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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pulmonary Hypertension In An Elderly Person

MY MOTHER IS 73 AND HAS PULMONARY HYPERTENSION - THIS IS BEING MANAGED WITH LASIX AND OXYGEN AT HOME WITH FAMILY AND VISITING NURSES BUT SHE HAS RECENTLY DEVELOPED A BLACK FINGER TIP THAT IS VERY PAINFUL - IT GOT BLACKER AND BLACKER AND IS NOW SHRIVELING UP - WE HAVE GONE TO THE DOCTORS AND THEY DONT KNOW WHAT TO DO SHE RECEIVED A SPINAL NERVE BLOCK, AFTER MANY OTHER TESTS AND NOW SHE IS GETTING IT IN HER OTHER HAND - BOTH ARE HER RING FINGERS PLEASE HELP US!
Wed, 6 Sep 2017
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Black fingers in Pulmonary hypertension (PH) patients suggest worsening of PH and gangrene formation (due to hypoxia-low oxygen).
So along with oxygen and Lasix, she should start specific drugs for reducing PH.
Specific drugs like tadalafil, bosentan, ambrisentan etc.
She should also start blood thinners (aspirin or clopidogrel).
So consult pulmonologist and discuss all these.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
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Suggest Treatment For Pulmonary Hypertension In An Elderly Person

Thanks for your question on Healthcare Magic. I can understand your concern. Black fingers in Pulmonary hypertension (PH) patients suggest worsening of PH and gangrene formation (due to hypoxia-low oxygen). So along with oxygen and Lasix, she should start specific drugs for reducing PH. Specific drugs like tadalafil, bosentan, ambrisentan etc. She should also start blood thinners (aspirin or clopidogrel). So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.