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Suggest treatment for arrhythmia

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Posted on Wed, 20 May 2015
Question: I am BP patient for almost 20years now.i am taking 1olmat40.2 minipress2.5mg.3.dinzen SR
4 natrilexSR and repeat minipress at night
But after 2 to3 hours i feel very heavy and movements are painful.i was diognised with arrhythmia also.please help

doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
More details requested

Detailed Answer:
Thanks for asking on HealthcareMagic.

Unfortunately the details you have provided, are not enough. Could you please mention where exactly do you feel the heavy movements and pain and how long has it been there? I would also suggest you to be elaborate on the problems that you are facing. I would need to know how much is the control over blood pressure. A recent ECG would enable me to assess the degree of arrhythmia you have and I would request you to upload the same (along with any other reports that you feel relevant) using the facility on the upper right of this page. Please get back with the details and surely I would try to help you out.

The medicines that you are taking, seem fine and please continue taking them.

I would await your answer.

Regards
Dr. Kunal Saha
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Prof. Kunal Saha (8 hours later)
Heaviness is in legs.that also after taking medicines as mentioned.i had 124 heart beats and was sent for Holter test arythemia was confirmed.was prescribed acitrome..then i had tooth problem and bleeding did not stop for7hours they ga ve me vit k lnjections but no use than Dentist fixed the problem.now i an scared cos they say there is mo antidote to stop the bleeding.what do i do in Case of a cut or fall?please advise.thanx
sd
doctor
Answered by Dr. Prof. Kunal Saha (7 hours later)
Brief Answer:
PT and INR need to be checked periodically. Dose adjustment might be needed

Detailed Answer:
Thanks for writing back. Sorry for not being able to respond earlier.

It is possible that your doctor has found you susceptible to embolism due to the heaviness in your legs and the arrhythmia that you have. It is for that reason that you have been prescribed acitrom. Please note that in case of such medicines, the P-time and INR need to be periodically checked and the dose may require to be adjusted accordingly. In case of requirement of procedures like dental extraction, dosage modification beforehand, is critical. You faced the problem because it had not been kept in consideration. Usually it is not a cause of concern in day to day life and you need not worry about the same. In case of any injury or bleeding, all you need to do in to apply a reasonable amount of pressure on the injury site to occlude the veins. You might need to hold on for sometime but things should be ok soon.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Prof. Kunal Saha (32 minutes later)
Thank you Doctor Saha for the kind answer and the proper guidance
I am obliged the Pt and INR are regularly cheked and dose XXXXXXX adjusted.i will try to send you the holter test ECG as soon as i can download it.thanx.i value your advise.
doctor
Answered by Dr. Prof. Kunal Saha (38 minutes later)
Brief Answer:
Glad to be of help

Detailed Answer:
Thanks for writing back. I am glad that you found my answer to be helpful. In that case, I would appreciate if you leave a 5 star rating and a positive review for this thread.

You can feel free to upload the Holter reports as well as the ECG. However, I do not think that it is necessary unless you have some specific queries related to the same.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4439 Questions

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Suggest treatment for arrhythmia

Brief Answer: More details requested Detailed Answer: Thanks for asking on HealthcareMagic. Unfortunately the details you have provided, are not enough. Could you please mention where exactly do you feel the heavy movements and pain and how long has it been there? I would also suggest you to be elaborate on the problems that you are facing. I would need to know how much is the control over blood pressure. A recent ECG would enable me to assess the degree of arrhythmia you have and I would request you to upload the same (along with any other reports that you feel relevant) using the facility on the upper right of this page. Please get back with the details and surely I would try to help you out. The medicines that you are taking, seem fine and please continue taking them. I would await your answer. Regards Dr. Kunal Saha