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'm trying to make sense of some health concerns and could use a bit of guidance. I recently had an abnormal ECG that showed RBBB with sinus tachycardia, and my CT angiogram revealed 0 calcium deposits. But I'm still feeling some discomfort in my chest and experiencing breathlessness. Could I still have some kind of heart problem even with these results?

Accepted Answer

1) Despite the absence of calcium deposits on the CT angiogram, it is still possible to have a cardiovascular issue. Given your symptoms and abnormal ECG findings, further evaluation is necessary. I recommend starting treatment with a beta-blocker like Metoprolol (25-50mg) to help with the sinus tachycardia and chest discomfort. 2) The chest discomfort and breathlessness you are experiencing may be related to your cardiac condition. In addition to the beta-blocker, you can also take Aspirin (81mg) daily to reduce the risk of cardiovascular events. However, it is important to follow up with a cardiologist for a comprehensive assessment and management plan.

Question 3

I'm really confused about why I'm experiencing heart palpitations even when I'm not feeling anxious. For the past year, I've been dealing with anxiety and have been taking etizolem and propranolol for a few months to help with it. But if I miss just one dose of etizolem, my heart starts racing and feels very uncomfortable. It's really scary. Is it possible that these palpitations are more related to anxiety, like my psychiatrist suggests, or could it be something else, maybe related to my heart? I haven't had panic attacks or any other anxiety symptoms recently, just the palpitations when I skip the medication.

Accepted Answer

It sounds like you are experiencing symptoms of anxiety and possibly withdrawal effects from Etizolam. Etizolam is a benzodiazepine derivative used to treat anxiety disorders, and sudden discontinuation can lead to withdrawal symptoms such as increased heart rate or palpitations. Propranolol is a beta-blocker that helps with heart palpitations and can be used in combination with Etizolam. To address your concerns, it is important to follow your psychiatrist's advice regarding the management of anxiety and heart palpitations. It is possible that the palpitations you are experiencing when skipping Etizolam are due to withdrawal effects, as benzodiazepines should be tapered off gradually under medical supervision to avoid such symptoms. In addition to continuing your current medications, you may also benefit from therapy or counseling to address underlying anxiety issues. It is important to discuss any concerns or new symptoms with your psychiatrist for proper management.

Why do I feel nervous and anxious all the time? My heart's always thumping really hard, and I can actually feel it when I touch my chest. It's making me really uneasy. What could be causing this?

See a specialist for accurate diagnosis and targeted treatment.

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