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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@ icloud.com
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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 in the muscular system this is happening. i wish you find a physical therapist who can take the responsibility further and help your husband to the best. with the grace of god i wish you a speedy recoveryregardsjay in chatbot.
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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
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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 require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck.
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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 residents living near synthetic leather factories. A total of 962 subjects over 60 years of age in proximity to these factories (monitoring points) were enrolled as the exposure group, and 1924 permanent residents living distant from the factories were enrolled as the control group. The exposure group was divided into 3 groups according to their distance from the monitoring points. Physical examination, routine blood tests, and liver and renal function data were collected, and the DMF concentration in the air was analyzed by gas chromatography-mass spectroscopy. The prevalence of abnormal heart rhythm, electrocardiogram and B-mode ultrasound results in the exposure group was significantly greater than in the control group. Aspartate transaminase (AST), alanine transaminase (ALT), and blood urea nitrogen (BUN) levels in the exposure group also were higher than those in the control group (P < .01). There was an effect of distance from leather factories on liver and kidney dysfunction in the 3 exposure groups. Compared with the exposure group at >3 km distance from the source, the prevalence of increased AST, ALT, and BUN in the exposure group at <1 km was significantly greater (P < .001). It was concluded that DMF exposure was related to an increased risk of a cardiac injury and liver and kidney dysfunction.
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The effects of dimethylformamide exposure on liver and kidney function in the elderly population: A cross-sectional study.
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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 for complaints of new left upper extremity weakness. On physical exam, his temperature is 37.0°C (98.6°F), the heart rate is 70/min, the blood pressure is 126/78 mm Hg, the respiratory rate is 16/min, and the oxygen saturation is 98% on room air. The exam is disrupted by the patient’s repeated comments about various animals in the exam room. His neurologic exam is unchanged from his neurologist's last documented exam. The basic metabolic panel is as follows:
Na+ 138 mEq/L
K+ 3.9 mEq/L
Cl- 101 mEq/L
HCO3- 24 mEq/L
BUN 10 mg/dL
Cr 0.6 mg/dL
Glucose 356 mg/dL
Which of the following is the most likely etiology of this patient's presentation??
{'A': 'Medication side effect', 'B': 'Metabolic abnormality', 'C': 'Primary psychiatric illness', 'D': 'Progression of neurologic disease', 'E': 'Recreational drug intoxication'},
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A: Medication side effect
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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 blood tests showed sodium at 132 which is below the range slightly and LDL chol Calc of 125.8 which is above 100. Any ideas?
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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 if otherwise not contra-indicated can be started to control the rate, which in turn reduces the dizziness. all the best take care
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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 they done a toe aswell but still cant find the infection site. by the way the blood cultures come back negative.now my mothers spleen has enlarged. what is going on and why dont the doctors just administer antibiotic even if they dont know the infection site ps my mother had a crt d installed 6 months ago but in the toe the docs dont think that the pacemakers leads are infectedhelp plz
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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 for 5 day stab septum 500 twice daily tab lined 600 twice daily crp is an indicator of infection but it's a very old test and a non-specific marker of infections her spleen has increased in size now i would suggest you to go for a repeat serum calcitonin (a very specific test for indicating infection)blood rm blood c n sesrtlcdlccbcurine r n ma combined analysis of these tests can be helpful in reaching a conclusion
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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.
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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 below it, it could be most of the time a muscular pain. due to overtraining there will be a sudden muscle spasm due to stretch contract mechanism on the elliptical. taking a rest with hot water fermentation should reduce the pain and after 3 days you can go back to gym. also, if the pain doesn't come down, than taking up a thorough musculoskeletal and cardiac assessment is advised on a safer side. since you have discomfort on the right side, the worry is less, may be just a muscle spam on the right hyperion chatbot. it should subside in short time. this is on of the common injury in gym, as the body is not prepared to undergo the stress & strain on the muscles. undergoing slow and steady training under guidance will help avoid such injuries in the future. regardsjay in
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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 ACCEPTABLE I DONT SUFFER WITH HIGH BLOOD PRESSURE SO FEEL A LITTLE ALARMED BY IT EARLIER IN THE YEARD I SUFFERD LOW BLOOD PRESSURE BUT BEEN OK TILL LAST NIGHT WHEN THIS STARTED
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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 normal. if you are below 60 then bp less than or equal to 140/80 is normal. your systolic bp 147 is mostly due to anxiety and will not need any bp medicines. i would suggest you to take low dose anxiolytic like tab. alprazolam 0.25 mg at bedtime. this should solve your problem. continue for about 2 weeks. yoga and meditation will help you a lot. my best wishes.
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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.
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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 gp for a careful physical examination, a resting ecg, a chest x-ray study and some blood lab tests
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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 that your not as far gone as you think coz the babys size was like 5 weeks no heart beat yet and they dont get heart beat till 6 weeks or my baby stoped growing at 5 weeks and now im starting to misscariage?? so they told me to go back in a weeks time. But after that day which was 4 days ago iv bin bleeding red everyday almost like a period and yday i had small clots n 1 size like a penny and really bad pains, today is the same but pains much worse n stop for a couple of mins then come back, im so upset iv bin trying for 7 months this is my first pregnancy im so scared i just want now, am i going through a misscarriage for sure???
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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 place, we call it as missed abortion. you had non-viable baby when you had first bout of brown bleeding. however, the chatbot levels do not chatbot. only ultrasonography would have detected non-viable fetus at that stage. now that your missed abortion is confirmed, it is advisable that you undergo the completion of termination of pregnancy asap as delay may lead to the complications like clotting disorders (dic), infections, kidney failure, etc. before you undergo any intervention, it is advisable to get investigated for dic by bleeding time, clotting time, prothrombin time and fibrinogen degradation products on your blood. i hope this has given you some guidance for further management of this condition.
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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
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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 heart different from normal sinus rhythm. they cause a premature heart contraction that it's not a normal one. you feel like a skipped beat, palpitations, difficulty in breathing deeply, anxiety and this symptoms might disappear when you caught because of changes in inta-thorachal pressure. this extra beats are sporadic, and it might be difficult to catch them with a simple ecg. the reasons of this rhythm issue might be different to simple emotional stress, coffee or energy chatbot. so, if this happens once a while you should not worry, its normal. if these bother you and start to interfere in your daily life than if i was your treating doctor i would recommend some examination like a cardiac echo to evaluate heart function and valves for your murmurs, a full blood analyze, your thyroid hormones and a holder rhythm monitoring to see your rhythm tendency. only after this we can better understand if it is necessary to treat this rhythm issues. hope i was helpful. best regards,
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What is the purpose of the study?
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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.
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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?
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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 means of ecg registering during such unpleasant feelings. the most appropriate option would be to undergo an ambulatory 24 to 48 hours ecg monitoring (holder test). in addition, i would recommend you to perform a medical check up by your internist or cardiologist, for a comprehensive physical exam, a resting ecg, chest x-ray study, some additional lab tests like complete blood count, pcr, thyroid, liver, renal function tests, blood electrolytes, etc., to rule in/out any possible flu complications, like thyroiditis, pericarditis, myocarditis, etc. that may lead to generation of cardiac arrhythmias and altered overall health status. a cardiac ultrasound would be necessary, if suspicions of myo-pericarditis, etc. are raised. hope to have been helpful! greetings!
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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 my blood pressure is good, the bloods test came up good, i have no short of breath and no heart desease history in my family. It doesnt get particularly worse if i make an effort. Is it pms ?
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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 the hormonal imbalance. you may need hormone pills to regulate hormones. once your hormones normalize, you will be alright. so consult a gynecologist and discuss all these. hope i have answered your query. let me know if i can assist you further.
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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 (feels like I m in other world not this one) really don t knw what to do.it seems like i have no hope for life. Any help you can offer?plzzz
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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 psychiatrist as sooner the treatment starts, better is the prognosis. if i had been your treating psychiatrist, i would have preferred a selective serotonin reuptake inhibitors together with teaching you some relaxation exercise. hope you get well soon
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What is the numerator?
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Patients with AMI who were prescribed NSAIDs (with the exception of aspirin) in the hospital.
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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 have been to see my family doctor but he doesn t take me serious because of my age. i m at the point if something does go wrong that i may need medical attention i dont think i will go to the hospital because the doctors dont believe me. just wondering if someone could maybe help me out?
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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 palpitations, difficulty in breathing, chest tightness can also be anxiety-related. now, i understand and fully agree with you that your symptoms are quite real and quite distressing indeed. i presume that you have had a medical examination and assessment to rule out any serious medical problems, and that is the reason your doctor is not suspecting any major medical causes for your symptoms. but you should be also open to the fact that these symptoms can be due to a psychological cause. there is a close link between our mind and body, and sometimes, psychological problems such as underlying anxiety can manifest as bodily symptoms. i strongly suggest that you have a consultation with a psychiatrist and discuss your current problems. he / she would be able to assess you in detail and suggest an appropriate management plan. and remember, just because you are seeing a psychiatrist, it doesn't mean that your physical symptoms will be ignored and you won't get any medical attention. psychiatrists are also medical doctors with sufficient clinical skills to detect and treat medical problems, if any are present. all the best. -
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What is the fetal heart rate category for recurrent late and variable decelerations?
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Recurrent late and variable decelerations are fetal heart rate category III patterns.
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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 heart would stop or that I would have a heart attack. After that episode, i looked up symptoms of a heart attack (realized i had some of the synptoms), and i began noticing chest and back pain, now all of a sudden im feeling jaw pain and pressure!! I went to an Urgent Care center where the doctor checked my heart with a stethoscope, and said that I was perfectly fine and gave me ibuprofen for pain. I am worried that because of my age (im 18 year old female and 40 pounds overweight) he assumed that I was fine and sent me on my way. I am really nervous that I may have a heart attack. I have been having the back neck and chest pain for about a month and experiencing jaw pain for about a week. This has caused some anxiety over my health. Should I trust my doctor? Or am I overreacting?
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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 regular physiotherapy. hope i have answered your query. let me know if i can assist you further.
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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 puts more pressure onto my chest. Could you please tell me what this could be? Thank You
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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 heavy meal and that subsides on rest..... also be alarmed if you have a sensation of impending doom and excess sweating during this chest discomfort....if these alarm symptoms are there please contact a cardiologist.
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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 occurred. There are no past medical conditions to document. He appears well-nourished and does not exhibit poor hygiene. His vital signs include the following: the heart rate is 66/min, the respiratory rate is 14/min, the temperature is 37.3°C (99.2°F), and the blood pressure is 124/76 mm Hg. Inspection of the lips at the vermillion border reveals 2 vesicular lesions (refer to picture). Palpation of the neck reveals cervical lymphadenopathy. What is the most appropriate treatment at this time??
{'A': 'No treatment necessary', 'B': 'Docosanol cream', 'C': 'Imiquimod', 'D': 'Oral cidofovir', 'E': 'Penciclovir cream'},
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E: Penciclovir cream
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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 recently and I m wondering if I could have this. I have tingling in my hands and feet at times, always thirsty, very fatigued all the time, constant abdominal pain, irregular heart beat the list keeps going. I m not sure what to do from here. Docs keep telling me everything is normal when tests get run.
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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 brother got amyloidosis, you had a doubt whether you also got the same. your problem appears to be urinary tract infection, or stones in the urinary tract. i advise you to consult a urologist for diagnosis and treatment. you may need to have arthroscopy, and culture and sensitivity of the urine, besides other routine tests for confirmation. wishing for a quick and complete recovery. best regards.
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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
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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 situations, to reduce his cardio vascular risk. besides, i recommend continuing his actual therapy (preventive therapy including aspirin, a statin and antihypertensive therapy) and perform periodically scheduled follow-ups (with resting ecg and cardiac ultrasound) every 6-12 months. hope to have been helpful! best wishes!
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What are the pathophysiological mechanisms that can lead to cardiovascular disease linked to metabolic syndrome?
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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.
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What is PLAATO?
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PLAATO is an occlusion device (percutaneous LAA transcatheter occlusion) for use in patients with atrial fibrillation who are ineligible for warfarin.
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What is dyslipidemia?
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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.
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What is the BP goal for individuals with ACS?
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The BP goal for individuals with ACS is <130/80 mm Hg, according to the Class IIa/C level of evidence.
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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 help
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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, or vice versa. i advise you to consult a gastroenterologist for diagnosis and treatment. you may need to have gastrostomy, besides other routine tests for confirmation. wishing for a quick and complete recovery. best regards.
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What are the current investigational drugs?
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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 synthesis of the clotting proteins, monoclonal antibodies that block activation or activity, aptamers, small molecules that block the active site or induce allosteric modulation, and polyanion antagonists that attenuate contact activation by nullifying stimulators of the pathway.
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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?
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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 also check for other causes of high esr also like, tb. tb is the most common cause of high esr in country like india. glad to answer your further concern. we wish you the best health at chatbot. thank you, chatdoctor
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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 check the B.P. but its not decreased. (Those times I am not feel the baby s movement.) Then she had done scan. She said the baby was dangerous condition. In side the fluid is very less and the baby has low weight . Then suddenly refer another hospital (EMC) and done the operation. The baby s weight 800g. only. And baby has many deceases. (Heart problem, Less plasma) after one week baby passed away. About this incident Can you clear some doubts. 1) why like this happened ? 2) If I again pregnant, have I get again B.P. ? 3) In 3rd month I had very itching in my urinal area. Is that is the problem of low weight baby ? 4) When I try again a baby ? ( Operation done last September )
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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 months of pregnancy might have turned in urinary infection which in turn had caused blood pressure & low birth weight of baby. - but the heart problem at birth, is not observed to be due to blood pressure. - there is possibility of getting blood pressure in next pregnancy too. but stay cool, it can be very well managed by early diagnosis & regular medication treatment/ regular pregnancy checkups/much lifestyle changes & mind concentration exercises along with positive thoughts. -- if not genetic (either of parents having heart problem in family) congenital heart problem can be prevented by - rubella vaccination (6 months prior to conception)/ having iodized salt, folic acid in pregnancy. thanks.
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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
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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 breathing and hyperventilation proper sleep stress free activity do pleasurable activity music and hobbies discuss with friends see all thing with different angle positive outlook confidence all this will help you to counter daily stressmedicinesi have treat so many patients with mild dose of benzodiazepine and mild dose of ssri, in ssri mild dose of escitalopram and paroxetine like chatbot. still have query then feel free to ask. thank you.
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What did Khayznikov et al. investigate in their study?
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Khayznikov et al. investigated statin intolerance because of myalgia, myositis, myopathy, or myonecrosis and the ability of vitamin D supplementation to safely resolve it.
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What was the risk of stroke/ systemic thromboembolism with rivaroxaban when compared with dabigatran?
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The risks of stroke/ systemic thromboembolism with rivaroxaban were similar compared with dabigatran.
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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?
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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 something, as in medicine exception s are common. wishing him best of health. regards chatbot.
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What is the context of Rosendorff et al Treatment of Hypertension in Patients With CAD?
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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.
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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 Hg and heart rate 110/min. There is audible inspiratory stridor and the respiratory rate is 27/min. Upon examination, his chest is covered in a maculopapular rash. Intubation is attempted and failed due to extensive laryngeal edema. The decision for cricothyrotomy is made. Which of the following is the most likely mechanism of this pathology??
{'A': 'C5a production', 'B': 'Release of IL-4', 'C': 'Deposition of antigen-antibody complexes', 'D': 'IL-2 secretion', 'E': 'C3b interaction'},
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B: Release of IL-4
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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 (98.4°F), pulse rate is 152/min and is regular, blood pressure is 114/80 mm Hg, and respiratory rate is 18/min. Auscultation of the precordial region confirms tachycardia, but there is no murmur or extra heart sounds. His ECG is obtained, which suggests a diagnosis of atrial flutter. Which of the following findings is most likely to be present on his electrocardiogram??
{'A': 'Atrial rate above 400 beats per minute', 'B': 'Slurred upstroke of R wave', 'C': 'Atrioventricular block', 'D': 'No discernible P waves', 'E': 'Wenckebach phenomenon'},
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C: Atrioventricular block
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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 question is I have a nephew that also had this disease many years ago. He had severe bleeding. His mother told me they treated the ulcers with silver nitrate. He has had no problems since. The disease is gone has never returned for my nephew. Is this a possible treatment, and if it is, why has it never been brought up and when I go to the internet for queries Ive never seen this kind of treatment.
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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. 2nd point is that ulcerative parotitis causes due to acquisition of hsv, n.gonorrhea or c.trachomas. sometimes it is due to sexual contact. sometimes guardian zambia is also causative organism. so in your nephew the causative organism may different type, while in your case may be different type. you can use silver nitrate because it is the best wound healer. hope this information will be useful for you.
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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 medications as prescribed, even if he or she is feeling well and has no current symptoms. If medications are stopped or taken infrequently, the symptoms are likely to come back and your doctor will have a hard time knowing what the best and safest dose is. - Check first before taking other medications. Contact the doctor who's treating your child for schizophrenia before your child takes medications prescribed by another doctor or before taking any over-the-counter medications, vitamins, minerals, herbs or other supplements. These can interact with schizophrenia medications. - Pay attention to warning signs. You and your child may have identified things that may trigger symptoms, cause a relapse or prevent your child from carrying out daily activities. Make a plan so that you know what to do if symptoms return. Contact your child's doctor or therapist if you notice any changes in symptoms, to prevent the situation from worsening. - Make physical activity and healthy eating a priority. Some medications for schizophrenia are associated with an increased risk of weight gain and high cholesterol in children. Work with your child's doctor to make a nutrition and physical activity plan for your child that will help manage weight and benefit heart health. - Avoid alcohol, street drugs and tobacco. Alcohol, street drugs and tobacco can worsen schizophrenia symptoms or interfere with antipsychotic medications. Talk to your child about avoiding drugs and alcohol and not smoking. If necessary, get appropriate treatment for a substance use problem.
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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 before taking any over-the-counter medications, vitamins, minerals, herbs or other supplements.
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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 soft foods for the first time. (He has had acid reflux in the past, but says this is not acid reflux.) Any ideas what may be causing this???
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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 throat again not a serious condition. and as per history he is able to eat on fourth day means he is coming out of last two mild conditions.
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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 blood pressure is 150/98 mm Hg. Physical examination shows warm and moist skin. Lungs are clear to auscultation bilaterally. Her abdomen is soft and non-distended. Bimanual examination shows a uterus palpated at the level of the umbilicus. Her serum beta human chorionic gonadotropin concentration is 110,000 mIU/mL. Urine dipstick is positive for protein and ketones. Transvaginal ultrasound shows a central intrauterine mass with hypoechoic spaces; there is no detectable fetal heart rate. An x-ray of the chest shows no abnormalities. Which of the following is the most appropriate next step in management??
{'A': 'Bed rest and doxylamine therapy', 'B': 'Insulin therapy', 'C': 'Serial beta-hCG measurement', 'D': 'Suction curettage', 'E': 'Methotrexate therapy'},
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D: Suction curettage
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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 delivered vaginally. Her temperature is 37.1°C (98.8°F), pulse is 86/min, respirations are 18/min, and blood pressure is 132/74 mm Hg. The abdomen is nontender, and no contractions are felt. The fetus is in a vertex presentation. The fetal heart rate is 96/min. Per speculum examination reveals ruptured membranes and severe bleeding from the external os. Which of the following is the most likely diagnosis??
{'A': 'Placenta previa', 'B': 'Placenta accreta', 'C': 'Bloody show', 'D': 'Ruptured vasa previa', 'E': 'Threatened abortion'},
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D: Ruptured vasa previa
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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 said he has infection in his body . water is getting accumulated in his lungs. currently his TLC is 16. what is the meaning & effect of TLC 16?
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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 output and retention of fluids in the body especially lungs and leg. so better control of infection is needed. total leukocyte count (tlc) is marker of infection. its normal range is between 4000-11000. so 16000 is high which suggest infection is still there in the body. send blood culture and sensitivity to guide antibiotic therapy.
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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 other medical questions to see if this was a safe option for me. I read this medication can increase heart rate and people have went into cardiac arrest? I already have a resting rate of about 105, and pretty bad anxiety. I just would like some reassurance that this is safe drug and I don't have to worry about deadly side effects..I'm also a smoker/34 year old female.
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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.
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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 was initially content with losing the weight, but her daughter convinced her to come to the office to be checked out. Her past medical history is significant for preeclampsia, hypertension, polycystic ovarian syndrome, and hypercholesterolemia. She currently smokes 1 pack of cigarettes per day, drinks a glass of wine per day, and she currently denies any illicit drug use, although she has a remote past of injection drug use with heroin. The vital signs include: temperature 36.7°C (98.0°F), blood pressure 126/74 mm Hg, heart rate 111/min and irregular, and respiratory rate 17/min. On physical examination, her pulses are bounding and complexion is pale, but breath sounds remain clear. Oxygen saturation was initially 91% on room air and electrocardiogram (ECG) showed atrial fibrillation. Upon further discussion with the patient, her physician discovers that she is having some cognitive difficulty. Her leukocyte count is elevated to 128,000/mm3, and she has elevated lactate dehydrogenase (LDH), uric acid, and B-12 levels. A BCR-ABL translocation is present, as evidenced by the Philadelphia chromosome. What is the most likely diagnosis for this patient??
{'A': 'Acute lymphocytic leukemia', 'B': 'Acute myelogenous leukemia', 'C': 'Chronic lymphocytic leukemia', 'D': 'Chronic myelogenous leukemia', 'E': 'Hairy cell leukemia'},
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D: Chronic myelogenous leukemia
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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 cardiorespiratory function. This study quantified these cardiorespiratory effects and treatment by hyperventilation and percutaneous abdominal needle decompression (PND). METHODS One hundred and seventy-three consecutive patients who underwent POEM were included in this four-year retrospective study. Procedure-related changes in peak inspiratory pressure (pmax), end-tidal CO2 levels (etCO2), minute ventilation (MV), mean arterial pressure (MAP), and heart rate (HR) were analyzed. We also quantified the impact of PND on these cardiorespiratory parameters. RESULTS During the endoscopic procedure, cardiorespiratory parameters increased from baseline: pmax 15.1 (4.5) vs 19.8 (4.7) cm H2O; etCO2 4.5 (0.4) vs 5.5 (0.9) kPa [34.0 (2.9) vs 41.6 (6.9) mmHg]; MAP 73.9 (9.7) vs 99.3 (15.2) mmHg; HR 67.6 (12.4) vs 85.3 (16.4) min-1 (P < 0.001 for each). Hyperventilation [MV 5.9 (1.2) vs 9.0 (1.8) L·min-1, P < 0.001] was applied to counteract iatrogenic hypercapnia. Individuals with tension capnoperitoneum treated with PND (n = 55) had higher peak pmax values [22.8 (5.7) vs 18.4 (3.3) cm H2O, P < 0.001] than patients who did not require PND. After PND, pmax [22.8 (5.7) vs 19.9 (4.3) cm H2O, P = 0.045] and MAP [98.2 (16.3) vs 88.6 (11.8) mmHg, P = 0.013] decreased. Adverse events included pneumothorax (n = 1), transient myocardial ischemia (n = 1), and subcutaneous emphysema (n = 49). The latter precluded immediate extubation in eight cases. Postanesthesia care unit (PACU) stay was longer in individuals with subcutaneous emphysema than in those without [74.9 min (34.5) vs 61.5 (26.8 min), P = 0.007]. CONCLUSION Carbon dioxide insufflation during POEM produces systemic CO2 uptake and increased intra-abdominal pressure. Changes in cardiorespiratory parameters include increased pmax, etCO2, MAP, and HR. Hyperventilation and PND help mitigate some of these changes. Subcutaneous emphysema is common and may delay extubation and prolong PACU stay.
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Anesthetic considerations for patients with esophageal achalasia undergoing peroral endoscopic myotomy: a retrospective case series review.
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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 once in a while - just something normal we all get. They aren t bad now but very annoying and when it does happen especially when I work out or do some physical work I feel a nauseas afterwards. Had all kind of heart tests last year which all checked out just fine I m good to go and Pulmonologist doesn t seem concerned. What do you think it is?
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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 cardiologist personally for proper physical and diagnostic evaluation. hope i have answered your query. let me know if i can assist you further.
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What is the main focus of the article?
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The main focus of the article is to provide guidelines for the prevention of stroke in women, emphasizing risk factors unique to women.
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What is the effect of heart failure with diastolic dysfunction on end-diastolic volume (EDV)?
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Heart failure with diastolic dysfunction typically leads to a normal end-diastolic volume (EDV).
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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 systemic inflammation and oxidative stress (e.g., in SARS-CoV-2 infection), and may influence the electrophysiological effects of chloroquine and azithromycin. Here, we investigated the effect of beta-adrenergic stimulation on proarrhythmic properties of chloroquine and azithromycin using a detailed in silico model of ventricular electrophysiology. Methods: Concentration-dependent chloroquine and azithromycin-induced alterations in ion-channel function were incorporated into the Heijman canine ventricular cardiomyocyte model. Single and combined drug effects on action-potential (AP) properties were analyzed using a population of 592 models accommodating inter-individual variability. Sympathetic stimulation was simulated by an increase in pacing rate and experimentally validated isoproterenol-induced changes in ion-channel function. Results: At 1 Hz pacing, therapeutic doses of chloroquine and azithromycin (5 and 20 µM, respectively) individually prolonged AP duration (APD) by 33% and 13%. Their combination produced synergistic APD prolongation (+161%) with incidence of proarrhythmic early afterdepolarizations in 53.5% of models. Increasing the pacing frequency to 2 Hz shortened APD and together with 1 µM isoproterenol corrected the drug-induced APD prolongation. No afterdepolarizations occurred following increased rate and simulated application of 0.1-1 µM isoproterenol. Conclusion: Sympathetic stimulation limits chloroquine- and azithromycin-induced proarrhythmia by reducing their APD-prolonging effect, suggesting the importance of heart rate and autonomic status monitoring in particular conditions (e.g., COVID-19).
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Beta-Adrenergic Receptor Stimulation Limits the Cellular Proarrhythmic Effects of Chloroquine and Azithromycin
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What pharmacological interventions are indicated to reduce the risk of future events?
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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.
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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, when sitting at work or at the hotel or home on weekends, I get an ache feeling in my heart area but my heart rate is fine or may skip sometimes but I think that could be normal. I get dizzy when the ache feeling but I start my yoga breathing to gain control and relax, stretch and imagine im by a river doing yoga to help. If I do do this, it will still go after 10 mins, not lasting longer than 20 mins. I sit at my desk allot as a manager but try to move around, stretch and laugh to help me relax more and enjoy the day so to limit stress. Any thoughts?
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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
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What is the recommended method of diagnosis for patients hospitalized with an acute stroke?
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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.
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What is the major anticoagulant action of heparin?
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The major anticoagulant action of heparin is mediated by the heparin/AT interaction.
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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, and observe the impact of various prevention and control measures on the number of new cases. All the COVID-19 patients diagnosed in the municipal districts of Jingmen from January 12 to February 29, 2020 were enrolled in this study. We described epidemiological data and observed the impact of control measures on the epidemic. Of the 219 cases (110 men and 109 women), 88 (40%) had exposure to Wuhan. The median age was 48 years (range, 2–88 years; IQR, 35–60). Thirty-three severe patients with a median age of 66 years (range, 33–82 years, IQR, 57–76) were treated in intensive care units; out of these patients, 66.7% (22) were men and 19 (57.5%) had chronic diseases, including hypertension, diabetes, heart failure, stroke, and renal insufficiency. Under the control measures, the number of new patients gradually decreased and nearly disappeared after 18 days. Wearing masks in all kinds of situations prevents most infections and is one of the most effective prevention and control measures. In conclusion, all people are susceptible to COVID-19, and older males and those with comorbid conditions are more likely to become severe cases. Even though COVID-19 is highly contagious, control measures have proven to be very effective, particularly wearing masks, which could prevent most infections.
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The epidemiological characteristics of 2019 novel coronavirus diseases (COVID-19) in Jingmen, Hubei, China
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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 living. He denies fever, jerking of the limbs, memory disturbances, urinary incontinence, and abnormal limb movements. Past medical includes a cholecystectomy 25 years ago and occasional erectile dysfunction. He takes a vitamin supplement with calcium and occasionally uses sildenafil. While supine, his blood pressure is 142/74 mm Hg and his heart rate is 64/min. After standing, his blood pressure is 118/60 mm Hg and his heart rate is 62/min. He is alert and oriented with a flat affect while answering questions. Extraocular movements are intact in all directions. No tremors are noticed. Muscle strength is normal in all limbs but with increased muscle tone. He is slow in performing intentional movements. His writing is small and he takes slow steps during walking with adducted arms and a slightly reduced arm swing. A trial of levodopa did not improve his symptoms. What is the most likely diagnosis??
{'A': 'Huntington disease', 'B': 'Parkinson’s disease', 'C': 'Shy-Drager syndrome', 'D': 'Progressive supranuclear palsy', 'E': 'Wilson disease'},
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C: Shy-Drager syndrome
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What does systolic heart murmur mean?
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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 asymptomatic patients who have grade 3 or louder midpeaking systolic murmurs. (Level of Evidence: C) "
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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?
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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 movements of chest. apply warm water pad on affected areas. take painkiller and muscle relaxant chatbot. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks.
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What is KDIGO?
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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.
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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 any recent worsening of his symptoms. His blood pressure is 132/85 mm Hg and heart rate is 84/min. Physical examination is unremarkable except for trace pitting edema of the bilateral lower extremities. What other medication should be added to his heart failure regimen??
{'A': 'Losartan', 'B': 'Metoprolol tartrate', 'C': 'Metoprolol succinate ', 'D': 'Isosorbide dinitrate/hydralazine ', 'E': 'Digoxin '},
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C: Metoprolol succinate
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What are the risks associated with Radiofrequency ablation?
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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 result in superior vena cava syndrome.
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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 i do to help him changed his mind.
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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 oil like rice bran or olive oil. he should include a lot of fibers in his diet like green leafy vegetables, legumes as they help to bring down the cholesterol. continues counseling is the key to make him understand the benefits of a healthy diet. i hope that answers your question. if you have any further questions please feel free to write. thank you for choosing chatbot.
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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. I alos have IBS. Since yesterday I have been having bouts of diarherra an am concerned its heart related. Please tell me its not my heart. I took my blood pres and it is 120/81 pulse is 85.
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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 such features,if u are my patient i would like to do electrolytes test n tx it accordingly.for severe cramps u take otc analgesic like acetaminophen.family history of heart disease make patient pine to heart disease, but it is nt necessarily that u having or will have that disease in the future, thee symptoms are very much suggestive of electrolytes prob n u donor worry about the heart ... i hope this answered your question, if you have more feel free to ask. regards.
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Does Jonathan Abrams have any institutional, organizational, or other financial benefits?
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No, Jonathan Abrams does not have any institutional, organizational, or other financial benefits.
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What is SVT?
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SVT stands for Supraventricular Tachycardia, a type of abnormally fast heart rhythm originating above the ventricles.
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What is the most common tachycardia associated with an accessory pathway?
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Orthodromic AVRT
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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 basic heart meds....Coreg,Lisinopril,Aldactone,Lasix....I also smoke marijuana,though I smoke it out of a Vaporizer which takes away the smoke from my lungs,I do smoke it 4-5 times a week,only 2-3 hits a night tho. Any opinions on using cannibas with CHF? I talk with my doctors about it and none of em say anything negative about it,but they do say not enough studies have been done on it. But I also read online some things to the contrary. just looking for another point of view. Thank You.
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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 will nvr use cannabiscannabis can cause fluctuations in blood pressure and heart rate and that's not good for you it may cause long term pulmonary fibrosis, even if you taking it with vaporizer, which again will decrease your lung capacity and most importantly viral myocardium and dcm post it may be reversible, whereby the heart function may return to normal with medication and time, and you don't want to do anything that can slow the process of reversal. regards
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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 syndrome coronavirus 2 (SARS-CoV-2) variants and the achievement of a high vaccination rate in adults. Considering these global and domestic situations, we believe that risk stratification in children with COVID-19 is urgently needed for decision making regarding hospitalization priority in children infected with SARS-CoV-2 and vaccination priority against COVID-19. METHODS: This systematic review and meta-analysis was performed by comprehensively searching the PubMed, EMBASE, Scopus and KoreaMed databases through August 25, 2021. The criteria for enrollment were “severe COVID-19” as poor outcomes (intensive care unit admission, invasive mechanical ventilation, and/or death) and underlying comorbidities before SARS-CoV-2 infection. RESULTS: Among 872 screened studies, 17 articles were included in the systematic review, and 10 articles were included in the meta-analysis. Neonate (risk ratio [RR], 2.69; 95% confidence interval [CI], 1.83–3.97), prematurity in young infants (RR, 2.00; 95% CI, 1.63–2.46), obesity (RR, 1.43; 95% CI, 1.24–1.64), diabetes (RR, 2.26; 95% CI, 1.95–2.62), chronic lung disease (RR, 2.62; 95% CI, 1.71–4.00), heart disease (RR, 1.82; 95% CI, 1.58–2.09), neurologic disease (RR, 1.18; 95% CI, 1.05–1.33), and immunocompromised status (RR, 1.44; 95% CI, 1.01–2.04) were significant risk factors for severe COVID-19 in children. In the subgroup analysis, age younger than 3 months (RR, 0.26; 95% CI, 0.11–0.66), asthma (RR, 1.08; 95% CI, 0.98–1.20), and neurodevelopmental disorders (RR, 0.88; 95% CI, 0.75–1.04) were not risk factors for severe COVID-19. CONCLUSION: Children with comorbidities such as obesity, diabetes, heart disease, chronic lung diseases other than asthma, seizure disorders, and an immunocompromised status had a high prevalence of severe COVID-19. Neonate and premature infants had a high risk of severe COVID-19. Defining the high-risk group for severe COVID-19 could help to guide hospital admission and priority for vaccination against SARS-CoV-2.
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Risk Factors for Severe COVID-19 in Children: A Systematic Review and Meta-Analysis
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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, respiratory rate is 17/min, the temperature is 36.2℃ (97.1℉), and oxygen saturation is 94% on room air. The patient is responsive but lethargic. The patient is diaphoretic and extremities are pale and cool. Lungs are clear to auscultation. Cardiac sounds are diminished. Abdominal examination shows a visible bullet entry wound in the left upper quadrant (LUQ) with no corresponding exit wound on the flanks or back. The abdomen is distended and diffusely tender with a rebound. Aspiration of the nasogastric tube reveals bloody contents. Rectal examination shows no blood. Stool guaiac is negative. Which of the following is the next best step in management??
{'A': 'Exploratory laparotomy', 'B': 'Focused assessment with sonography for trauma (FAST)', 'C': 'Abdominal X-ray', 'D': 'Abdominal CT', 'E': 'Diagnostic peritoneal lavage'},
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A: Exploratory laparotomy
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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 sporadic the more i worked out, where I would have great days and bad days. Did some research on pulmonary hypertentison, not sure if that s the culprit. I just turned 23, I weigh 125lbs, I ve always been mostly active, eat plenty of fruits and veggies. Was diagnosed with allergy induced asthma last year, but during these breathing episodes I m not wheezing at all. Just increased heart rate and the feeling that I m breathing fine just not getting the oxygen. Any ideas? Thanks in advance
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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 pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft is must for the diagnosis of early bronchitis. it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. you may need inhaled bronchodilators and inhaled corticosteroid. so better to first diagnose yourself and then start appropriate treatment. hope i have solved your query. wish you good health. thanks.
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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
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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 likely, ekg needs to be got done on and often if this is atrial fibrillation, you have not given your basic information here and that is your age and gender this was extremely needed here for better advise, cardiac disease always need to be managed by cardiologist, hope this information helps, have a nice day.
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What antibiotics are recommended for prophylaxis?
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Amoxicillin, ampicillin, cefazolin or ceftriaxone
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Is it possible to diagnose heartburn using an MRI?
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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.
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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 ?
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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 infection if fever and cough also present. chest x-ray can reveal consolidation. let me know you smoker can have more chance for interstitial fibrosis.x-ray will be useful. if still causes not clear ecg can be done for cardiac causes. if still no cause identifiable then it might be costco chatbot. wish you good health. regards;
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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 vomiting - Pain after eating, usually in the upper right or upper middle area of your belly (epigastric pain) The most common way to remove the gallbladder is by using a medical instrument called a laparoscope (laparoscopic cholecystectomy). Open gallbladder surgery is used when laparoscopic surgery cannot be done safely. In some cases, the surgeon needs to switch to an open surgery if laparoscopic surgery cannot be successfully continued. Other reasons for removing the gallbladder by open surgery: - Unexpected bleeding during the laparoscopic operation - Obesity - Pancreatitis (inflammation in the pancreas) - Pregnancy (third trimester) - Severe liver problems - Past surgeries in the same area of your belly
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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)
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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?
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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
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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 this all related.
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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 abdominal ultrasound to exclude other causes. regarding your arm, i would recommend you to perform a cervical column x-ray for a possible radiculopathy and a nerve conduction study, to examine your nerves. hope to have been helpful! greetings!
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What is CMR?
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CMR stands for Cardiovascular Magnetic Resonance.
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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 of treatment and diet to be taken. he is getting discharged today with medication.
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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 accordingly. hope i have answered your question. if you have any doubts then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health.
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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.
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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 these are normal then no need to worry arrhythmia. vitamin b 12 deficiencies can also cause similar symptoms. so get done vitamin b 12 level and if deficiency than you may need supplements. don't worry, you will be alright. but first rule out arrhythmia. hope i have solved your query. i will be happy to help you further. wish you good health. thanks.
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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 does he think anyone in his family has. He and his wife are concerned that he has unintentionally lost 22.6 kg (50 lb) in the past 6 months. He has also been experiencing chest pain and has coughed up blood on a few occasions. He has a 50-pack-year smoking history and quit 2 years ago. His temperature is 36.8°C (98.2°F), heart rate is 98/min, respiratory rate is 15/min, blood pressure is 100/75 mm Hg, and he is O2 saturation is 100% on room air. The physical exam, including a full neurologic and cardiac assessment, demonstrates no abnormal findings. Edema, ascites, and skin tenting are notably absent. A brain MRI does not indicate areas of infarction or metastatic lesions. ECG is normal. Urine toxicology screen is negative. EEG is pending. Laboratory findings are shown below:
BUN 15 mg/dL N: 7 to 20 mg/dL
pCO2 40 mm Hg N: 35-45 mm Hg
Creatinine 0.8 mg/dL N: 0.8 to 1.4 mg/dL
Glucose 95 mg/dL N: 64 to 128 mg/dL
Serum chloride 103 mmol/L N: 101 to 111 mmol/L
Serum potassium 3.9 mEq/L N: 3.7 to 5.2 mEq/L
Serum sodium 115 mEq/L N: 136 to 144 mEq/L
Total calcium 2.3 mmol/L N: 2-2.6 mmol/L
Magnesium 1.7 mEq/L N: 1.5-2 mEq/L
Phosphate 0.9 mmol/L N: 0.8-1.5 mmol/L
Hemoglobin 14 g/dL N: 13-17 g/dL (men), 12-15 g/dL (women)
Glycosylated hemoglobin 5.5% N: 4%-6%
Total cholesterol 4 mmol/L N: 3-5.5 mmol/L
Bicarbonate (HCO3) 19 mmol/L N: 18-22 mmol/L
What is indicated first??
{'A': 'Phenytoin', 'B': 'Valproic acid', 'C': 'Diazepam', 'D': 'Hypertonic saline', 'E': 'Chemotherapy'},
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D: Hypertonic saline
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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 blades. Shes a very stubborn person and wants to wait until tomorrow to seek medical attention. What could this be? Should she cal an ambulance?
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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 nerve root there is pain in your arm. you need to rule out cardiac cause by er check for these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care
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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.my blood pressure is always normal pulse may be normal or little bit high( like 95)I don t have any heart pain.Do you thik it may be related to my heart
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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 is more. you're all symptoms like burping, discomfort in stomach, chest pain etc. are seen in gastritis. and antibiotics are known to cause gastritis. so avoid stress and tension. avoid hot and spicy food. avoid junk food. start proton pump inhibitors and prokinetic chatbot. but first rule out cardiac diseases. hope i have solved your query. wish you good health. thanks.
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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?
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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 situation. have you measured your blood pressure lately? what are the values? uncontrolled high blood pressure could also be the cause of your symptoms. i recommend performing some blood lab tests
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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. I guess I am wondering if this is normal or what else might be causing the pain.
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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 esophagus, which causes throat irritation and pressure in throat and collarbones. it can also occur due to muscle strain or due to cardiac problem. consult cardiologist for diagnosis if there is any heart related problem. i would suggest you to avoid spicy and heavy meal, avoid late night eating, eat at least 1- 1.5 hours before going to bed and take frequent and small meals. you should consult gastroenterologist for proper examination. doctor may order endoscopy test, ambulatory probe tests and x-ray of digestive system. doctor may prescribe antacids such as genus to neutralize acid, h\u2082 blocker such as sanitizing to prevent acid production and proton pump inhibitor omeprazole. you should keep your head elevated while sleeping keep clove in mouth to suppress cough and do warm saline gargles. hope your concern has been resolved. get well soon. best wishes,
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What is the context of the first passage?
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The first passage provides the citation for a study on measuring intracerebral hemorrhage volumes.
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What is the parameter used to approximate preload in the heart?
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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 of diastole, just before the onset of systole, or contraction of the heart. By measuring the EDV, clinicians can estimate the amount of blood that is available to be pumped out of the heart during systole, which is known as stroke volume. Stroke volume, in turn, is an important determinant of cardiac output, or the amount of blood that is pumped out of the heart per minute.
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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 suggest a good doctor in Delhi NCR region?
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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. but usually kids grow out of it...that is as the age progresses, they become better. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health.
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In adults with hypertension, does treatment with antihypertensive pharmacologic therapy to a specified BP goal lead to improvements in health outcomes?
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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 than 90 mm Hg. There is also moderate evidence to support initial or add-on antihypertensive therapy
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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.
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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 be prescribed montelukast with fexofenadine combination chatdoctor. if wheezing is present in auscultation, then use a bronchodilator take care.
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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.
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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 resting ecg, and some blood lab tests
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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 temperature is 36.9°C (98.4°F), the heart rate is 80/min, the blood pressure is 128/84 mm Hg, and the respiratory rate is 22/min. A physical examination reveals diffuse end-expiratory wheezing with prolonged expiration on chest auscultation; breath sounds and heart sounds are diminished. There is no cyanosis, clubbing or lymphadenopathy. Her chest radiogram shows hyperinflated lungs bilaterally and a computed tomography scan of her chest is shown in the picture. Which of the following best describes the pathogenesis of the condition of this patient??
{'A': 'Infiltration of the lower airway mucosa by activated eosinophils and T lymphocytes', 'B': 'Increased release of matrix metalloproteinase 12 (MMP-12) by neutrophils', 'C': 'Structural cell death mediated by Rtp801', 'D': 'Depletion of the periciliary fluid layer in airway cells', 'E': 'Activation of histone deacetylase-2'},
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C: Structural cell death mediated by Rtp801
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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 me know do i have to consult a doctor?
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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 1. blood pressure monitoring 2. ecg 3. 2d echo. if all these are normal then no need to worry about heart related diseases. sometimes, viral upper respiratory tract infection (uri) can also cause similar symptoms. you are also having cough and cold. so chatbot.
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Who is the Director of Interventional Cardiology at the Cleveland Clinic Foundation?
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Patrick L. Whitlow
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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 drug along with beta blocker that she is taking? Thank you
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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 lowering blood cholesterol and triglyceride levels by inhibiting the synthesis of very low density lipoproteins; relaxing the nerve signals to the brain; modifying the electrical activity thus relaxing and slowing overactive heart muscles. renerve plus injection is used for nerve pain, nerve damage, arthritis.
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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
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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 resulting in formation of thrombus.3. inr needs to evaluated to maintain at a higher level of 2-2.5 during anticoagulation therapy. if she has any breathlessness, meet your doctor immediately. hope it helps. any further queries, happy to help again.
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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. I did everything to get her back, but she refused. She is the only thought in my mind all the time, and all my daily routine is out of track. I am going through the worst phase of my life. I am frustrated and feeling lonely. Please help.
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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 help you tide over the crisis
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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 cardiologist but there was no any heart problems. I am suffering a lot and could u please guide me what i need to undergo to cure my problems.
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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
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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?
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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 (blood and skin tests), in order to find out if you really are allergic to almonds or any other food. hope you will find this answer helpful! kind regards,
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