Question 1

I've been dealing with a recurrent pericardial effusion and had it removed twice already. After the second removal, I was given steroids but stopped them after a month, and now the effusion is happening again. I've also been on TB medications for four months. I'm really concerned about this recurring issue. Can you suggest any permanent solutions or steps I should take next?

Accepted Answer

It sounds like you are dealing with recurrent pericardial effusion despite previous treatments. Since you have been diagnosed with tuberculosis (TB) and have been taking TB medications for the past 4 months, it is important to continue with your TB treatment as prescribed by your healthcare provider. In addition to TB treatment, your healthcare provider may consider prescribing colchicine to help prevent recurrent pericardial effusion. Colchicine has been shown to be effective in reducing the recurrence of pericardial effusion in patients with a history of recurrent episodes. Please consult with your healthcare provider to discuss the possibility of adding colchicine to your treatment regimen for a more permanent solution to your recurrent pericardial effusion.

Question 2

I've been experiencing these weird palpitations for the past four months whenever I lie down, and I'm really starting to worry. I had my blood pressure, thyroid levels, ECG, and an echocardiogram checked, and everything came back normal except for the ECG showing sinus tachycardia. Also, I had Covid about ten months ago. I'm not sure what I should do next. Any advice?

Accepted Answer

Given that your BP, thyroid, ECG, and echo were normal, but you are still experiencing palpitations, particularly when lying down, it is important to further investigate potential causes. Sinus tachycardia can be due to various factors, including stress, anxiety, dehydration, or even residual effects from a previous COVID-19 infection. Since you've had COVID-19, it could also be related to post-viral syndrome, which sometimes affects the heart. You should consider consulting a cardiologist for a more detailed evaluation, which may include a 24-hour Holter monitor to track your heart rate variability over a day, especially during sleep. Additionally, ensuring adequate hydration, managing stress, and avoiding stimulants like caffeine might help reduce palpitations.

Question 3

I'm really worried about my dad. He's been on metosartan 25mg for about three weeks now, and the doctor recently told him to switch to 50mg. Despite this and his efforts like walking and cutting down on salt, his blood pressure still isn't going down. Is there anything else we can do to help reduce his BP?

Accepted Answer

you've been bitten by a street dog, it's essential to take immediate action to prevent potential rabies infection. The good news is that minor wounds like yours can be treated effectively with prompt medical attention.
 
 *Immediate Steps:*
 
 - _Wash the wound_ with soap and water for 10-15 minutes to reduce the risk of infection .
 - _Apply an antiseptic_ or antibacterial cream to lower the risk of bacterial infection .
 - _Seek medical attention_ within the first 24 hours after the bite  .
 
 *Rabies Shots:*
 
 You can take rabies shots in the next couple of days, but it's crucial to start the treatment as soon as possible. The typical regimen includes:
 
 - 4 doses of rabies vaccine over 2 weeks (days 0, 3, 7, and 14) .
 - Rabies immunoglobulin on the day of the first vaccine dose or soon after .

Our baby has a 10.1mm hole in her heart. What are the best treatments and options available for this condition? We're really worried and would like to know more about the possible remedies and solutions.

Surgery is advised...ASD or VSD closure or repair is the procedure to the patient..

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