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Doctor insights on: Patients Painful Suffocating Death

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Do ALS patients suffer painful, suffocating death?

Do ALS patients suffer painful, suffocating death?

My view: Yes, many ALS patients suffer pain, but they rarely suffocate, as typically, when needed, a tracheostomy tube is placed. But demise can often be due to pneumonia. ...Read more

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Do those who have cystic fibrosis die awake, or can they die under anesthesia?

Do those who have cystic fibrosis die awake, or can they die under anesthesia?

Respiratory failure: Most people with cystic fibrosis with end-stage/advanced lung disease tend to have chronic respiratory failure which can lead to their demise. All pulmonologists that take care of CF patients are aware of this & they can keep these patients comfortable with the use of several interventions and medications. Talk to your CF doctor regarding advance directives & palliative care options. ...Read more

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Do cancer patients die of pain?

Do cancer patients die of pain?

No!: We can't always cure cancer, but we can always treat pain. Cancer patients should never suffer from pain. We can block nerves that carry pain signals, use medications, and even implant spinal cord stimulators to control pain. Cancer patients die for many reasons, but not from pain. If you are suffering from cancer pain, ask your doctor for relief. And don't stop asking until you are comfortable! ...Read more

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Severe fear of sudden death. How often does this happen ?

Severe fear of sudden death. How often does this happen ?

Almost never for U: Almost never for a otherwise healthy 30 year old women. Usually its people of have significant heart issue and more advanced age. I would take some yoga if i were you, its good for your heart and anti anxiety. ...Read more

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Why do people with lung disease often die of heart failure?

Why do people with lung disease often die of heart failure?

Right Heart: COPD / emphysema patients develop right heart dysfunction late in the disease (called cor pulmonale)- this can result in fluid gain, edema and heart failure. ...Read more

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Seroquel (quetiapine) makes my un-dx condition worse. Symptoms are heart pain, almost paralyzed due to extreme somnolence, severe cognitive impairment.. Causes?

Seroquel (quetiapine) makes my un-dx condition worse. Symptoms are heart pain, almost paralyzed due to extreme somnolence, severe cognitive impairment.. Causes?

Seroquel (quetiapine): Seroquel (quetiapine) can be very sedating -- more so depending on increased dose. It can also cause "cognitive impairment." I have no idea from here what you were like before the medication, but it sounds like you need a thorough medical evaluation. A psychiatrist may need to also be involved in your care -- and you need to tell whoever is prescribing the seroquel (quetiapine) about what you're experiencing. ...Read more

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92yo liver failure, severe jaundice labored breathing nausea emotionally given up dnr, likelihood of surviving the weekend? Doc wouldn't say

92yo liver failure, severe jaundice labored breathing nausea emotionally given up dnr, likelihood of surviving the weekend? Doc wouldn't say

Only God knows.: But with the symptoms you've described, she has end stage liver failure and she wouldn't live long on earth. Average life span of people in developed countries is 75-80 years. Here's the overall picture - all of us are just passing through in this worldl. God bless her on her way to eternity! ...Read more

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Wake up can't move/breathe/feel something squeezing my chest. Young and in shape. Sleep paralysis or apnea? Hoping the squeezing isn't sudden death.

Wake up can't move/breathe/feel something squeezing my chest. Young and in shape. Sleep paralysis or apnea? Hoping the squeezing isn't sudden death.

Not sudden death: Most likely this is sleep paralysis, just as you mentioned. Essentially, you are waking up in rapid eye movement when your body is paralyzed by active inhibition from your brain but your mind is active, and eyes are moving rapidly, with dream like activity or awake consciousness happening. Probably not something to worry about too much but consult a sleep physician if it continues or worries you. ...Read more

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Can ssri's/snri's cause shortness of breath(shallow breathing) in heart patients. 2 stents in lad..Never had this problem before stents?

Can ssri's/snri's cause shortness of breath(shallow breathing) in heart patients. 2 stents in lad..Never had this problem before stents?

Not usual: Although ssris/snris don't generally cause breathing difficulty, one cannot exclude the possibility that you are having an atypical rxn. The only way to know is to stop the med temporarily, and then reintroduce it. Meanwhile, you need a stress test to be sure one of your stents isn't failing (developing "in-stent restenosis". ...Read more

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Can a child die of sudden cardiac arrest without having shown symptoms before death?

Can a child die of sudden cardiac arrest without having shown symptoms before death?

Absolutely: However, this is a diagnosis of exclusion, and far less common in babies than an unsafe sleep environment. The channelopathies are a family of illnesses that take the lives of perhaps 4000 people, including kids, in the us each year. Anatomic heart defects and missed WPW can cause sudden witnessed death; anything from black widow bite to electrocution a negative autopsy if there are no witnesses. ...Read more

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Agitated, agressive, violent, after getting home from hospital with severe chf, gout, atrial fibulation, 2 heart attakced and 2 strokes is this normal?

Agitated, agressive, violent, after getting home from hospital with severe chf, gout, atrial fibulation, 2 heart attakced and 2 strokes is this normal?

Problem: You could be reacting to the stroke effects which could change your emotions and cognition, but your medication may be affecting you also. This needs rapid evaluation, and treatment can turn around. There is high potential for control. Do not delay. ...Read more

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Why do patients often develop tracheomalacia after cardiac surgery?

Why do patients often develop tracheomalacia after cardiac surgery?

Very rare: Patients do not often develop tracheomalacia after heart surgery. It is very rare for that to happen. When it does occur it is related to prolonged need for a ventilator and a breathing tube that is inverted prior to surgery. Usualy that tube is removed immediately after surgery of 4-6 hours later. If it is needed for more than 10-14 days then a tracheostomy is done to prevent such problems. ...Read more

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If heart failure patients retain fluid in their system can they die from drowning?

Similar: Pulmonary edema from heart failure is an excess of water in the lungs. The water in drowning itself causes problems as it can contain bacteria and pulls water out of the cells in the lung. The water from heart failure, if removed, has not usually caused an injury to the lung itself. If not removed, it will lead to death. ...Read more

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Could cancer patients leave the hospital?

Could cancer patients leave the hospital?

Depends: ...On the cancer, the treatment, and the general condition of the patient. As a rule, we would like for a patient to spend as much time as possible at home and to be as functional as possible. Unfortunately, that is not always possible, especially with intense chemo programs like the ones used for leukemia. ...Read more

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Someone I know in his 40s died suddenly & unexpectedly of a heart attack. I'm scared. Are these incidences really rare in healthy people?

Someone I know in his 40s died suddenly & unexpectedly of a heart attack.   I'm scared.  Are these incidences really rare in healthy people?

These incidents are: very rare in "healthy" individuals. Unfortunately you need a good definition of healthy. EKG normal, heart pumping function normal, non smoker, exercise. etc. Discuss with your health care provider since he/she knows your health history and risk factors. ...Read more

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Can dental caries really cause death in severe cases?

Can dental caries really cause death in severe cases?

Yes but: It can if it leads to an infection that gets out of control and invades sinus areas or sub-lingual areas of the jaw. But this is uncommon in todays' world with the advent of antibiotics and access to good dental care. ...Read more

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Are repetitive mild aspiration pneumonias, life threatening? Recovers fast with antibiotics and oxygen.

Not good: I ask why. Do they occur at night(gerd), do you have trouble swallowing, hiatial hernia;perhaps overweight. The fact that this is occuring, and that you recover fast does not mean that you always will. Should these episodes become more severe and as you get older, your treatment options may become limited. Get the cause worked up and decide what to do with you pcp. ...Read more

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How painful is death from respiratory failure?

How painful is death from respiratory failure?

It varies: If you see people who are drowning, they really struggle at the beginning. People who develop resp failure from sepsis or copd, they suffer initially, but as the co2 rises it serves as a narcotic and we see them gasping but probably not suffering once consciousness wanes. But acute resp failure from any cause makes someone struggle. So please don't do anything bad. ...Read more