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Asthma, mild heart attack - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Asthma and Allergy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hi Spike
User :   How can I help you?
User :   Talked last nigt with two doctors. I have mild heart failure but also have asthma and had a bit of a crisis last night and needed 02 to destress the heart. I have poor continuity of care and all I get from a succession of doctors is a quick auscultation and feel around the chest and a repeat prescription. They say my heart is stable, I feel worse. I have a resting heart rate right now of 180....
User :   May I know your age & gender?
User :   Female 45
User :   My chest pounds with my heart and I get irregular beats like now
User :   HR gon eup to 190 just talking to you
User :   Oh!
User :   Do you have any other symptoms righth now?
User :   Like difficulty breathing?
User :   I feel short of breath but is this asthma or my heart
User :   Is anybody around with you now?
User :   No I am in a hotel
User :   It is better for you to call someone to be with you now, you must visit a doc
User :   It need not be your heart
User :   I have no one to call and my doctor is in the UK
User :   heart can beat fast even if the lungs are in trouble like in acute asthma
User :   You must be having an onset of asthma
User :   Are you having increasing difficulty breathing?
User :   I have taken my inhalers. Please help
User :   Please call the hotel people immediately
User :   I am too scared
User :   Dont waste time
User :   There is nothing wrong in visiting the Emergency room, even if you dont have such a serious problem
User :   I want to just hide in my room and ride it out - I can't call anyone
User :   No dont do that
User :   Dont panic
User :   I can breathe a bit it will get better
User :   Will my heart be OK it's skipping loads of beats
User :   I cannot say anything precisely without seeing you, I am here only to guide you
User :   I'm too scared to go to reception and ask for a doctor. I just can't go there gasping for breath and all the commotion
User :   Would doing some exercise help?
User :   No you dont go to the reception, just inform them your condition
User :   No, don't want the drama of an ambulance I can't do it
User :   You can ask them not to call the ambulance, but to just
User :   stay with you till the symptoms of attack goes off
User :   I can't I'm in floods of tears I can't have you a breathing technique I can manage this with or something - I have just taken more inhalers but they're making my heart race. Can't count my pulse now... I am so scared
User :   Listen to me, please get somebodies help. Dont be so adamant for your own good.
User :   I can't I just want to hide away and die if if comes to that. My chest is heaving and my heart is like morse code
User :   Could I know why you stick to such a decision?
User :   Are you a known patient of depression?
User :   I' away from home in another country. I had an asthma emergency once in spain and I was wheeled on a stretcher through the hotel stopped an given o2 and ekg leads attached to my chest in the foyer a man who was a medical doctor asked to examine me - I can't do it
User :   That event then has made you live & visit yet another country
User :   there are many more countries in this world
User :   & now you must take this action
User :   so that you can continue your journey
User :   OK I feel bad enough to do it. What should I say to avoid an emergency?
User :   its a beautiful world that god has created
User :   Say that you
User :   your inhaler is empty
User :   & you need a fresh stalk, ask them to send someone to your room immediately
User :   so that he can buy you the inhalere
User :   Make the call now
User :   Quick
User :   I'm going to end up in hospital aren' tI
User :   Not necessarily
User :   Right I',
User :   If the attack wanes off with your inhaler
User :   then there is no need
User :   But I've loads left in both and they haven't helped
User :   They will help
User :   How many have you taken?
User :   First make the call
User :   Most importantly, learn to listen to the doctor, directly or on the net
User :   A lot more than I should. Four breaths of preventer and 6 of reliever but I can't breathe deeply
User :   My chest is so tight
User :   make the call
User :   Do I need to go to the hospital. I feel like I need o2
User :   I am closing the window as you are wasting precious time chatting here. Make the call. PLease do call someone.
User :   Right, have called reception. There's a doctor coming in half an hour
User :   Did you ask them to send someone now?
User :   Yes but no doctor for half an hour
User :   Is that not enough I'm so frightened with this that's why it's good to talk with you
User :   yes I am here to support you
User :   How are you seated?
User :   Try to relax
User :   no drastic movements
User :   try breathing easy
User :   Sitting straight up on a chair, I can't relax I can't breathe
User :   Lie down with head end elevated- pillow to your back or take the most comfortable position for breathing
User :   On the bed now but feel really breathlees lying down
User :   take the most comfortable position for breathing
User :   relax
User :   no drastic movements
User :   Hope you have left the door open

User :   Sorry cut off heart racing after search for credit card
Doctor :   ok
User :   chest feels like its about to burst
User :   when I put my hand on my chest my heart is bouncing really fast against it is tht normal still 30 mins for dr
Doctor :   it is quite long long to say to have it for thirty minutes
User :   what causes that
Doctor :   there are multiple causes normally it is the anxiety which causes the increase inthe heart rate
User :   i fell like im going to have a heart attack
Doctor :   relax

Doctor :   do you know breathing exercise
User :   i cant im so breathless now ive go tmy fingers on my carotid pulse an all i can feel is a vibratin of beats
Doctor :   ok
User :   this is not good
Doctor :   try to remain calm till the medical help arrives
User :   what's wrong with me im s scared
User :   will i have to go to hospital pleas eno
Doctor :   yes as i said earlier you need to go to ER
User :   what will they do
Doctor :   they will give you O2
Doctor :   they will give medicines to calm the heart
Doctor :   they will give you medicines to make your breathing easier
User :   i have a pain in my chest nw but the dr is here so ill ta tomrrw if i can can i ta wit yo
Doctor :   yes please continue with the treatment

Doctor :   we can chat tomorrow
User :   dr has calle ambulance anyway
Doctor :   good
User :   she let me fin talk she say cardiac faikure
Doctor :   ok
User :   not good
Doctor :   u continue with the treatment, we shall talk tomorrow once your fine
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