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Suggest Treatment For Oedema In Both Legs
Question: Patient is 73 yr male Long standing Diabetic Hypertensive undergone By pass operation.Patient at present is having Resp distress, Oedema of both feet,Patient is at present taking Inj Lasix twice daily. Creatinin level is 1.82.What is your advice regarding his management.
Brief Answer:
He is in CHF
Detailed Answer:
Hi,
Welcome.
This is Dr Sameer, cardiologist from Fortis Hospital.
With the history you have given, it looks like the patient is in fluid retention state(CHF- Congestive Heart Failure).
If he has very much difficulty in breathing, than we recommend admission to such patients. Treatment is injectable Lasix(at least 40mg twice daily), nitrate (injectable or oral), beta blocker & ACE inhibitor.
As you are already giving inj Lasix at home but he is still breathless so he will need more stronger diuretics like Torsemide(Dytor).
Also creatinine level is borderline high which is expected to rise further.
So keep fluid intake around 1 ltr per day & keep negative balance and if feasible get him admitted.
If you need any more help, I'll be happy to help.
Thanks & take care
He is in CHF
Detailed Answer:
Hi,
Welcome.
This is Dr Sameer, cardiologist from Fortis Hospital.
With the history you have given, it looks like the patient is in fluid retention state(CHF- Congestive Heart Failure).
If he has very much difficulty in breathing, than we recommend admission to such patients. Treatment is injectable Lasix(at least 40mg twice daily), nitrate (injectable or oral), beta blocker & ACE inhibitor.
As you are already giving inj Lasix at home but he is still breathless so he will need more stronger diuretics like Torsemide(Dytor).
Also creatinine level is borderline high which is expected to rise further.
So keep fluid intake around 1 ltr per day & keep negative balance and if feasible get him admitted.
If you need any more help, I'll be happy to help.
Thanks & take care
Above answer was peer-reviewed by :
Dr. Yogesh D
Hello Dr XXXXXXX
Thank you for your mail. I will get in touch with you for future requirement.
Debasree.
Thank you for your mail. I will get in touch with you for future requirement.
Debasree.
Brief Answer:
Welcome
Detailed Answer:
Hi,
Welcome for the warm feedback.
I'll be delighted to help to anytime.
Thanks & take care
Welcome
Detailed Answer:
Hi,
Welcome for the warm feedback.
I'll be delighted to help to anytime.
Thanks & take care
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
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