Talk to Internal Medicine on DCMP Patient
Asking For Mother, Female 53, lahore
heart working 20% one wall is leak. In April, a blood clot went to leg, and then the vascular doctor operated at CMH hospital. After that, condition improved. But now, 4 months have passed, and having a lot of breathing problems. They admit to the hospital, but they don't agree to any kind of surgery. Medicines aren't making a difference, and condition is worsening. Is there any solution that can be found?
Asst. Prof. Dr. Tauqir Ahmad - Internal Medicine Specialist
MBBS, FCPS Medicine, Certified in diabetes | Abbottabad
3 Positive Reviews
which medicine she is using?
Dr. Furqan Javed - Internal Medicine Specialist
MBBS, MRCP Ireland CESR Consultant UK | Lahore
4 Positive Reviews
ICD
Dr. Brig R Muhammad Asif - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Rawalpindi
476 Positive Reviews
appropriate treatment is being given at PIC
pl follow their instructions
Dr. Saad Shah - Internal Medicine Specialist
MBBS, MRCP, FRCP, FRCP Edinburgh | Mansehra
149 Positive Reviews
What is age of patient? If they aren't doing surgery, it's because it can have complications in an elderly patient with poor ejection fraction of 20 percent. Main treatment is medical with Intravenous diuretics and other medications which they are already giving now.
Dr. Shahzada Ali Khan - Internal Medicine Specialist
MBBS( PAK), MRCP(UK), PCRC( CAN) Dialysis certified | Peshawar
2 Positive Reviews
This is case of dilated Cardiomyopathy/ Congestive heart failure. Need proper diagnostic work up & management . Surgery is not advisable.
surgery in this case is not recommended need proper treatment of heart failure
Coronary artery disease with resulting myocardial infarction and the loss of functioning myocardium is the most common cause of heart failure. Hypertension is also an important cause of CHF. Since both of your patients are on diuretics, it is important to assess mineral status due to drug induced nutrient depletion, especially magnesium. Potassium levels can be checked on a CMP, however, you will need to order an RBC magnesium to assess nutrient status of magnesium. An RBC nutrient and toxic element test will be extremely helpful, especially if you suspect heavy metal. Cadmium has an affinity for the kidney and can lead to hypertension.
For patients with stable heart failure, the approach must be multidisciplinary. Identifiable causes of heart failure include: hypertension, CAD, valvular disease, alcohol abuse, diabetes mellitus, chemotherapeutic agents, chronic anemia, hypothyroidism, and toxic exposure. The following is a list of integrative treatment recommendations to consider:
1. Smoking cessation
2. Treat comorbidity
3. Dietary prescription - organic fruit/vegetables, fiber, essential fatty acids, foods high in B-complex, use olive oil (no transfats), low sodium foods
4. Weight reduction
5. Graded exercise
6. Antioxidant, Co-enzyme Q10 and carnitine status are extremely important to assess in patients with CHF. An Organic Acid test is a must.
7. Hawthorn: increases coronary artery blood flow and enhances pumping efficiency.
Dr. Scholar Syeda Kiran Zehra Bukhari Naqvi Sheeba
I do not know. Maula Imam Ali As
Rizwan Ali Khan - Clinical Psychologist
| MSc (Psychology) | MS (Clinical Psychology) | Certified (Crucial Conversations) | | Lahore
36 Positive Reviews
visit me at Ali Clinic Lahore immediately
Dr. Furqan Javed - Internal Medicine Specialist
MBBS, MRCP Ireland CESR Consultant UK | Lahore
4 Positive Reviews
Please book an appointment so we can discuss potential treatment options . It’s not possible to give full treatment plan without knowing results of echocardiogram and kidney and liver functions .53 is young age and treatment options should be exercised to their full extent . Regards
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Patient
Post Owner
My mother is admitted in PIC and she being given Inj Lasix 40mg,Atorva tab 40mg,Xcept 10mg tab, Merol 25mg and they're giving nebulization
2 months ago