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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Hands, Feet, On Vytorin, Spirolactolone, Chest Heaviness, Weight Gain, Alternate Medicines ?

I have been waking in the morning with swelling noted to my hands and feet. I drink water all day and into the evening thinking that i need more. Then I questioned that it might be PMS . I exercise everyday, either walking, weight training, or yoga . I am on Vytorin and have been for 6 years. I do take Spirolactolone 100mg daily. I am noticing some heavy feelings in my chest areas at times and an occasional cough, but no other symptoms. I have seen the scale increase almost 5 lbs. and I have not increased my diet or snacking , because I dont. I need some help.
Wed, 10 Apr 2013
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Dermatologist 's  Response
Hello
Thanks for using Health Care Magic .
I would be pleased to answer your Question .

You will need to get certain investigations done to rule out cardiac issues . With the history of swelling , occasional cough , heaviness in the chest and long term intake of spironolactone you will need to rule out any cardiac failure , congestion in the chest , potassium effects .

You can book an appointment with the physician who would help you with the same . Thanks
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Ayurveda Specialist Dr. Munish Sood's  Response
1. as you haven't mentioned your age, it is not possible to answer about PMS, is it PRE or POST menopausal syndrome?
2. you are just catching the fluid level which is wrong, instead check with your Doctor about your Renal function (Blood urea,Serum Creatinine,BUN,GFR) to make sure that kidneys are working properly.
3. Vyotrin (Ezetimibe and Simvastatin) is used to lower high blood cholesterol level (please mention about your current Lipid profile)?
4. for how long you have been taking Spironolactone and for what symptom did your Doctor prescribed the same, any h/o hypertension?
5. because you are taking spironolactone daily, please check your potassium level as it causes dangerous Hyperkalemia, along with any noted acne,hirsutism,alopecia in you??
6. side and severe effects of spironolactone are persistent cough, muscle weakness, and drop in heart rate, consult with your Attending Physician about the same who will/may recommend for ECG,Chest X-ray, Echo, potassium level, and necessary medicine and life style modifications.
7. since you are on spironolactone which is a potassium sparing diuretic avoid other sources of potassium as (tomato,potato,cheese,banana,coconut water,fruit juices, soya bean, papaya, grapes).
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General & Family Physician Dr. Kamal Kishore Bandil's  Response
Hello Dno,
Welcome here on hcm.
I will advise you to consult your GP and than on their advise you can consult a cardiologist if needed.
Thanks
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Swollen Hands, Feet, On Vytorin, Spirolactolone, Chest Heaviness, Weight Gain, Alternate Medicines ?

Hello Thanks for using Health Care Magic . I would be pleased to answer your Question . You will need to get certain investigations done to rule out cardiac issues . With the history of swelling , occasional cough , heaviness in the chest and long term intake of spironolactone you will need to rule out any cardiac failure , congestion in the chest , potassium effects . You can book an appointment with the physician who would help you with the same . Thanks