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Dr. Andrew Rynne

Family Physician

Exp 50 years

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My mom was having PPI on 26 Oct2015 due to

My mom was having PPI on 26 Oct2015 due to lower heart beat
After a couple of weeks mom have 1st heart attack& was taken to hospital immediately &
She was admitted to I C U
On 2nd July 2017 she was affected from 2nd heart attack in the night
But could not understand& was taken to hospital the next day noon
Mom was admitted to I C U for 10 days
She was affected by low sodium and shifted to hospital for 5 days on Sep 25-30
And now she has started diuretic pills in the night due to swelling on legs
The medicines
Used by mom are
Thyroup 75 mcg
Rabonik DSR
Deriphyllin Retard150
Abel40
Isordil 10
Aztolet 10
Ecospirin 75
Anxit 0.5
CTD
SCOFA -1000

Sat, 6 Oct 2018
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doctor1 MD

I am suffering from gastric reflux due to which I have a very bad throat for the last 6 months. Have been on PPI twice a day for last 5 months and have done lifestyle changes like eating small meals, not lying down after meals, eating last meal at least 3 and half hrs before bed, not eating any trigger foods that cause acidity like tomatoes, fried chic mint etc. in spite of above line of treatment my throat is always irritated and feels like a permanent burn in my throat. Laryngoscopy showed congested arytenoids.i don t know what else I can do and am worried about side effects of taking PPI for so long. Also I don t see how this problem can be resolved at all or do I have to live like this for the rest of my life? Pls help. By the way I never had any symptoms of reflux like heartburn etc, except I had felt two or three episodes 6months ago of food coming upto my throat after meals.

doctor1 MD

My father is 64 years old, he underwent PPI due to slow heart rate in Dec 2008. he is known HTN, and DVT in left leg (since 2000). he was also discovered with VT & hypothyroidism in 2008 for which he has been using medicines cardarone 100mg (alternate days), selomax 50 (5 days/week), warf 5 mg 5 days & 2 mg 2 days a week,rosuvas 10 mg(daily), thyronorm 50 mg. recently he was admitted in hospital due to SOB and discomfort. the device checkup revealed high heart beat around 115-120. He was kept in hopital in HDU to bring down the heart rate around 90-98. ECG concluded mildly dilated LV with global hypokinesia & severe LV systolic dysfunction (EF ~32%), grade IIIdiastolic (E/E 15). When doctor advised to undergo TEE, my father went for test and could not test as he found insertion of pipe caused breathing problem and inconvenience so he got scared and did not want to go for that test. At this point He was discharged from hospital saying discharged on patients request. he is prescribed with Acitrom 2 mg, cardarone 200 mg, thyronorm 50 mg, digoxin 0.25 mg, lasix 10 mg,Telma 40mg daily morning and rosuvas 10mg daily night. Though we came back home we are always worrying on the situation and we are unsure whether situation is really bad or fine. After 10 days we did PT Inr and result is 39.1 sec pt, Inr 3.03, control 13.2 s. I would like an advise what would be right action at this time, also suggest precautions

doctor1 MD

Hi, I ve had GERD symptoms (chronic heartburn , excessive salivation , frequent hiccups, uncomfortable swallowing , nausea, occasional vomiting, etc.) which are extremely exacerbated by exercise for a few years now. I started taking Omeprazole (20 mg before breakfast, 40 mg before dinner) a year and a half ago and it s barely helped my symptoms, if at all. I had an upper GI endoscopy last spring which was normal, an esophageal motility test this summer which revealed a weak lower esophageal sphincter (LES) thus indicating GERD, and a gastric emptying study which just came back normal as well. I m only 17 and am not a drinker or a smoker, and I understand it s rare for someone my age to have such intense symptoms. I am a two-sport varsity athlete, so I frequently come home from practice feeling really sick with GERD symptoms and its certainly worsened lately (could be due to stress) which makes homework and daily life difficult, especially in the evening. Recently, I got back an EKG possibly indicating Wolff-Parkinson-White so I m waiting for further results from my holter monitoring for the verdict on that. I doubt that s related, but just thought I d mention it in case I m missing some kind of connection. I m considering switching meds to another PPI or H2 blocker or something. Any other further advice would be much appreciated! Thanks!

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