Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

It seems that that your acute gastrointestinal symptomatology (vomiting, fever, looser stool and stool incontinence) may have adversely affected your congestive heart failure compensated status in two main ways:

(1) Through excessive fluid losses (vomiting, increases perspiration due to fever, stool losses), optimal volemia (intravascular fluid volume) may have been contracted leading to hypovolemia, decreased ventricular preload and subsequent lowered systolic cardiac stroke volume and cardiac output..

This is why you are experiencing intemitent feeling of being exhausted.

(2) From the other side, uncontrolled fluid losses, leads usually to concomitant blood electrolytes losses (potassium, chloride, etc). This underlying blood electrolytes imbalances may be the cause of cardiac arrhythmia events (especially in predisposed individual like CHF patients). More frequent arrhythmias are extrasystolic arrhythmia, supraventricular arrhythmias (atrial fibrillation, flutter, etc).

Coming to this point, I recommend you monitoring closely your blood pressure (to rule our/in a possible hypotension and also to take (drink) plenty of fluids (water, fresh fruit juices) for properly substituting eventual losses.

If the above unpleasant complaints (extreme tirednes, palpitations, fever, vomiting, etc.) persist then I strongly recommend you to ask medical assistance to the nearest ER service in your living area for a careful physical exam and underlying tests:

- complete blood count,
- PCR,
- blood electrolytes level,
- BUN & creatinine,
- blood glucose,
- AST & ALT,
- bilirubin

for properly addresing the responsible causes of the actual clinical scenario (possible acute gastrointestinal inflammation/infection) and underlying complications (hypovolemia, electrolytes imbalances, cardiac arrhythmia, etc.).

A prompt fluid and electrolytes correction is the right issue to consider.

Hope you will find this answer helpful.

In case of any further uncertainties, feel free to ask me again!

Kind regards,

Dr. Iliri

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Brief Answer:
Opinion as follows :

Detailed Answer:
Hello again,

You are right about possible heart complications when similar drugs are used.

Regarding Omeprazole, it is generally safe and notany obvious adverse effects may be emphasised when mentioning any cardiac issues.

But, it is not the same with Meloxicam. It may exert possible adverse effects towards heart failure and high blood pressure aggravation.

When considerind to use such a drug, a comprehensive CHF therapy review should be done, paying special attention to optimize diuretics daily regimen.

If you could provide me with more detailed medical information (cardiac ultrasound report, etc.), I could give a more detailed professional opinion.

Please could you upload here any available cardiac tests?

I remain at your disposal for further discussion.

Regards,

Dr.Iliri

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Brief Answer:
I would be happy to review your tests.

Detailed Answer:
Hello again!

I would be happy to review your uploaded tests as soon as you have them, for another professional opinion.

You can ask me directly at any time whenever you need at this link:

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765

Best wishes,

Dr. Iliri

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