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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sinus Tachycardia With Edema

My mother is currently in the hospital for sinus tachycardia, fatigue, increased edema. Her face is also flushed in the butterfly pattern as you see in Lupus. She had back surgery 2 and a half weeks ago, followed by another hospitalization for a severe hematoma and increased pain. She has seen a cardiologist and he says there is nothing wrong with her heart at all. The hospital is not being very aggressive. My mother is beginning to get more frustrated and upset. She is sleeping very little. I d be glad of any ideas you might could give me. My mother is 52, wt 203, and is 5ft 7in
Fri, 5 May 2017
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Pulmonologist 's  Response
Hello
Thanks for posting at HCM.
I have gone through your description. ayou have mentioned she has lupus like butterfly rash on her face. But is she already evaluated for lupus? If not i suggest getting evaluated for lupus by testing her for ANA, Anti ds DNA antibodies, ESR. Since you mentioned that your cardiologist has already checked you, I suppose 2 D echo has been done already and it looks normal. If it has not been done yet, please do a 2 D echo.
Another reason can be kidney issues which can be affected if she has got lupus and can cause similar symptoms. So please get a serum creatinine and urine routine done.
Also get her vit D levels checked.
Wishing her good health.
Regards
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Suggest Treatment For Sinus Tachycardia With Edema

Hello Thanks for posting at HCM. I have gone through your description. ayou have mentioned she has lupus like butterfly rash on her face. But is she already evaluated for lupus? If not i suggest getting evaluated for lupus by testing her for ANA, Anti ds DNA antibodies, ESR. Since you mentioned that your cardiologist has already checked you, I suppose 2 D echo has been done already and it looks normal. If it has not been done yet, please do a 2 D echo. Another reason can be kidney issues which can be affected if she has got lupus and can cause similar symptoms. So please get a serum creatinine and urine routine done. Also get her vit D levels checked. Wishing her good health. Regards