Question 1

I'm really worried about my dad. He's 70 and went through a pretty tough time with his aorta bursting back in January. The doctors did Bentall Surgery, and it seemed like things were getting better, but then he got a mild case of COVID on February 4th. They've been treating him for that and a bit of fluid in his left lung with antibiotics, and there have been improvements according to his chest X-rays. The problem is, he's been having a low-grade fever in the evenings, around 99-100 degrees, since the surgery. It's been more than a month now with this persistent fever. Do you think this is just a post-op thing or maybe related to COVID? I just really need to understand what's going on. It's pretty concerning for us.

Accepted Answer

In this case, the persistent low-grade fever in the evening could be due to various factors, including post-operative recovery, underlying infection, or inflammatory response. Since your father recently underwent Bentall Surgery and is also recovering from mild COVID-19 infection, it is essential to monitor his symptoms closely. To address the fever, the doctors may consider prescribing antipyretic medications such as Acetaminophen (Tylenol) at a dose of 650mg to 1000mg every 4-6 hours as needed to help reduce the fever and provide comfort. Additionally, if there are signs of ongoing infection, antibiotics such as Amoxicillin-Clavulanate (Augmentin) at an appropriate dose may be considered based on the specific infection and sensitivity. It is crucial to continue following up with the medical team to assess the underlying cause of the fever, monitor his overall condition, and adjust the treatment plan accordingly. Regular communication with the healthcare providers will help in managing his recovery effectively.

Question 2

Hey, I've been tracking my heart rate with my Apple Watch, and I'm feeling a bit concerned. I've noticed that my monthly average heart rate is usually between 42 to 126 bpm, and my resting heart rate varies from 51 to 61 BPM. When I'm walking, it averages around 65 to 107 BPM. Typically, I exercise in the evenings, and my heart rate can go above 117, with an average of 80 to 85. But here's the thingthat's got me worriedthis morning while I was just sitting and reading at the office, my watch showed a heart rate of 43 BPM. Should I be concerned about this low reading?

Accepted Answer

Having a resting heart rate between 51-61 BPM, especially if you are physically fit, can be normal. A heart rate of 43 BPM while sitting and reading might be lower than usual but not necessarily alarming if you are asymptomatic and otherwise healthy. Your exercise heart rates and walking averages seem within normal ranges. However, since your heart rate can dip quite low, it would be a good idea to discuss these readings with your healthcare provider to rule out any underlying issues like bradycardia or other cardiac conditions. They might suggest monitoring your heart rate more closely or performing additional tests if necessary.

Question 3

I'm really worried because I've been on amlogard 5 mg and olmesar 10mg for my blood pressure for the past five months. Now, my gastroenterologist has told me I have an intestine infection and said I should stop the olmesar. They suggested I take a different medication instead, but I'm not sure what I should switch to. Do you have any advice on what could work with the amlogard?

Accepted Answer

Ramipril 5 mg is the substitute for the medication  and be taken,, salt restricted diet and dash diet also advised to the patient..

I'm dealing with a right bundle branch block and experiencing some head dizziness that just won't go away. It's been really hard to focus at work because of these syncope episodes. Do you have any advice or remedies that might help with this?

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