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Suggest Treatment For Severe Fatigue

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Posted on Thu, 4 May 2017
Question: my wife has e extreme fatigue . she has a heart stent in the widow maker and is 64 years old
could the fatigue be cause from the heart
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
fatigue can occur in some cases of heart disease

Detailed Answer:
HI, thanks for using healthcare magic

The fatigue can be related to heart if there is an element of heart failure present. Heart failure is diagnosed when the heart is not able to meet the demands of the body.
It cannot do the work it needs to do so the organs do not get the blood and oxygen needed leading to fatigue and a lot of other symptoms.

IN addition to fatigue, she would have shortness of breath, chest discomfort, swelling of the legs and other symptoms of heart failure.

The presence of a stent alone would not be associated with fatigue, only if the heart is not working as it should.

If she had a recent echo, this would have looked at the function of the heart and how it is working.

She may need to see her doctor to look for other causes, if the heart is not likely eg anemia (low blood count), thyroid disease, infection, other chronic disease such as liver or kidney disease, side effect of medication

Blood tests would be needed.

I hope this helps , feel free to ask any other questions


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (20 minutes later)
Here is the deal.....her father died of a heart attach at 32, her sister died of an ischemic stroke at 42 and her brother had his first heart attach at 46 with a quad heart open heart. She is the younger child by 9 -11 years. Her brother, after 13 stents, died of congestive heart failure 3 years ago. I don't know what to do with her......she is resistant for help. Her present medications for her heart is 10 MG zetia, 20 MG crestor, 75 MG Plavix, 325 aspirin. 1000 mg a day of metformin and 10 MG of Bystolic.

She also has a rapid heart beat with a low BP. They did an IVUS procedure on her 5 years ago and found that her vessels were smaller than normal....reason for the fast heart beat.,....????

also she smokes 2 pack a day
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
heart disease is at the top of the list

Detailed Answer:
HI

Serious history of cerebrovascular (brain, blood vessels) disease there.

She has a lot of risk which is increased with the smoking

This definitely puts heart disease at the very top of the list unfortunately

She should be assessed. An echo would be the best way to see how the heart is working- it looks at the function of the wall, how much blood is let out with each contraction, how much remains etc
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Treatment For Severe Fatigue

Brief Answer: fatigue can occur in some cases of heart disease Detailed Answer: HI, thanks for using healthcare magic The fatigue can be related to heart if there is an element of heart failure present. Heart failure is diagnosed when the heart is not able to meet the demands of the body. It cannot do the work it needs to do so the organs do not get the blood and oxygen needed leading to fatigue and a lot of other symptoms. IN addition to fatigue, she would have shortness of breath, chest discomfort, swelling of the legs and other symptoms of heart failure. The presence of a stent alone would not be associated with fatigue, only if the heart is not working as it should. If she had a recent echo, this would have looked at the function of the heart and how it is working. She may need to see her doctor to look for other causes, if the heart is not likely eg anemia (low blood count), thyroid disease, infection, other chronic disease such as liver or kidney disease, side effect of medication Blood tests would be needed. I hope this helps , feel free to ask any other questions