Question 1

So my dad had CABG surgery on March 9, 2017, and everything seemed fine while he was in the hospital and ICU, even when we got home. But during a routine check-up on March 22, some of his meds were stopped. A couple of days later, he developed a fever around 99-100. We told our doctor, and he suggested blood and urine cultures. The urine culture came back positive with two bacteria, and one was really resistant to antibiotics. The surgeon prescribed Linospan 600 and Furadantin 200, twice and thrice daily, but the fever didn't go away. Another culture at the hospital showed negative for infection in his urine, yet his fever continued around 99-99.5. After a week, another urine culture was still negative. We tried stopping his Combiflame, and the fever went away for a couple of days, but then it returned, and we had to start Combiflame again. Why is his fever persisting despite all these medications and negative test results? Could it be something other than an infection, or are we missing something important? Any advice on what we should do next?

Accepted Answer

It seems like your dad is experiencing recurrent fever despite antibiotic treatment for a positive urine culture. Since the urine culture has come back negative on subsequent tests, it is important to consider other possible causes for the fever. One common cause could be a post-operative infection related to the CABG surgery. In such cases, broad-spectrum antibiotics may be needed. I would recommend discussing with your doctor about the possibility of adding a different antibiotic to cover for other potential infections. In the meantime, to help manage the fever, you can continue giving Combiflam as prescribed by your doctor. Additionally, make sure your dad stays well-hydrated and gets plenty of rest. If the fever persists or worsens, further evaluation may be needed to determine the underlying cause.

Question 2

I've been noticing that my blood pressure seems to jump around quite a bit. Sometimes it's around 11575, other times it gets up to 12684, and the highest I've seen is 160101. I'm not on any medications for it right now. Is it normal for blood pressure to fluctuate like this, and what might be causing these changes?

Accepted Answer

Fluctuating blood pressure, ranging from 11575 to as high as 160101, can be influenced by factors such as stress, diet, physical activity, and underlying medical conditions. To manage this, adopt a heart-healthy diet, reduce salt intake, engage in regular physical activity, manage stress, and avoid excessive alcohol and caffeine. Regularly monitor your blood pressure, noting any patterns or triggers, and keep a log of your readings. Consult your healthcare provider to rule out underlying conditions and determine if medication is necessary. Discuss these fluctuations with your doctor to develop an appropriate management plan.

Question 3

I've been having chest pain on the left side whenever I sleep on my left side, but it doesn't hurt when I switch to the right side. There aren't any other symptoms, just this pain. Do you have any idea what might be causing this?

Accepted Answer

This type of chest pain that occurs with certain movements or positions, such as when lying on the left side, can sometimes be related to musculoskeletal issues or inflammation of the chest wall. To help relieve the pain, you can try taking over-the-counter pain relievers like acetaminophen (Tylenol) as needed. Additionally, applying a warm compress to the painful area may also provide some relief. If the pain persists or worsens, it is advisable to consult a healthcare provider for further evaluation and management.

I've been experiencing some fluctuations in my blood pressure and pulse rate. Sometimes my blood pressure goes to 9060, and my pulse hits 112, but other times, my pulse rate drops to around 60. I'm really wondering if this is something normal. Could you help me understand what's going on?

no its not normal ,visit Cardiologist for evaluation and appropriate management

More Cardiology Health Queries

I've been having chest pain on the left side whenever I sleep on my left side, but it doesn't hurt when I switch to the right side. There aren't any other symptoms, just this pain. Do you have any idea what might be causing this?

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