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Breathlessness with tricuspid regurgitation, menopause - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
User :   I am a 40 year old female. I have some tricuspid regurgitation with a heart mumur. I also have a history of dyslipidemia. Myblood pressure is always low. I am a perfect weight. I have become very tired, and my abdomen swells. I also have shortness of breath, which I was told I have asthma, but my PFT testing is normal. I do feel a fast beat in my neck at times. My calves of my legs hurt. I am so tired of being tired! Can you tell me what's wrong?
Doctor :   Hi
User :   Hello
Doctor :  
Have you undergone an echocardiogram?
User :   Yes That's where the regurgitation was found.
Doctor :   It is not common to have breathing problems with tricuspid regurgitation alone.
Doctor :  
Unless if there is an associated heart dysfunction.
Doctor :  
So would like to know if you had one.
Doctor :  
The functions of the heart would be mentioned in echo.
User :   So how I am feeling is normal, and because of the regurgitation?
Doctor :  
If you have an associated heart dysfunction that could explain the breathing difiiculties.
Doctor :  
Other causes may be associated anaemia.
Doctor :  
The presence of these too have to be evaluated.
User :   What kind of heart dysfinction? I hate going to the doctor.
Doctor :   The details of the heart functions would be mentioned in the echocardiogram.
Doctor :   May I know what was the ejection fraction that was mentioned in it.
User :   I was only told I have a heart murmur, and some regurgitation... I was told by my family doctor it was ok, and my asthma doctor seemed more concerned.
User :   Asthma doctor was more concerned
Doctor :   To know more about it, can I as a few more question on your symptoms?

User :   Sure- I just want to feel better...
Doctor :  
SInce when are you having the breathing problems?
User :   For about a year. Walking up stairs is when it is the worst.
Doctor :   Is the symptoms present more during cold seasons?
User :   It's about the same all year. It feels like I ran a marathon race.
Doctor :  
Doctor :  
Do you palpitations, tiredness and easy fatiguability?
Doctor :  
May I know your age and gender?
User :   Yes very tired! My heart beats fast after I do things, especially stairs. I am a 40 year old female. Sometimes I feel a fast beat in my neck
Doctor :  
Are you menstruating or have you attained menopause?
User :   My last menstral period was about two weeks ago
Doctor :   Ok.
Doctor :   Your symptoms does not appear as that of one with asthma.
Doctor :  
However you may need a few more test to know what the cause for the symptoms are.
Doctor :  
The test would include a complete hemogram to see if you have anaemia.
User :   I didn't think it was asthma either. You think I have anemia, and my heart is ok?
Doctor :   Your symptoms are more in the favor of heart dysfunction or secondary to anaemia.
Doctor :  
If these are normal then the other cause would be
Doctor :  
symptoms that are similar to menopausal symptoms
Doctor :  
Hence a check up is needed to rule the first two.
Doctor :  
Have you followed?
Doctor :  
I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
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