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Treatment for Post pericarditis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2226 Questions
User :   I am a 35 yr old male and was diagnosed with pericarditis in august 2009. Since then, i have had recurring cases of it up to 6 or 7 times!
As a result, i have stopped playing squash rackets for 3 months now. Unfortunately, this has made me put on a bit of wetght. So, I need to know if physical activity is encouraged regardless.
Doctor :   Did the doctor tell you the Ejection fraction after 2D ECHO?
User :   no, i dont have that info
Doctor :   Ok
Doctor :   Did the doctor tell you the reason / cause for pericarditis?
User :   all i know is that the echo was good, so was the x-ray, and ecg. a ct chest revealed a nodule on my RML though.
User :   viral infection
Doctor :   Viral pericarditis is most common reason and it has not after affects on the heart
User :   so i can play squash then?
Doctor :   Moderate exercise and medium sports are beneficial at this stage than leading a sedentary life style
User :   ok
Doctor :   I suggest you to meet a sports medicine specialist and know the time which can be the limit
User :   what about the nodule on my RML. is it a cause for concern?
Doctor :   Can you please expand RML?
User :   right middle lung
Doctor :   What is the size of it, did they doctor want to probe the reason for it?
User :   i was asked to return for a re-scan in 6 months to a year but i havnt had the chance
Doctor :   Ok, I do not see it as a reason for you to stop the moderate exercise
Doctor :   Since there is no coronory artery disease, I suggest you to start with moderate exercise
Doctor :   and continue with it
Doctor :   Now if it comes to duration, I cannot say specifically without a medically supervised exercise program
Doctor :   Did you follow it?
User :   ok, i have been on an NSAID, naproxen 500mg (1000mg a day) for the most part of the past one year, am i doing myself any harm?
Doctor :   I do not think you require a long term NSAID ( so long as an year)
Doctor :   I think you should review it with your cardiologist
Doctor :   NSAID will help you reduce the inflammation of the heart cause3d by viral pericarditios
Doctor :   So it is a temporary treatment
User :   but the pericarditis keeps recurring a few weeks, sometimes days after i stop the medication
Doctor :   I think a cardiologist should be able to take a call on this as I do not see a reason to continue it
Doctor :   If you wish you can ask a second opinion from a Cardiologist here
User :   i thought the right person would take my call as i typed the main question before signing in
User :   will i be required to make yet another payment for this-Dr?
Doctor :   I shall refund your payment for the chat if you take an opinion from Dr
Doctor :   since I was not able to answer your query completely
User :   but will i need to make a payment first before i get to chat with Dr ?
Doctor :   Sorry, we have Family physicians taking the chat online and the specialists will reply only by email and within 24 hours
Doctor :   You can get an email answer only from Dr
Doctor :   You will not be able to chat with him
Doctor :   I think I am right
User :   what if Dr doesnt answer me completely?
Doctor :   You do not need to continue the Naproxen
Doctor :   He is a Cardiologist, he can answer your query with true reasons
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