERY SMALL MURMUR BUT DOCTOR SAID ITS NOT BADSHOULD I HAVE ANY MORE CONCERN
hello and thank you for using chatbot. i carefully read your question and i understand your concern. you should not worry. i'll try to explain you something and give you my opinion. you should know that this palpitation has to do with a rhythm issue. there are some electrical impulses that generates in parts of the hea...
What is the purpose of the study?
The purpose of the study is to investigate the influence of patient characteristics and renal function on factor Xa inhibition pharmacokinetics and pharmacodynamics after enoxaparin administration in non-ST-segment elevation acute coronary syndromes.
I had the flu two weeks ago. I just caught what feels like a mini version. No fever, but I cough and have nasal drip and Im pretty weak feeling. Im on the third day of it. I am 34 years old, male. No health issues. I do feel my heart flutter once and while and just feel tired.. Is this a normal reaction to being sick?
hello! thank you for asking on chatbot! regarding your concern, i would explain that this feeling looks like a paroxysmal cardiac arrhythmia (an episode of atrial fibrillation or flutter, frequent ectopic beats or even ventricular arrhythmia, etc.). there is only one way to confirm any possible arrhythmic events, by me...
Hi, I am 25, healthy, I dont smoke i drink only occasionally and weight a normal weight. I am worry because i get chest pain on the left side. I realised it is always 1 week after I finished my periods and i think I have had this for a long time. It is uncomfortable for a week and after it usually goes. My doctor said...
hello, since you are young and this pain is regular and associated ten days after periods, the possibility of hormonal imbalance related pain is more likely. but get done ecg and 2d echo to rule out heart diseases. if these two are normal, then no need to worry about heart diseases. get done hormone levels to rule out ...
Hi, i m studying so hard at college,things are under pressure resulting in stress, panics.it seems like the above mentioned make my heart to race,palpitations and I feel sad all day .I have sleepless night and panic to much abt my heart. I went to doctor telling that is anxiety , at seems like symptoms occur everyday (...
hi, i do understand your concern. with the limited information, i can say that you are suffering from one of the anxiety disorders and may be depression as well. anxiety as such causes autonomic symptoms like palpitations, tremors, sweating, etc. had i been in your place, i would have immediately consulted a local psyc...
What is the numerator?
Patients with AMI who were prescribed NSAIDs (with the exception of aspirin) in the hospital.
hi, i m 21 female and for about a year to 2 years i;ve been feeling disconnected from the world like i m in a dream or not reality. about a month now i ve been having heart palpitations and having a hard time breathing , it happens alot more when i m laying down. i also have cheat pains along with the palpitations. i h...
hi and welcome to healthcare magic. thanks for your question... the symptoms you describe of feeling disconnected from the world, as if you are in a chatbot. it is often associated with stress / anxiety and can be also part of a psychological disorder called dissociative disorder. the other symptoms such as palpitatio...
What is the fetal heart rate category for recurrent late and variable decelerations?
Recurrent late and variable decelerations are fetal heart rate category III patterns.
Lately i have been feeling pains and aches in my back, neck, chest and for the last week ive been experiencing pressure in my upper and lower jaw on the left side of my mouth. One night i was about to sleep and my heart was beating faster than usual, so i panicked and because super anxious because i thought that my hea...
hello, as per your history, it may be due to muscle strain or nerve compression. for pain, you can take tablet acetaminophen. apply diclofenac gel or ointment locally. heating pads will also help. in case of not getting relief, you may require mri back after consultation. do regular blood pressure monitoring. do regu...
I had this really bad chest pain last night and my arm was hurting as well and then I just thought it was a heart burn so I went to sleep. I woke up this morning and it was gone, but its been back for like the past 30 minutes. Its hard to breathe and when I take a deep breath it feels like something is in the way and p...
well, it can be a heartburn as a good news.....or as a bad news may be a forerunner for a heart attack. you need to get serious specially if you have the risk factors like male sex, older age, smoking, han, diabetes, lipid problems... you need to be concerned if you have pressure sensation on your chest on exertion r a...
Q:A 44-year-old man presents to a family medical center for evaluation of multiple, painful lesions on the lower lip. He says that the lesions appeared 1 day ago after spending a weekend vacation at the beach. He reports a tingling sensation after the 2nd day. This is the 3rd time in the past year that the lesions have...
E: Penciclovir cream
I have been having lower to upper abdominal pain for 4years now. This year I have experienced frequent urination along with urgency and have had 4 UTI treatments in 6 months. Urologist thought I had ICS but that came back as normal after he looked at my bladder. My brother was diagnosed with primary amyloidosis recentl...
hi welcome to chatbot. forum. thanks for calling h.cm. f. you have got pain in upper and lower abdomen, since 4 years, and now you got frequency, urgency and got treatment for u.t.i.4 times in 6 months. you also have thirsty, tingling in hands and feet, fatigue, constant abdominal pain, irregular heart beat, your bro...
My brother-in-law is about 64 years old and had a mild heart attack six months ago. He is under treatment and is doing ok. Can he climb stairs to reach his apartment on the third floor? No lift is available in the building. Thank you. YYYY@YYYY
hello! welcome and thank you for asking on chatbot! i understand your concern and would explain that there is no harm in doing normal physical exercise and daily activities (including climbing stairs) in his clinical situation. so don't worry about it. you should know that physical exercise is recommended in these situ...
What are the pathophysiological mechanisms that can lead to cardiovascular disease linked to metabolic syndrome?
The metabolic syndrome has been associated with numerous pathophysiological mechanisms that can lead to cardiovascular disease, including insulin resistance, increased oxidative stress, endothelial dysfunction, and atherogenic lipid patterns.
What is PLAATO?
PLAATO is an occlusion device (percutaneous LAA transcatheter occlusion) for use in patients with atrial fibrillation who are ineligible for warfarin.
What is dyslipidemia?
Dyslipidemia is an abnormality in the levels of lipids such as cholesterol, triglycerides, and other lipoproteins in the bloodstream. It is a major risk factor for cardiovascular disease.
What is the BP goal for individuals with ACS?
The BP goal for individuals with ACS is <130/80 mm Hg, according to the Class IIa/C level of evidence.
Started with Heartburn at night then burning and dull ache in Stomach and very mild dull ache in lower abdomen/groin.I am now on triple drugs for H pylori and now have no stomach issues or heartburn.Pain has now increased in lower abdomen and has been that way for about a month.please helpIan WilsonIab WilsonPlease hel...
hi welcome to chatbot forum. thanks for calling chatbot. forum. you had heart burn at night, then burning and dull ache in stomach and very dull mild ache in lower abdomen and groin, it appears that you have gastric hyperacidity due to peptic ulcer, or irritant foods. which then may be referred to the lower abdomen, ...
What are the current investigational drugs?
Current investigation has focused on the upstream targets factor XI and factor XII in the contact pathway, as emerging research has elucidated their critical role in thrombosis with minimal or no role in hemostasis. Strategies to target factor XII or factor XI include antisense oligonucleotides that reduce hepatic synt...
I keep having a faster than normal blood sedimentation rate for 6 months now. I feel some small vibes in my heart like shivering sometimes and also weak. I try cycling everyday but i dont know if i dhd do this. I hv gluten sensitivity n food allergies n pollen, i keep sneezing . What is the best thing to do?
hello, i understand your concern. i am chatbot, infectious disease specialist, answering your concern. esr is the nonspecific marker of the inflammation. it rises whenever there is underlying inflammation in the body. as you have allergy there are chances of high esr. this is the reason why esr is high in you. kindly a...
I am from Ernakulam. Now I am at Yemen. In 2009 March . I was pregnant. My date was Nov. 22. That time I am also here. But from 6th month I had a little B.P. ( 140) and the 6th month last I went to Kerala. .Then I check my B.P. that time it increased 180 level. The doctor gave the medicine. And after one week again che...
hi, thanks for the query. i am sorry to read what you had to go through & understand your concern. - high blood pressure in pregnancy is known to cause low birth weight / premature delivery & sometimes fetal loss also. so your early delivery can be due to high blood pressure. - the vaginal itching you had in early mon...
pls I have constant cchest pain, it starts like heart burn and later I feel chest pains for hours.I have past EKG,ECHO,stress test and CT and everithing is ok.My cardiologist say that it is the simptom of anxiaty.Pls ca you give me a advise? thank you
his understand your concern. yes chest pain is one of the symptoms of anxiety, but we can stamp it only after heart testing. you have done all testing and came to normal, so we can say it is due to psychological stress and anxiety. some natural ways to treat anxiety and daily stress are exercise meditation deep breathi...
What did Khayznikov et al. investigate in their study?
Khayznikov et al. investigated statin intolerance because of myalgia, myositis, myopathy, or myonecrosis and the ability of vitamin D supplementation to safely resolve it.
What was the risk of stroke/ systemic thromboembolism with rivaroxaban when compared with dabigatran?
The risks of stroke/ systemic thromboembolism with rivaroxaban were similar compared with dabigatran.
My 88 year old father had a double bypass and valve replacement two 5 days ago. Since then is memory is foggy anb hand swelling. The doctor said before the surgery that his heart was very strong but his kidney was functioning at level 3. What are the survival rate for a man in my father s condition?
hello, for all the above-mentioned procedure with kidney problem, the 5-year mortality is more than 70%, however considering his age it would be 2-3 years, depending on his general health presently co morbidity like diabetes, hypertension, his care and adherence with medication. it would be generalized to predict some...
What is the context of Rosendorff et al Treatment of Hypertension in Patients With CAD?
The context is a study that looked at the treatment of hypertension in patients with CAD, with a median follow-up of 4.7 years. The primary outcome was cardiovascular death, nonfatal MI, non-fatal stroke, and hospitalization for HF.
Q:A 3-year-old toddler was rushed to the emergency department after consuming peanut butter crackers at daycare. The daycare staff report that the patient has a severe allergy to peanut butter and he was offered the crackers by mistake. The patient is in acute distress. The vital signs include: blood pressure 60/40 mm ...
B: Release of IL-4
Q:A 68-year-old man presents to the emergency department with palpitations. He also feels that his exercise tolerance has reduced over the previous week. His past history is positive for ischemic heart disease and he has been on multiple medications for a long time. On physical examination, his temperature is 36.9°C (9...
C: Atrioventricular block
I am 64 years old and I have battled ulcerative proctitis for 15 years now. It developed after I had a heart attack and quit smoking. I have not smoked now for 16 years. I have ongoing treatment, that is controlled most of the time. It gets out of control then treatments change to get it back in control. My questi...
hello as you mentioned that your nephew treated for ulcerative parotitis with silver nitrate, you are right, and i do agree with you that he was treated and cured. but do to any reason the papers were not published and that's why not over internet. however, logic is there ulcer very easily respond to silver nitrate. 2n...
Childhood schizophrenia (Lifestyle and home remedies): Although childhood schizophrenia requires professional treatment, it's critical to be an active participant in your child's care. Here are ways to get the most out of the treatment plan. - Follow directions for medications. Try to make sure that your child takes me...
Childhood schizophrenia (Lifestyle and home remedies): Although childhood schizophrenia requires professional treatment, it's critical to be an active participant in your child's care. Contact the doctor who's treating your child for schizophrenia before your child takes medications prescribed by another doctor or befo...
My dad (79, 200 lbs+) had an angiogram and angioplasty last week. They inserted 2 stints into the arteries of the heart, after finding 2 70% blockages. 2 days after the procedure he had a terrible burning throat that has been burning still, 4 days later (gradually less). Today he was able to eat more than liquid and so...
well sometimes burning throat can be manifestation of atypical angina, but it should have appeared at the time of onset of heart symptoms requiring angiography and pasty, it can be manifestation of acid reflux which can be managed with omeprazole, sometimes in icu some patients develop sore throat leading to burning in...
Q:A previously healthy 29-year-old Taiwanese woman comes to the emergency department with vaginal bleeding and pelvic pressure for several hours. Over the past 2 weeks, she had intermittent nausea and vomiting. A home urine pregnancy test was positive 10 weeks ago. She has had no prenatal care. Her pulse is 80/min and ...
D: Suction curettage
Q:A 30-year-old woman, gravida 4, para 3, at 39 weeks' gestation comes to the hospital 20 minutes after the onset of vaginal bleeding. She has not received prenatal care. Her third child was delivered by lower segment transverse cesarean section because of a footling breech presentation. Her other two children were del...
D: Ruptured vasa previa
Hi doctor, My father by pass heart surgery was done on 16th may 14, he had heart attack on 6th may 14 after that he went for Angiography , blockage in 3 arteries were found. now from 16th may to till now he is in hospital s recovery section. he had to go for dialysis, his serum creatinine is 2.5 now. and doctor also sa...
thanks for your question on chatbot. by your history and description, i think your father is having septicemia (blood stream infection). septicemia is common complication of surgery. it affects almost all organs of the body, especially kidneys and cause septicemic acute kidney injury.these causes decreased urine outpu...
I had a doctor prescribe Zpack for me yesterday. I have shortness of breath and chest tightness, I was also wheezing, but when he listened to me breathing he didn't hear it. I'm really worried about taking this antibiotic because even though I'm not allergic to any medicines that I know of, he didn't really ask me many...
hello, greetings from chatdoctor. i understand that you are worried about the side effect of the prescribed chatdoctor. in my opinion, azithromycin is one of safe take care.
Q:A 51-year-old woman presents the following significant and unintentional weight loss. She denies any personal history of blood clots in her past, but she says that her mother has also had to be treated for pulmonary embolism in the recent past. She also mentions that she had been struggling with her weight, so she wa...
D: Chronic myelogenous leukemia
PURPOSE Peroral endoscopic myotomy (POEM) is a novel technique for treating esophageal achalasia. During POEM, carbon dioxide (CO2) is insufflated to aid surgical dissection, but it may inadvertently track into surrounding tissues, causing systemic CO2 uptake and tension capnoperitoneum. This in turn may affect cardior...
Anesthetic considerations for patients with esophageal achalasia undergoing peroral endoscopic myotomy: a retrospective case series review.
Had multiple blood clots in the lungs last year. Fine now thanks to the blood thinners I was on most of the year. While I had blood clots as well as after - now the next year, I m still having palpitations especially when I work out sometimes, do yard work etc... before the blood clots I never had palpitations except o...
hello, after going through your medical query i understand your concern and i would like to tell you that palpitation can commonly happen in intense activity but considering your previous medical history it is recommended for you to get an ecg, echocardiography and a holder (ambulatory ecg) done and consult with a card...
What is the main focus of the article?
The main focus of the article is to provide guidelines for the prevention of stroke in women, emphasizing risk factors unique to women.
What is the effect of heart failure with diastolic dysfunction on end-diastolic volume (EDV)?
Heart failure with diastolic dysfunction typically leads to a normal end-diastolic volume (EDV).
Background: The antimalarial drug chloroquine and antimicrobial drug azithromycin have received significant attention during the current COVID-19 pandemic. Both drugs can alter cardiac electrophysiology and have been associated with drug-induced arrhythmias. Meanwhile, sympathetic activation is commonly observed during...
Beta-Adrenergic Receptor Stimulation Limits the Cellular Proarrhythmic Effects of Chloroquine and Azithromycin
What pharmacological interventions are indicated to reduce the risk of future events?
The pharmacological interventions indicated to reduce the risk of future events include antiplatelet agents, statins, beta blockers, and other agents to control hypertension, such as ACE inhibitors.
Hi, Im 36 year 5ft 7in height, 14 stones and swim 2 times a week, healthry eat of 80% veg / salads in the last 6 months via resturants due to work. I sleep 4-6 hours a night but suffer with sometimes with heavy heart beats when swimming that I have to stop and let my breath slow back to when I started, same with pulse,...
hello! welcome on chatbot! i passed carefully through your question and would explain that your symptoms could be related to panic attacks or anxiety. anyway, i would recommend consulting with your doctor and performing some tests to exclude other possible causes
What is the recommended method of diagnosis for patients hospitalized with an acute stroke?
The recommended method of diagnosis for patients hospitalized with an acute stroke is HbA1c. HbA1c has advantages in that it is more convenient (ie, it does not require fasting), has less variability day to day, and is less likely to be perturbed by medications, stress, or illness.
What is the major anticoagulant action of heparin?
The major anticoagulant action of heparin is mediated by the heparin/AT interaction.
There is currently a global outbreak of coronavirus disease 2019 (COVID-19), and its epidemic characteristics in the areas where the outbreak has been successfully controlled are rarely reported. Describe the epidemic characteristics of COVID-19 in Jingmen, Hubei, introduce the local prevention and control experience, ...
The epidemiological characteristics of 2019 novel coronavirus diseases (COVID-19) in Jingmen, Hubei, China
Q:A 59-year-old man presents to his family practitioner with his wife. He has fallen several times over the past 3 months. Standing up from a seated position is especially difficult for him. He also complains of intermittent dizziness, excessive sweating, constipation, and difficulty performing activities of daily livi...
C: Shy-Drager syndrome
What does systolic heart murmur mean?
Class I " 1. Echocardiography is recommended for asymptomatic patients with diastolic murmurs, continuous murmurs, holo- systolic murmurs, late systolic murmurs, murmurs associated with ejection clicks or murmurs that radiate to the neck or back. (Level of Evidence: C) " " 2. Echocardiography is recommended for asympto...
I was just release from the hospital for chest pain on my right side. It s a burning. stabbing type of pain that went down my right arm. I went to ER they keep me overnight run all types of heart test whicChatDoctore back negative. Then they sent me home but I still dull right chest pain. What could be wrong?
thanks for your question on chatbot. i can understand your concern.first no need to worry about heart or lung related chest pain because you're all reports are normal. sometimes musculoskeletal pain can be the cause. so avoid movements causing pain. avoid heavyweight lifting and strenuous exercise. avoid sudden jerky m...
What is KDIGO?
KDIGO is an acronym for the Kidney Disease: Improving Global Outcomes, an organization dedicated to developing clinical practice guidelines that provide evidence-based recommendations for the care and management of kidney diseases.
Q:A 72-year-old man presents to the outpatient clinic today. He has New York Heart Association class III heart failure. His current medications include captopril 20 mg, furosemide 40 mg, potassium chloride 10 mg twice daily, rosuvastatin 20 mg, and aspirin 81 mg. He reports that he generally feels well and has not had ...
C: Metoprolol succinate
What are the risks associated with Radiofrequency ablation?
Complications can be significant and may include symptomatic sinus or junctional bradycardia necessitating pacemaker placement, phrenic nerve injury with paralysis of the right hemidiaphragm, and significant facial and upper-extremity swelling caused by narrowing of the superior vena cava/RA junction, which may rarely ...
my friend has high cholesterol and high blood pressure and also was said to have had mild heart attack in lower chamber of the heart. what foods are good for him to eat? he loves fried chicken, and sandwiches and nuts, and meat . I TOLD HIM NO THAT IS GOING TO SHORTEN HIS LIFE, he just ignores me and doctors. what can ...
hello there i have read through your question and would like to tell you that since your friend has high bp and high cholesterol it is very important for him to follow a healthy diet. eating fried and processed food is an absolute no for him. he should be on a low salt and low fat diet. tell him to switch to a healthy ...
Hi Im not having chest pain or shortness of breath at all. But Ive become paranoid about heart disease as it runs in our family history. I have muscle fatigue especially around the shoulders and have not been sleeping well. I see a massage therapist at least 1 -2 times a month. I weight 260 lbs and am 38 yrs old. ...
hello, thanks for writing to chatbot, i am chatbot. ibs is a condition in which patient have changing bowel habit like sometime have diarrhea n some time have constipation...fatigue n muscle cramps u having is mostly due to electrolytes problem as u having diarrhea which may lead to loss of electrolytes n result having...
Does Jonathan Abrams have any institutional, organizational, or other financial benefits?
No, Jonathan Abrams does not have any institutional, organizational, or other financial benefits.
What is SVT?
SVT stands for Supraventricular Tachycardia, a type of abnormally fast heart rhythm originating above the ventricles.
What is the most common tachycardia associated with an accessory pathway?
Orthodromic AVRT
I was diagnosed with Congestive Heart Failure 9 months ago...I m 39 and they say the cause is unknown. My arteries are clear but my e-frac rate is 20-25% (up from the initial 10% at diagnosis),so they say it was probably viral. I recently had an ICD implanted (pacemaker/defib in 1 unit,only 1 lead) I also take the basi...
if anyone gives you a frank yes or no, he is lying. as you are true there are not any multigenic studies to support or disagree with it use why i ask you to restrain? cannabis has the propensity to cause a condition called flash pulmonary edema, and trust me once you have that experience of the sinking feeling, you w...
BACKGROUND: Coronavirus disease 2019 (COVID-19) has been the most important global issue since December 2019. Although the clinical course of COVID-19 is known to be milder in children than in adults, associated hospitalizations among children have increased since the emergence of contagious severe acute respiratory sy...
Risk Factors for Severe COVID-19 in Children: A Systematic Review and Meta-Analysis
Q:A 28-year-old man is admitted to the emergency department with a gunshot wound to the abdomen. He complains of weakness and diffuse abdominal pain. Morphine is administered and IV fluids are started by paramedics at the scene. On admission, the patient’s blood pressure is 90/60 mm Hg, heart rate is 103/min, respirato...
A: Exploratory laparotomy
Started lifting again after a 3-4 month break. I noticed today that from beginning to end I was feeling moderately winded. Like I was breathing fine but felt like I wasn t getting enough oxygen or something. Didn t feel dizzy but I did feel a bit cloudy. This happened last time I lifted but managed to become more spora...
thanks for your question on chatbot. i can understand your concern. since you are having allergies, possibility of early bronchitis is high in your case. untreated allergies can cause airflow limitation. and this is the main cause for bronchitis and feeling of not taking enough oxygen. so better to consult pulmonologis...
I am taking generic for zebeta. dose is 2.5 mg q am. for atrial fib. lately my bld. pressure has been going up in the late afternoon in the range of 140/80 and just now was 150/90. my heart rate is 53. I have been taking the other half of zebeta around 7
howell come to chatdoctori really appreciate your concern, if you feel that your blood pressure is not controlling well then you need to consult physician for further investigation, and it is most advisable to read the blood pressure by physician because if you are reading it on your own then chances of error is very l...
What antibiotics are recommended for prophylaxis?
Amoxicillin, ampicillin, cefazolin or ceftriaxone
Is it possible to diagnose heartburn using an MRI?
There are no MRI findings associated with heartburn. MRI imaging may be useful in the differential diagnosis, excluding causes such as esophageal cancer, hiatal hernia and other causes.
Ok so I m a 24 year old smoker, mom of two about 15 pounds overweight. Well everytime I lay on my right side I get stabing pains in my heart on the left side, it hurts so bad that I have to slowly roll onto my left side to make the pain go away, have you heard of this before ?
hi thanks for asking question. noted you have habit of smoking. this type of stabbing pain can occur if pleura is inflamed or infected. so pleural effusion also can lead such pain. chest x-ray in lateral decubitus procedure is done. treated accordingly. here pleural affection may be secondary to pneumonia like infectio...
Gallbladder removal - open (Why the Procedure is Performed): You may need this surgery if you have pain or other symptoms from gallstones. You may also need surgery if your gallbladder is not working normally. Common symptoms may include: - Indigestion, including bloating, heartburn, and gas - Nausea and vomit...
You may also need surgery if your gallbladder is not working normally. Common symptoms may include: - Indigestion, including bloating, heartburn, and gas - Nausea and vomiting - Pain after eating, usually in the upper right or upper middle area of your belly (epigastric pain)
Recently I have come down with the flu, and am experiencing regular flu symptoms. What is troubling though, something that is rather new, is that at random Ill feel my heart give three hard thumps and then Ill get really dizzy. This will happen while walking, standing, or lying down. Could it be that I am dehydrated?
hit hanks for posting your query to chatbot. first let me tell about dizziness causes. there are many causes for dizziness, from simple and easily treatable causes to serious causes. simple causes are
I have mild chest pain now for a week. My body for some reason feels like I have a lot of gas but nothing comes out I felt like this for quite some time. Im scared thats it going to be a heart attack Im only 24 years old. Also my nerves in my left arm have been feeling funny too burn and itching in the whole arm. Is th...
hello! thank you for asking on chatbot! regarding your concern, i would like to explain that your symptoms seem not to be caused by any cardiac disorder. anxiety or indigestion may be the cause of this clinical scenario. i recommend you to perform a routine blood test, kidney and liver function tests, a chest x-ray, an...
What is CMR?
CMR stands for Cardiovascular Magnetic Resonance.
hello Dr.Doctor my brother have a high creatinine level of 7.3. he is hospitalized. has pnemonia and also got effect on heart. his blood sugar was 200 and BP 200/150 when he was admitted before one week. he is still hospitalized but now BP is 130/90, blood sugar 190 and cretinine is 7.3........kindly tell me the line o...
hi, dairy have gone through your question. i can understand your concern. he had very high blood pressure, sugar and kidney failure. his sugar and blood pressure is under control now. but his creatinine level is still very high. he may need dialysis to correct kidney function. so consult your doctor and take treatment ...
Heart sometimes feels like it skips a beat and you get pin and needles in the legs. Best way to describe the feeling is that of a bicycle wheel, and when you throw something in the wheel it stops before the object is out the other side and your wheel goes on as usual.
thanks for your question on chatbot. i can understand your concern. irregular heart beats is commonly seen with cardiac arrhythmias. and this can cause pins and needle sensations in the body. so better to consult cardiologist and get done ecg, 2d echo and holder monitoring (24 hour continuous monitoring of ecg). if all...
Q:A 68-year-old male is brought to the emergency department by his wife. An hour earlier, he dropped to the floor and began to violently shake his extremities. He urinated on the carpet and seemed confused for several minutes after. He is now feeling better. He has never experienced an episode like this before, nor doe...
D: Hypertonic saline
My sister is 28 and epileptic. She hasnt had any heart problems and she is a bit over weigjt. Today she has had severe pains in her chest that has traveled down to her stomach/abdomen that sje says feels like contractions. She isnt pregnant. The pain has traveled to her lower back and shoots pain up toward the shoulder...
hello, i have studied your case. as per your symptoms cause can be cardiac related. there is possibility of cardiac congestion. i would like to ask some more detail question about your symptoms. was there sweating associated with it? do you have history of hypertension? another possibility due to compression of this ne...
Hi,after taking antibiotics for my sinus infection(1 month ago) I have mucos in my stool,and it s some times very dark,also discomfort in my stomach ,burp,pressure in my solar plexus,but the symptoms I worry about most is that that pressure goes up thru my chest (feels like vibration) some time I have it in my throat.m...
thanks for your question on chatbot. i can understand your situation and problem. possibility of heart disease is less but better to rule out cardiac diseases first for your symptoms. so get done ecg and 2d echo. if both are normal than no need to worry about heart diseases. possibility of antibiotic induced gastritis ...
I have had a problem with my heart pounding very hard for over a month. It pounds so hard I see it in my stomach, and feel it in my neck and my vision flutters with my pulse. I had a cat scan on my stomach and ekg. They found nothing. What could it be?
hello! welcome and thank you for asking on chatbot! i read carefully your question and understand your concern. i would like to know your physical constitution. are you obese or thin? your symptoms seem to be related to a metabolic disorder like possible thyroid dysfunction. anxiety could also trigger this clinical sit...
I am 2 weeks out from having open heart surgery to repair an aortic aneurysm. My first appt. is Monday, but I am curious about this puffiness above my collarbone. I m also having pain only in my collarbone area which I know it will take time to heal from my sternotomy, but the only pain I have is in my collarbone area....
hi dear, welcome to chatbot. understanding your concern. as per your query you have symptoms of puffiness and pain above the collarbone which seems to be due to acid reflux disease or gastrointestinal reflux disease (herd) due to which upper sphincter of esophagus allow the acidic content of stomach to come upwards in ...
What is the context of the first passage?
The first passage provides the citation for a study on measuring intracerebral hemorrhage volumes.
What is the parameter used to approximate preload in the heart?
Ventricular end-diastolic volume (EDV) is the parameter used to approximate preload in the heart. Preload refers to the amount of blood that fills the ventricles of the heart during diastole, which is the period of relaxation and filling of the heart chambers. The EDV is the volume of blood in the ventricles at the end...
Hi, My 7 year old daughter suffers from Eczema since birth which periodically flares up. Even on regular days her itching is very bad. It is heart breaking to see such a lovely child suffer so much. What are my options?How can I get her treated? I really do not want to use steroidal medicines any more. Can anyone sugge...
hi... i sympathize with the kid and understand your concern. the trick of the management is keeping the skin moist and never allowing it to be chatbot. for this oil massage and lotions like hiatus will help. regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured....
In adults with hypertension, does treatment with antihypertensive pharmacologic therapy to a specified BP goal lead to improvements in health outcomes?
Yes, treatment with antihypertensive pharmacologic therapy to a specified BP goal can lead to improvements in health outcomes. It is recommended to treat hypertensive persons aged 60 years or older to a BP goal of less than 150/90 mm Hg and hypertensive persons 30 through 59 years of age to a diastolic goal of less tha...
Hi doctor,I have frequent sneezing during cold climate. I have wheezing and cough. I used several medicines for seven years. I have no problem with the heart, and I do not have asthma.
hi. i have reviewed your query and here is my advise. your symptoms are suggestive of allergic bronchitis. you are having an allergy to cold as per mentioned in the history. i suggest you investigate your cbc (complete blood count) and spirometry to assess the severity and to look for eosinophilia if present. you can b...
Hi, I felt sick yesterday nauseous all day and today my heart is beating fad and I feel shakey I havnt taken anything. And this morning I ate corn flakes I have had a neck pain as well could be the way I sleep. I just ha my period so I know its not pregnancy. I have very little energy.
hello! thank you for asking on chatbot! i read carefully your question and would explain that your symptoms may be related to a viral infection. a metabolic cause could not be excluded. have you measured your blood pressure during the last days? i recommend consulting with your gp for a careful physical examination, a ...
Q:A 58-year-old woman presents to the physician with a cough that began 6 years ago, as well as intermittent difficulty in breathing for the last year. There is no significant sputum production. There is no history of rhinorrhea, sneezing or nose congestion. She has been a chronic smoker from early adulthood. Her tempe...
C: Structural cell death mediated by Rtp801
Hi, My name is sanjay and i am 25years old. I have pain just above the stomach, i believe its just below my heart or it is in the heart i am not sure, have negligible pain just at the back of my left arm shoulders, my Bload pressure is quiet fluctuating, in the mean time i am suffering from cough and cold. Please let m...
thanks for your question on chatbot. i can understand your concern. since you are young, possibility of heart disease is less but better to first rule out heart diseases because you're all symptoms (chest pain, shoulder pain, fluctuating blood pressure) are suggestive of cardiac diseases. so consult doctor and get done...
Who is the Director of Interventional Cardiology at the Cleveland Clinic Foundation?
Patrick L. Whitlow
Hello Doctor, My mom is 75 years old with heart condition - hypertrophic cardiomyopathy taking metoprolol tartrate 25 mg once a day. In the recent months, she developed knee pain and not able to walk. To relieve the pain, the Doctor suggested her to take a Reserve plus injection every week for 4 weeks.. Is this safe dr...
hi, i had gone through your question and understand your concerns. renerve plus injection is safe with all medications for cardiac problems. renerve plus injection contains benzyl alcohol, d-panthenol, methylcobalamin, niacin amide, pyridoxine, and thiamine as active ingredients. reserve plus injection works by lowerin...
hi doctor my mother taken 6mg acitrom my mother left leg has blood bolcked doctor check it PTR & INR to take the tablet acitrom 6mg and take to belt.my mother taken belt .she is use daily.side effect is heart pain she told heart pain and sleeping not well any solution doctor pls tell me my e-mail id YYYY@YYYY
hi, thanks for asking. based on your query, my opinion is as follows.1. endothelial damage, increased coagulating factors or change in blood movement within the vessel commonly leads onto thrombosis. this thrombus blocks the blood vessel.2. due to reduced activity of your mother, blood movement would have slowed down r...
Hello doctor,I am a 21-year-old male. I broke up with my girlfriend two months ago after a healthy relationship of four years. All these happened just within two days, and I could not even understand what to do and what not. She said that she forgot all the moments and memories of our relation, and this breaks my heart...
hello. you are facing an adjustment disorder. the relationship appears to be an important part of your life, but still, change is the hard fact of life. you may not be able to forget her ever, but her memories will stop giving you pain. currently, you do not need any medicines. practice the following tips, and it will...
Dear Doctor,12 years back i was hospitalized and at that night i could not sleep whole night. sudden fear cropped up and my heart began to palpitate and even worse with each moment. Till now i have that fear, palpitation and uneasiness and i cant live a normal life. I have consulted various doctors including cardiologi...
hello, thanks for choosing chatbot for posting your query. from the description that you have given, it appears that you have an anxiety episode, and you need to get it treated. there are various option available.1) talk therapy
I had a fine rash on my chest last evening. I noticed it as I was going to bed.This morning the rash was gone. I ate about five almonds and my heart started to race. I felt like I was going to pass out.I do not have any hives.I did take benadryl.Could this reaction be related to the nuts?
hello! welcome and thank you for asking on chatbot! regarding your concern, i would explain that considering your symptoms an allergic reaction to almonds can not be excluded. have you tried almonds before? coming to this point, i would recommend consulting with your attending physician and performing allergy tests (bl...
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