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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic pericarditis, radiating pin, cant take NSAIDS due to colon problem, heart attack symptoms normal ?

My husband has had pericarditis for 2 and a half months now and has had every test, as far as I know, on his heart except for a CC. He has even had several tests on his colon because the pain radiates I suspect. I have several questions. Is there anything he can do to cause a backset of the pain? Because he might feel pretty good one day and really bad the next, as far as the pain and fatigue . How long will this last? He has not been able to take any meds for the condition, not even NSAIDS or steroids, because of his colon. Is he going to have good days and bad days until this goes away? He has been to ER 4 times and hospitalized twice. He has been going to his Dr. every week for the last 2 months, was working 4 hours a day, now trying to work 6 hours a day, but doesn t seem to be getting a lot better. He has also been to a cardiologist and gastroenterologist . He has to fight the urge to run to the ER because of the pain that feels like he is having a heart attack all of the time. Doctors keep telling him his heart is fine. Is this normal for pericarditis? Don t know a lot about this and don t think our doctors have seen much of it either.
Fri, 11 May 2012
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Cardiologist 's  Response
Hello! I have carefully & thoroughly evaluated what you have discussed.
It appears that the pericarditis suffered by your husband is secondary to a malignancy, probably the colorectal cancer, hence there are many restrictions for his treatment. He will have no option than to have palliative care, & a psychosocial supporting therapy, if this is the case what I perceive from your description.
Otherwise if the problem is not secondary to malignancy, then there is a lot more that can be done to completely relieve his symptoms, for example if it is due to tuberculosis, then a 100% cure is possible.
Thanks & wishing a good recovery for your husband!
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Chronic pericarditis, radiating pin, cant take NSAIDS due to colon problem, heart attack symptoms normal ?

Hello! I have carefully & thoroughly evaluated what you have discussed. It appears that the pericarditis suffered by your husband is secondary to a malignancy, probably the colorectal cancer, hence there are many restrictions for his treatment. He will have no option than to have palliative care, & a psychosocial supporting therapy, if this is the case what I perceive from your description. Otherwise if the problem is not secondary to malignancy, then there is a lot more that can be done to completely relieve his symptoms, for example if it is due to tuberculosis, then a 100% cure is possible. Thanks & wishing a good recovery for your husband!