Question 1

I've been noticing these splinter hemorrhages under my fingernails again, and it's making me worried. I had endocarditis when I was 16 and needed antibiotics through a pic line and heart surgery for mitral valve repair when I turned 18. I'm 23 now and these hemorrhages keep showing up just like before. I'm really concerned it could be related to my past condition. What do you think I should do?

Accepted Answer

It sounds like you may be experiencing recurrent splinter hemorrhages, which can be a concerning sign given your history of endocarditis and heart surgery. To address this issue, I recommend consulting with your healthcare provider to evaluate the possibility of endocarditis recurrence or any other underlying causes. In the meantime, you can consider taking antibiotics such as Amoxicillin 500mg twice daily for a week to prevent any potential infection from worsening. Additionally, maintaining good nail hygiene and avoiding trauma to the nails can help prevent further splinter hemorrhages.

Question 2

I'm a bit worried because my mom accidentally took her stamlo 5mg dose in the evening too, even though she's only supposed to take it in the morning. Is it still okay for her to take her regular morning dose tomorrow?

Accepted Answer

Yes she can take her regular dose no need to worry

Question 3

My mom's dealing with congestive heart failure and it's making her retain fluid. She's also diabetic and on insulin and she has her thyroid under control. We've been trying to get help from these well-known endocrinologists and cardiologists, but they're always super busy and don't really spend the time with her that she needs. She's on Lasix for the fluid retention but it's making her really drained and tired all the time. How can she keep up her nutrients considering the diabetes? I'm worried her magnesium and potassium levels are dropping and it's just making things worse. Do you have any advice on how to keep her energy up without causing more fluid buildup? I'm feeling pretty anxious and overwhelmed about all this.

Accepted Answer

It's important to address the electrolyte imbalance while managing fluid retention and diabetes in your mom. To help replenish her electrolytes and maintain her energy levels, you can consider supplementing her diet with foods rich in potassium and magnesium. Additionally, you can discuss with her healthcare provider about prescribing a potassium-sparing diuretic like Spironolactone to help with fluid retention without depleting potassium levels. Adequate hydration is also crucial. For potassium supplementation, you can consider prescribing Slow-K (potassium chloride) at a suitable dosage based on her current levels and needs. As for magnesium supplementation, you can recommend Mag-Ox (magnesium oxide) at an appropriate dosage to help maintain her magnesium levels. It's essential to monitor her electrolyte levels regularly and adjust the dosage as needed to prevent further complications. A balanced diet, along with these supplements, can help support her overall health and energy levels.

yes it is a concern immediate cardiologist opinion is required.

More Cardiology Health Queries

I'm a bit worried because my mom accidentally took her stamlo 5mg dose in the evening too, even though she's only supposed to take it in the morning. Is it still okay for her to take her regular morning dose tomorrow?

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