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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pulmonary Artery Hypertension

hello sir,i am bhargavi.i am suffering with severe pulmonary artery hypertension with RVSP=110 AND PADP 48MMHG.i am also having diabetes type-2.i have been operated by PDA at the age of 9years.i am presently taking fruselac-ds(frusemide&spironolactone),penegra(sildenafyl citrate).
Tue, 2 Aug 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the reports you have mentioned.
Severe pulmonary artery hypertension (PAH) in female can be due to underlying connective tissue disease (CTD).
So better to first get done reports for CTD.
Along with penegra, you should also start bosentan and tadalafil. Both are add on drugs for PAH when disease is noted controlled by single drug (penegra).
Along with drugs, you should also follow these lifestyle modifications for better symptomatic relief.
1. Strict salt restrictions in diet.
2. Avoid fatty and oily food. Avoid spicy food. Avoid junk food.
3. Avoid excessive water intake. You should drink less than 1.5 liters of fluid daily.
4. Enroll in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are done. These will improve your lung functions.
So consult your pulmonologist and discuss all these.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Suggest Treatment For Pulmonary Artery Hypertension

Thanks for your question on Healthcare Magic. I can understand your concern. I have gone through the reports you have mentioned. Severe pulmonary artery hypertension (PAH) in female can be due to underlying connective tissue disease (CTD). So better to first get done reports for CTD. Along with penegra, you should also start bosentan and tadalafil. Both are add on drugs for PAH when disease is noted controlled by single drug (penegra). Along with drugs, you should also follow these lifestyle modifications for better symptomatic relief. 1. Strict salt restrictions in diet. 2. Avoid fatty and oily food. Avoid spicy food. Avoid junk food. 3. Avoid excessive water intake. You should drink less than 1.5 liters of fluid daily. 4. Enroll in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are done. These will improve your lung functions. So consult your pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.