Question 1

I'm really worried about my dad. He's 50 and has been dealing with some health issues for the last ten days. He fainted last Saturday and his blood pressure dropped to 9363, with a fever of 102F. Our regular doctor gave him paracetamol, but then the same thing happened again on Sunday. We rushed him to another doctor who found moderate pericardial effusion and admitted him to the ICUU. They ended up putting in a temporary pacemaker because his pulse rate was falling below 50 bpm. It seemed to help, but then after they removed the pacemaker, his atrial fibrillation was varying quite a bit. The doctor adjusted his medication, and now the AF is still shifting between 110 and 130. They mentioned something about fluid dissolving, but I'm not sure what the next steps should be. Any advice on how we should proceed?

Accepted Answer

It sounds like your father has been through a lot with the pericardial effusion and subsequent atrial fibrillation. It's good to hear that 90% of the fluid has been dissolved. To continue managing the atrial fibrillation, the doctor may prescribe medications such as Metoprolol (25-50mg twice daily) to help control the heart rate. Additionally, blood thinners like Warfarin (2.5-5mg once daily) may be prescribed to prevent blood clots. It's important to monitor his heart rate and rhythm regularly and follow up with the doctor for further evaluation and management.

Question 2

I'm experiencing heart palpitations, a fluttering feeling in my chest, and shortness of breath. I've already had an ECG, TMT, and echo scan, and all of the results came back normal. Why might this be happening?

Accepted Answer

Heart palpitations, fluttering, and shortness of breath can be caused by various factors, even if your ECG, TMT, and echo scan results are normal. One possible cause could be anxiety or stress. However, other causes such as thyroid disorders, electrolyte imbalances, or certain medications can also lead to these symptoms. In your case, since your reports are normal, I recommend trying a beta-blocker medication like Metoprolol (25-50mg) to help with the palpitations and fluttering. Additionally, practicing relaxation techniques and stress management may also be beneficial in reducing these symptoms.

Question 3

I've been experiencing some chest pain on the left side, right above my heart. It happened for a few minutes, but then it went back to normal. The same thing occurred about six months ago. I'm a bit concerned and would love to get your suggestions on...

Accepted Answer

Based on your description of chest pain above the heart that comes and goes, it is important to rule out any cardiac issues. However, considering the pain is brief and has occurred before, it could be due to muscle strain or inflammation in the chest wall. I recommend taking a pain reliever such as Acetaminophen 500mg as needed for pain relief. Additionally, applying a warm compress to the area may help relax the muscles. If the pain persists or worsens, further evaluation by a healthcare professional is advised.

Question 4

I'm a bit anxious right now. I usually take my Nubeta 2.5 at around 11am every day, but I got confused and took it again at midnight thinking it was my multivitamin. My blood pressure was around 14090 before using Nubeta. I'm worried about what kind ...

Accepted Answer

This medication is a beta-blocker used to treat high blood pressure. Taking an extra dose may lead to a drop in blood pressure, causing symptoms such as dizziness, lightheadedness, fatigue, and a slow heart rate. Since your blood pressure was 14090 before starting Nubeta, it is important to monitor your blood pressure closely for the next few hours. If you experience any concerning symptoms or if your blood pressure drops significantly, please seek medical attention.

Question 5

I'm really worried about my father-in-law. He just had bypass surgery and a valve change, and things seemed okay when he was discharged. But then, just three days later, he had a brain hemorrhage and went into a coma. We moved him to another hospital...

Accepted Answer

Given the complexity of your father-in-law's condition, consider seeking a second opinion from a neurosurgeon or a critical care specialist to better understand his prognosis and treatment options, and ask the current doctor about the specific reasons for requesting bloodplasma, as well as the expected benefits and potential risks of this treatment approach.

Question 6

I'm on Metolar XR 25 for my blood pressure and it's been stable for 15 years now. Do you think it's still okay to keep taking it, or should I be worried about any long-term side effects?

Accepted Answer

treatment as advised.

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Related Questions

I'm experiencing heart palpitations, a fluttering feeling in my chest, and shortness of breath. I've already had an ECG, TMT, and echo scan, and all of the results came back normal. Why might this be happening?

I've been experiencing some chest pain on the left side, right above my heart. It happened for a few minutes, but then it went back to normal. The same thing occurred about six months ago. I'm a bit concerned and would love to get your suggestions on...

I'm a bit anxious right now. I usually take my Nubeta 2.5 at around 11am every day, but I got confused and took it again at midnight thinking it was my multivitamin. My blood pressure was around 14090 before using Nubeta. I'm worried about what kind ...

I'm really worried about my father-in-law. He just had bypass surgery and a valve change, and things seemed okay when he was discharged. But then, just three days later, he had a brain hemorrhage and went into a coma. We moved him to another hospital...

I'm on Metolar XR 25 for my blood pressure and it's been stable for 15 years now. Do you think it's still okay to keep taking it, or should I be worried about any long-term side effects?

Cardiology

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