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Doctor insights on: Heart Murmur Nose Bleed

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13 yo had heart murmur 2 yrs ago otherwise healthy& active today had dental cleaning w bleeding should he take profilact abx? What to look out for?

13 yo had heart murmur 2 yrs ago otherwise healthy& active today had dental cleaning w bleeding should he take profilact abx? What to look out for?

Usually not: Pre-dental antibiotics were once widely prescribed but the list of indications has narrowed considerably. The list today includes those with artificial grafts/valves, complex congenital heart disease, etc. Your simple murmur does not qualify. ...Read more

Dr. Barton Cook
420 Doctors shared insights

Heart Murmur (Definition)

A heart murmur is a sound heard by a stethoscope made by the vibration of blood flow. It can be a normal finding in young healthy people, or can represent abnormal leakage (regurgitation) of a valve, valve narrowing (stenosis), or a congenital condition such as an atrial septal defect, a ventricular septal defect, ...Read more


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What could be causing sharp stinging pains in my heart & pain on left side of head? Blood tests are ok & I also have a heart murmur.

What could be causing sharp stinging pains in my heart & pain on left side of head? Blood tests are ok & I also have a heart murmur.

Not your heart: It's probably not your heart -- but stress that causes chest wall strain and tension in the neck that causes your headaches -- you need to relax and do some exercise -- but if persisted, go see your doctor -- and it has nothing to do with your heart murmur. ...Read more

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What is a heart murmur?

What is a heart murmur?

Unexpected noise: When you listen to the heart, the traditional lub-dup of the valves closing is what you expect to hear. When you hear an extra whooshing or vibratory sound it is usually of low intensity, so the "murmur" label is used. It can be murmur "good", or just part of the dynamic flow of blood. If it is murmur "bad", it represents a defect requiring special attention and care. ...Read more

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What is benign heart murmur?

What is benign heart murmur?

Common, not serious: Heart murmur is basically an extrasound is heard/generated when the heart pumps. Benign in medicine means not serious/not concerning. Probably about 60% of young children have some murmur during the first decade of life because of the rapid changes in the heart as they grow. So, if doc said benign heart murmur, that is something not to worry. If u are still concerned, consult doc. Good luck. ...Read more

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Can you feel a heart murmur?

Can you feel a heart murmur?

They are graded 1-6: You might feel a really loud (6) murmur by putting your hand on your chest wall but you would not be able to feel a very soft murmur. You can have a murmur which is "innocent" and has no significance or you can have a murmur which is very forboding. A trained physician lnows how to interpret the significance of the sounds that he hears. A creaky floor night mean the building is about to fall or n ...Read more

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What are symptoms of a heart murmur?

What are symptoms of a heart murmur?

None, really: A murmur is a sound from flow in the heart. It can come from a lot of reasons. Symptoms, or how you feel, depend on what is actually going on with your heart. Lots of murmurs are totally normal. When you see your doctor, start with how you are doing or feeling, and if there is any change from before. This will help in the interpretation of your physical signs, like a murmur (if any). Be well! ...Read more

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Can you advise for heart murmur and military?

Can you advise for heart murmur and military?

Murmur: A heart murmur. A murmur is just noise. Sometimes serious problems cause a murmur many times a murmur is caused by normal flow. Patients often misctranslate what the dr. Tells them. ...Read more

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I'm curious what occurs if a heart murmur doesn't heal?

I'm curious what occurs if a heart murmur doesn't heal?

Depends.: A murmur is caused by turbulent blood flow in the heart. Many murmurs are benign. Some are caused by valve disease. Ultimately, the consequences are from what caused the murmur. Valve disease can progress, but sometimes stabilizes for a long time. You should talk to a doctor to get a good history and physical. ...Read more

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What to do if I have a heart murmur, could I die from it?

What to do if I have a heart murmur, could I die from it?

No: A heart murmur is a finding on physical examination, not a disease. If you have severe heart disease that puts you at risk for death, you may have a murmur related to the heart problem, but you die from the heart problem, not from the murmur. ...Read more

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Can someone with a heart murmur take a Xanax (alprazolam) and a sleeping pill?

Can someone with a heart murmur take a Xanax (alprazolam) and a sleeping pill?

Yes: Unless you're dying with end-stage congestive heart failure (hopefully not), the murmur is not an issue. However, Xanax (alprazolam) and sleeping pills have additive sedative effects (with respiratory depression) and should not be used together, just as alcohol should also be avoided with their use. ...Read more

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When during pregnancy does blood volume increase? Can this cause a pregnancy heart murmur?

When during pregnancy does blood volume increase? Can this cause a pregnancy heart murmur?

2nd trimester: Most of the blood volume changes occur during the second trimester and continue until 34-36 weeks. Along with blood volume increases, there is a rise in cardiac output. With the rise in cardiac output, the presence of a heart murmur is common.
Heart murmur does not necessarily indicate the presence of heart disease, and most pregnant women with a heart murmur have a normal heart. ...Read more

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My son is 14 and needs teeth cleaning. I was also told thathe has a heart murmur. Are antibiotics needed?

My son is 14 and needs teeth cleaning. I was also told thathe has a heart murmur. Are antibiotics needed?

No.: According to the latest guideline from both american heart association and american dental association, any heart murmur alone does not need premedication prior to dental work. Even mitral valve relapse with regurgitation won't need antibiotic prophylaxis now. Study showed that unnecessary antibiotics before dental work gives you more risk than benefits. ...Read more

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My 77 year old mother went to the cardiologist for a routine exam and he detected a heart murmur. Is this of concern?

My 77 year old mother went to the cardiologist for a routine exam and he detected a heart murmur. Is this of concern?

Heart murmur: A heart murmur represents the backward flow of blood when a heart valve does not completely close. Murmurs are graded on location, intensity (scale of 1 to 6) and whether it occurs when the heart contracts (systole) or during heart relaxation (diastole). Let your doctor listen to the murmur. He/she then may decide to do an echocardiogram to further define the murmur. ...Read more

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Diagnosed with sinus infection at urgent care. Dr said I have a benign heart murmur. How can he tell it is benign?

Diagnosed with sinus infection at urgent care. Dr said I have a benign heart murmur. How can he tell it is benign?

Make sure what it is: See your family doctor first, or a cardiologist to find out what you have, by clinical examination if needed echocardiogram once your sinus condition clears. ...Read more

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I sneezed yesterday and started feeling breathless and still do today is this a result of allergies my asthma or my heart murmur?

I sneezed yesterday and started feeling breathless and still do today is this a result of allergies my asthma or my heart murmur?

Allergies and asthma: Although some heart conditions that cause heart murmers can be associated with shortness of breath, the combination of sneezing and breathlessness is most likely to be due to a flar in your allergies and asthma, or due to a new upper respiratory infection. If using your allergy and asthma medications as instructed does not provide you with relief, or if new symptoms develop, schedule a visit. ...Read more

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When I was born, I was born with heart murmur. What are the consequences? Lately been having intense chest pains, with trouble breathing. Help?

When I was born, I was born with heart murmur. What are the consequences? Lately been having intense chest pains, with trouble breathing. Help?

Probably unrelated: Heart murmurs are relatively common in kids & the bad ones end up with lots of tests and treatments before school age. Most are innocent sounds of blood flow, or self healing problems. If you were not identified & treated as a heart problem as a kid, your chance of it being a problem at 21 are minimal. Most acute chest pain at your age is heartburn, You should clarify the issue through a visit/eval ...Read more

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I have heart murmur and I sometimes feel my hear skip a beat and I get scared I went to Heart Specialist and did a Ekg and Echo came back good?

I have heart murmur and I sometimes feel my hear skip a beat and I get scared I went to Heart Specialist and did a Ekg and Echo came back good?

Murmur: A heart murmur. A murmur is just noise. Sometimes serious problems cause a murmur many times a murmur is caused by normal flow. Patients often mistranslate what the dr. Tells them.
Ask your doc about your situation. ...Read more

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I recently found out that I have a heart murmur. Does this mean I have a heart problem? I also have had high blood pressure. I am not overweight.

I recently found out that I have a heart murmur. Does this mean I have a heart problem? I also have had high blood pressure. I am not overweight.

Htn, heart murmur: Murmur does not necessarily mean heart problem. Needs workup. Htn needs evaluation and treatment. ...Read more

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I have a heart murmur and today I got a pain out of nowhere on my left side on my breast some where in that area and I twitch. What is that? I'm scared

I have a heart murmur and today I got a pain out of nowhere on my left side on my breast some where in that area and I twitch. What is that? I'm scared

The vast majority: Of heart murmurs are innocent, meaning they are the sounds your heart makes when blood travels through it. It sounds like you are quite anxious. If you are worried, your doctor can check an EKG. ...Read more

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My son (20 yr)was diagnosed w/ heart murmur (leaky valve).He drinks lots of RedBull in college. Lately complaining of chest pain. Could it be from Rdbul?

My son (20 yr)was diagnosed w/ heart murmur (leaky valve).He drinks lots of RedBull in college. Lately complaining of chest pain. Could it be from Rdbul?

Different issues: The chest pain at his age likely comes from his swallowing tube, not his heart. The caffeine in the bull can aggravate the reflux/irritation. As can acidic foods/drinks or laying down within an hour of eating. ...Read more

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I have a heart murmur but my doctor told me it was extremely loud and protruding thorough my neck. I've been having palpalations and a fast heart rate?

I have a heart murmur but my doctor told me it was extremely loud and protruding thorough my neck. I've been having palpalations and a fast heart rate?

Heart murmur: Heart murmur radiating to the neck generally indicates narrowing of the aorta. I suspect your doctor scheduled some follow up testing. Palpitations and a racing heart beat could be related if the heart is having difficulty pumping blood through a tight valve. It is important that you review any educational material provided by the doctor and proceed with the upcoming work-up. ...Read more

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My doctor heard what she called a "slight heart murmur" and did a ekg which was normal. Now she's ordered me an Ecg and im so nervous! What's the diffe?

My doctor heard what she called a "slight heart murmur" and did a ekg which was normal. Now she's ordered me an Ecg and im so nervous! What's the diffe?

Echocardiography: Echo is ultrasound to visualize the heart valves and structure and further analyze the cause of murmur. EKG is does not visualize the heart but only analyze the heart rhythm and cannot diagnose the source of a murmer. Don't worry as hearing a murmer does not always mean a heart disease as some murmers are physiologic i.e normal. Good luck with the echo ...Read more

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Can being born with a heart murmur that is considered normal with time, affect how beta blockers like atelonol and bystolic (nebivolol) affect your heart rythym?

Can being born with a heart murmur that is considered normal with time, affect how beta blockers like atelonol and bystolic (nebivolol) affect your heart rythym?

No: It is unlikely that a "functional/innocent" murmur you are describing will affect your response to beta blockers. Every patient responds to new medications differently, so whatever response you are having is not likely from the previous murmur. ...Read more

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What's a heart murmur?

What's a heart murmur?

Noise: It's a subjective finding of noise in a heart by stethoscope. Some murmurs are physiologically normal and others require further evaluation by echocardiogram. ...Read more

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How serious is a heart murmur?

Depends: Most heart murmurs are benign. Functional murmurs are those that relate to turbulent flow through normal valves. Anyone of us can have a murmur.

Some murmurs are related to mild or moderate leaking across valves and do not need any immediate attention. However, other murmurs are more serious and related to serious narorwing or leaking of valves. Some relate to holes in heart such as vsd's. ...Read more

Dr. Jack Mutnick
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