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Suggest treatment for cardio myopathy

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Posted on Mon, 11 Jul 2016
Question: my son a known case of duchenne muscular dystrophy is suffering from cardio myopathy. His EF is 38%,moderate LV Dysfunction, pulpable liver. He is taking less than 1 1/2ltr for water and restricted salt. He is feeling very weak after bowl movement and bathing. Getting heavy even with one piece of idly and 50gms of rice with veg and pulses. i Need your suggestions for better and long life
Thanking You.
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Answered by Dr. Suresh Heijebu (12 hours later)
Brief Answer:
Prevent infections and consider Steroids

Detailed Answer:
Hello, Sir.

I can certainly understand your concern.

DMD is generally difficult to manage as the disorder is inherently a progressive one.

It's very important to prevent infections of any kind, especially the respiratory problems for a longer life.

As your doctor's might have already told you that the average life span is 3 decades.

it's very important to take the cardiac medications without fail.

Excessive physical activity of any kind is not entertained .

Pertaining to digestion issues, it's important to consider for Flexible Endoscopy if the swallowing becomes difficult.

Echocardiogram should be carried out on frequent basis to assess the cardiac function and increase the doses of cardiac medications.

An ultrasound of the liver can help to document cause of palpable liver and take appropriate actions.

Drugs particularly Steroids have to instituted in low doses to control muscle inflammation associated with DMD.Please check with your doctor with regards to these medicines, as this the most important step.

Post your further queries if any
Thank you.





Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3664 Questions

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Suggest treatment for cardio myopathy

Brief Answer: Prevent infections and consider Steroids Detailed Answer: Hello, Sir. I can certainly understand your concern. DMD is generally difficult to manage as the disorder is inherently a progressive one. It's very important to prevent infections of any kind, especially the respiratory problems for a longer life. As your doctor's might have already told you that the average life span is 3 decades. it's very important to take the cardiac medications without fail. Excessive physical activity of any kind is not entertained . Pertaining to digestion issues, it's important to consider for Flexible Endoscopy if the swallowing becomes difficult. Echocardiogram should be carried out on frequent basis to assess the cardiac function and increase the doses of cardiac medications. An ultrasound of the liver can help to document cause of palpable liver and take appropriate actions. Drugs particularly Steroids have to instituted in low doses to control muscle inflammation associated with DMD.Please check with your doctor with regards to these medicines, as this the most important step. Post your further queries if any Thank you.