Question 1

My baby is just over 2 months old and he has a 6.5 mm mid muscular vsd with left to right gradient of 10 mmHg. I'm really worried because he's not gaining weight, he only weighs 3.3 kg right now and he was 2.200 gms at birth. His breathing seems really fast and during feedings, he takes lots of breaks. What should I do?

Accepted Answer

Based on the symptoms you described, your baby may benefit from medication to help with the symptoms of congestive heart failure and to support his heart function. One commonly used medication for this condition is Furosemide. The typical dosage for infants with congestive heart failure is 1-2 mgkg per dose, given 1-2 times per day. However, the exact dosage and frequency should be determined by your pediatrician based on your baby's specific needs. Additionally, your baby may also benefit from medication to help with weight gain. One option is Mirtazapine, which can stimulate appetite and promote weight gain in infants. The typical starting dose for infants is 15-30 micrograms per day, but this should be adjusted by your pediatrician based on your baby's response. It is important to consult with your pediatrician or a pediatric cardiologist for a thorough evaluation and to discuss the best treatment plan for your baby's specific condition. Regular monitoring and follow-up care are essential in managing congenital heart defects in infants.

Question 2

I've been dealing with a dull pain inside my left chest and Im getting kind of worried about it. It seems like sometimes it's making it a bit hard to breathe, like I cant get enough air, and it's making me feel a little anxious. Ive also noticed my p...

Accepted Answer

It sounds like you may be experiencing symptoms of a heart condition. I recommend you take Aspirin 81mg immediately to help prevent blood clot formation. You should also take Nitroglycerin 0.4mg sublingually for chest pain relief. It is important to seek medical attention promptly for further evaluation and management.

Question 3

Is a blood pressure reading of 13565 with a heart rate of 76 normal for someone who has stents in both left and right arteries since April 2021 and also has diabetes along with other health issues? I'm a little concerned about whether these numbers a...

Accepted Answer

The blood pressure reading of 13565 is within the normal range. For individuals with a history of heart issues, such as having stents placed in the arteries, it is important to closely monitor blood pressure. In this case, the blood pressure reading is considered normal. However, it is always advisable to continue monitoring blood pressure regularly and follow up with her healthcare provider for further guidance.

Question 4

I've been trying to eat better and exercise a bit more, but I'm worried because my triglyceride levels are still going up. Last year they were 286, and now they're 365. I've been taking fish liver oil and eating flax seeds regularly. Do you have any ...

Accepted Answer

Statins and fibrates are medications that can help lower triglycerides. Statins primarily lower LDL (bad) cholesterol levels, but they can also modestly reduce triglycerides. Fibrates are specifically effective at lowering triglyceride levels

Question 5

I'm really confused right now. I went to a hospital because I was having some gastric problems, and the doctor there did a troponin test that came back positive at 0.03. Then, when I spoke to my family doctor, he suggested getting a second opinion, w...

Accepted Answer

It seems there is a discrepancy in the troponin test results between the two hospitals. Since the second opinion from MMM hospital came out as negative, it would be advisable to follow that result. In the case of gastric issues, you can take medications like Omeprazole (brand name: Prilosec) 20mg twice daily before meals for acid reflux. Additionally, you can take Simethicone (brand name: Gas-X) 125mg as needed for gas and bloating. Make sure to follow up with your family doctor for further guidance and monitoring of your gastric problem.

Question 6

I'm really worried about my heart. This morning, I had these palpitations and ended up going to the ER. They ran an ECG and did an echo, which came back normal, but the doctor suggested an ablation. I keep having palpitations even when I'm just climb...

Accepted Answer

It sounds like you are experiencing palpitations and irregular heartbeats. The medication prescribed to you, Dilzem tablet, contains the active ingredient Diltiazem. This medication is a calcium channel blocker that helps to regulate your heart rate and rhythm. The usual dosage for Dilzem in such cases is 120-360 mg per day, divided into 3-4 doses. Feeling like your heart stops and then starts can be concerning, and it is important to follow up with your doctor about this symptom. It could be related to the underlying heart condition that is causing your palpitations. If you continue to experience this sensation, it is recommended to seek medical attention promptly for further evaluation and management.

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I've been dealing with a dull pain inside my left chest and Im getting kind of worried about it. It seems like sometimes it's making it a bit hard to breathe, like I cant get enough air, and it's making me feel a little anxious. Ive also noticed my p...

Is a blood pressure reading of 13565 with a heart rate of 76 normal for someone who has stents in both left and right arteries since April 2021 and also has diabetes along with other health issues? I'm a little concerned about whether these numbers a...

I've been trying to eat better and exercise a bit more, but I'm worried because my triglyceride levels are still going up. Last year they were 286, and now they're 365. I've been taking fish liver oil and eating flax seeds regularly. Do you have any ...

I'm really confused right now. I went to a hospital because I was having some gastric problems, and the doctor there did a troponin test that came back positive at 0.03. Then, when I spoke to my family doctor, he suggested getting a second opinion, w...

I'm really worried about my heart. This morning, I had these palpitations and ended up going to the ER. They ran an ECG and did an echo, which came back normal, but the doctor suggested an ablation. I keep having palpitations even when I'm just climb...

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