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Detected with LVEF of 15, lungs have become smaller, diabetic, vomits after food, no appetite, sleeplessness. - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2295 Questions
Doctor :   Hi
Doctor :   Please proceed with your query
User :   my mother in law has been detected with a LVEF of 15 also her lungs has become smaller i just wanted to know how serious its is
Doctor :   It is quite seriuos
User :   is it curabale
Doctor :   It can be treated symptomatically, but not cured
User :   how much lvef a normal person has. and can it be increased or can it become normal in her case.
Doctor :   Normal LVEF is to be above 45% minimum
Doctor :   LVEF decreases as age progresses and it is due to underlying changes in the heart
Doctor :   The left ventricle may increase in size and may not pump blood effectively
User :   she is around 60 yrs old
User :   and she has become very thin and fragile
Doctor :   yes, it does happen
Doctor :   She can still be treated
Doctor :   There are very good treatment options these days
User :   i could not undrstand you saying it can treated "symptomatically, but not cured "
Doctor :   yes, I will explain
Doctor :   It means to say that the damage caused on the heart is permanent
Doctor :   Mostly the size of the heart increases and nothing can be done to decrease its size
Doctor :   However, we can still give medicines to improve the pumping capacity of the heart
Doctor :   Are you understanding what I am saying?
Doctor :   If not you can ask me again
User :   what may be reaons for this conditions of her - just wanted to know.also she is diabetic
Doctor :   diabetes is one of the cause, high BP is another cause, High Cholesterol is another cause
Doctor :   Age related sclerosis is another cause
User :   from the last 1and half months she hardly eats anything and she says she can not eat anything she feels like vommitting once she has a small portion of food a size - which is given to a 8 month baby
Doctor :   Yes, it does happens
Doctor :   She needs to be given good care now
Doctor :   She cannot strain more
User :   is it a bad rest
Doctor :   Sorry, I did not understand, can you repeat?
User :   i mean to say whether she has to be on a complete bad rest
User :   bed rest
Doctor :   Most of the times
Doctor :   She can do minimal activity
User :   ok
Doctor :   Give her easily digestible foods like semi solid and liquid foods
User :   any specfic food to give or any food to be avoided
Doctor :   Give her porridge, dal rice and any light food
Doctor :   Do not give spicy and hard food
Doctor :   Also avoid oily food
Doctor :   Are you there?
User :   yes
Doctor :   ok
Doctor :   Is there anything else I may help you with?
User :   also to add she does not sleep,she get up and spends the whole night sitting
Doctor :   She needs head end elevation of her cot
Doctor :   Or increase the height on her head end by keeping 3 pillows below her neck
Doctor :   She may have difficulty in breathing
User :   yes she has difficulty in breathing
Doctor :   Yes, do the above said measures, she will feel better
Doctor :   However, she requires close monitoring regularly
User :   are this all being treated with medicines or i hope there is no need to operating
Doctor :   There is no need for surgery as such at the present
User :   ok
Doctor :   She can be treated with medicines
User :   how long it will take if she responds well to the treatment and carry on with her normal life
Doctor :   It will take a few months
User :   so with medicines can her LVEF will become normal
Doctor :   Cannot come back to normal limits but will increase, say about to 20 %
Doctor :   Did you understand?
User :   so with 20% can she leads a normal life and work as she is housewife
Doctor :   Not really, She can improve upto 40%
Doctor :   These are the values I am interpreting based on your mother in laws' conditions
Doctor :   These are not final
User :   so with 20% can she do travelling if say after 2 -3 months
Doctor :   To lead a normal life as a housewife she needs LVEF of atleast 30%
Doctor :   Yes sure, she can travel
User :   thanks doctors,is there any precaution which you consider that we should take or any important thing which you would like to highlight
Doctor :   Make sure she is very comfortable for the journey
Doctor :   Preferable to travel in a four wheeler
Doctor :   Carry her medications, do not forget
Doctor :   Also carry Tab. Aspirin along, in case she has chest pain, you can give it her immediately
User :   no we are not taking her anywhere, i just wanted to understand let say after some 2 -3 months can she travel if conditions prevails good.
Doctor :   Yes sure, she can travel
User :   what does aspirin do for chest pain
Doctor :   It is a very important drug for heart diseases
Doctor :   Most probably your mother in law is already on it, I suppose
Doctor :   Do you have any idea about it?
User :   also one more imp. thing to know - whether this problem can be due to any injury
Doctor :   No
User :   so this can not be due to injury
Doctor :   No
User :   actually they have consulated a doctor i just wanted to understand the seriousness of this problem and a second opninion
Doctor :   Anything else you may want to know?
User :   Thanks a lot for your advice. we are consulting a MD in this regards which stream of doctor is the right for this illiness
Doctor :   Definitely a Cardiologist
User :   ok
Doctor :   Anything else?
User :   no. thnx a lot,
Doctor :   Thanks for consulting me
Doctor :   Bye for now
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