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Mitral stenosis and valvular issues - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Valvular Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2572 Questions
User :   Hi
User :   hello sir
User :   Dr XXXX here
User :   How can i help you?
User :   i want my problem regarding mother
User :   she is heart patient
User :   ok
User :   since 4 years she is suffeing from heart problem
User :   taking medicines
User :   may i know the meds shes on?
User :   doctors, say, blood circlation is slow, and value is problem
User :   angizem cd 90, tonact, nitrocontin 2.6 mg
User :   isordil 5 mg, clopitab 75
User :   oxyflax cap , feroll z
User :   ok, she has Coronary artery ds, with valvular issues
User :   yes sir
User :   ok, so please proceed
User :   but since 10 days she has peculiar prblem
User :   she is spitting blood
User :   atleast three times a day
User :   and we went to doctor for telling this
User :   when was the last time she was seen by a doc?
User :   1 week back
User :   ok
User :   to the cardiologiest, same person whom we are seeing
User :   since 4 years
User :   ok
User :   he said, probably, some leakable in vessesl may be there
User :   and that blood will fall in stomach
User :   and it is coming out
User :   ok
User :   he guessed
User :   and he gave some blodd test
User :   on that day,
User :   ok
User :   total count of platelet 4.01 lakhs /cumm
User :   bleeding time 1 min 10 seconds
User :   clotting time 4 mins 15 sec
User :   this is the test he has written on that day
User :   ok
User :   mostly normal
User :   i want to know why blood is coming
User :   i am fearing wheather she got cancer like that
User :   what may be the reason for bloood vomiting sir
User :   i am of the opinion that she must be having Mitral stenosis and this could cause high pressure in the blood vessels in the lungs
User :   when these vessels bleed, in to the lung, then this causes your mom to spit out blood
User :   doctor suggested to stop clopitab
User :   you said, she is spitting blood
User :   ok
User :   clopitab he asked to stop
User :   because blodd flow increased fast so
User :   he asked to stop
User :   what is the next step i have to do
User :   i understand , as clopitab affects blood clotting
User :   the most important step, is to correct the valve issues, if possible
User :   blodd pressure and sugar is normal sir
User :   im talking about the pressure in the heart and the blood vessels in the lung
User :   ok
User :   this is independent of the blood pressure and sugar levels
User :   what is my next step sir
User :   iam staying in XXXXXXXXXXX
User :   my brother and relatives are in XXXXXXX
User :   since i dont have the complete picture including echo reports, angio reports, etc , it will be hard for me to evaluate your mom
User :   ok sir
User :   shall i send her for XXXXXXX hospital
User :   i would suggest, if you can mail me the reports, etc
User :   in XXXXXx for further evaluation
User :   he has never undergone angio report
User :   i can try to give my opinion on that
User :   sir on 14 june 2010 she has undergone echo report
User :   normal leaf lets
User :   DE 1.8 CM
User :   EPSS 0.4 CM
User :   PV NORMAL
User :   T V NORMAL
User :   AV OPENING 2.5 CM
User :   since the time is short, it would be diffiult for us to come to a conclusion
User :   A O 3.0 CM
User :   RVIDD 10.9 CM
User :   IVSDD 32.4 CM
User :   ok
User :   ok
User :   please email me the complete report
User :   and i will give my opinion on your mail
User :   ivsdd 32.4 mm
User :   lvidd 7.3 mm
User :   pwd 13.8 mm
User :   ivssd 107 mm
User :   ok
User :   hello
User :   sir
User :   i recharged again
Doctor :   hi XXXXXx
Doctor :   ok
User :   this is echo report sir
Doctor :   can u tell me the final report ( the final impression at the end of the page )
User :   angio they not suggested as she is weak
Doctor :   i understand
User :   SORRY CAD
Doctor :   ok
Doctor :   so the echo says CAD is negative
User :   OK
Doctor :   but she is symptomatic
User :   since 10 days she is fearing and becoming weak
Doctor :   have any X ray done or CT - chest etc done ?
User :   no
User :   only 10 days she has this problem
User :   cardiologiest suggested only to stop that tablet
User :   and blood test as i told earlier was done
Doctor :   the cause of hemoptysis (spitting of blood ) is most probably due to TB infection or due to mitral stenosis as i had suggested
User :   probablity of cancer
User :   sir
Doctor :   i would advice a CECT chest
User :   she is not having cough and fever
User :   is this fatal sir
Doctor :   or a CT angiogram WHERE the source of bleed in the lung can be evaluated
User :   chances of cause is there or not sir
Doctor :   this is not fatal and can be treated
User :   this is also not cancer symptom
Doctor :   the CT will give a clear picture
User :   as you said if this is due to mitral stenosis
User :   can it be cured with medicines
Doctor :   since your mom, never smoked (i presume) the chances of cancer are less , unless she has a different type of cancer
User :   is it be cured with medicines
Doctor :   it can be controlled
User :   or does it need surgery
Doctor :   if the severity is more, then the surgery can relieve the symptoms
User :   is it due to usage of medicines
User :   since 4 years she is taking the abov
Doctor :   surgery in the sense, it is done via artery and not open surgery
Doctor :   no, not due to medicines
User :   ok
Doctor :   do u know her hemoglobin?
User :   shall i suggest her to go to XXXXXXXX or XXXXXXXX hospital
Doctor :   yes definitely
User :   yes sir
User :   slightly anaemic
Doctor :   ok
User :   ESR is also normal
User :   but she is suffering from ulcers since 15 to 20 years
Doctor :   there are many issues with your mother, which need to be evaluated, completely to know her problems
User :   blodd vomit will be there due to ulcers also sir
Doctor :   A chest X ray - helps to detect TB, or fluid in lungs, etc
Doctor :   in the case of gastric ulcers, she would be having abdominal pain, after food,and inability to eat, properly
User :   ok i recomend her to go to XXXXX
Doctor :   that would help her to get a complete evaluation
User :   for me, if she is not suffering from cance means, i will be happy sir
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