Question 1

I've been dealing with this nose bleeding issue for years, but after I started taking clopilet, it just seemed to get worse. At first, I was on the 150mg dose with my other meds like ecospirin, but when the bleeding got out of hand, I reduced to 75mg, and still no improvement. I even saw an ENT specialist who gave me a calcium supplement for a bit, but I'm still bleeding. Could the clopilet be causing this, and what else can I do to manage it? I'm kind of stuck here and really need some advice.

Accepted Answer

The nose bleeding may be due to the antiplatelet medication Clopilet. Since the bleeding continued even after reducing the dosage, it is important to address this issue. I would recommend discussing with your doctor about switching to an alternative antiplatelet medication such as Brilinta (Ticagrelor) or Plavix (Clopidogrel) to see if the nose bleeding improves. Additionally, continue taking Ecospirin as prescribed. If the bleeding persists, further evaluation may be needed to determine the underlying cause of the nose bleeds.

Question 2

The echo report shows severe MS with MVA 0.7 cm2 and high gradient 23/16 mmHg along with severe PAH at 92 mmHg - is heart surgery like MVR absolutely necessary or can we still try managing with medications for now given there's normal LV function and no RWMA

Accepted Answer

ecardiology opinion.

Question 3

My INR levels have been all over the place latelyone month it's at 2.5, and then the next it's down to 1.5. My doctor keeps changing my medication dose, and honestly, I'm getting worried. If this continues, could it cause problems with my mechanical valve in the aortic position? I do an echo each year, but I'm still concerned. Can you explain how this might affect me?

Accepted Answer

Fluctuating INR levels can indeed be concerning, especially for patients with a mechanical heart valve. It is important to maintain a stable INR to prevent complications such as blood clots or bleeding. To help stabilize your INR levels, your doctor may consider prescribing a medication like Warfarin. It is crucial to follow your doctor's instructions regarding dosage adjustments based on your INR levels. If your INR continues to fluctuate, it can increase the risk of blood clots forming on your mechanical heart valve. This can potentially lead to serious complications such as valve malfunction or stroke. Regular echocardiograms are essential for monitoring the function of your mechanical valve and detecting any issues early. To help stabilize your INR and protect your mechanical heart valve, it is important to adhere to your prescribed medication regimen and attend regular follow-up appointments with your healthcare provider.

I'm really worried because my blood pressure is reading 140100. I know that's considered high, and I'm wondering what medicine I should be taking for it. Is this something I need to be urgently concerned about? Should I see a doctor right away?

According to me you have to measure your bp once daily and make a report after that we can make a conclusion and if it is prehypertension range we can try some lifestyle changles avoid salt tea coffee stress etc

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The echo report shows severe MS with MVA 0.7 cm2 and high gradient 23/16 mmHg along with severe PAH at 92 mmHg - is heart surgery like MVR absolutely necessary or can we still try managing with medications for now given there's normal LV function and no RWMA

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