Doctor insights on:
Physical Therapy For Congestive Heart Failure
74 year old father has melanoma, congestive heart failure and copd. What are the best forms of treatment?
Melanoma treatment: Surgical treatment is the best. Find a surgical oncologist, dermatologist or a plastic surgeon that can evaluate this asap. ...Read more
Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more
Why don't men want to go to doctors? My husband has congestive heart failure, and I feel I have to drag him in to be seen. What will happen to him without treatment?
Fear: Without treatment of significant congestive heart failure you can expect worsening disability and hastening death. As to your question as to why men don't want to go to the doctor it is usually fear of having to deal with the unknown. Reassure him, tell him that you are with him all the way and perhaps he will listen. ...Read more
Many: The cornerstone of therapy is a diuretic ("fluid pill"). Drugs that dilate the blood vessels (vasodilators, ace inhibitors) and drugs that reduce the work load of the heart (beta blockers) should always be included unless there is a specific contraindication. A drug that blocks the hormone aldosterone (spironolactone or inspra) should also be used if possible. The underlying cause should be sought. ...Read more
What is congestive heart failure? How is it contracted, what is the treatment, how does it affect life expetancy?
Failure of the heart:
Failure of the heart muscles to pump blood effectively from the chambers to the body/lungs leading to back up of blood.
Caused by heart attacks, (coronary artery disease) long standing hypertension/diabetes, chemotherapy, congenital heart defects, intractable rhythm problems.
Life expectancy depends on underlying cause. ...Read more
Salt monitoring: Treatment consists of a good dietary regimen with monitoring of salt intake about 2000 mg salt per day. Second aspect pf therapy is pharmacologic therapy which will be individualised based on the type of heart faiure and other factors that your cardiologist will decide. ...Read more
Multiple treatments: Salt restriction is obvious. Medication classes that may help (usually a combination of several is best) include the ace-i's, arb's, beta blockers, and aldosterone antagonists, and diuretics. The choice of treatments will be determined by contributing factors such as valvular problems, coronary disease, rhythm disturbances, kidney function, etc. Any remediable causes should be treated. ...Read more
This is an experimental treatment that is showing a lot of future promise. The overall efficacy and side effects are still being evaluated
That being said there are a LOT of quacks out there selling this as a treatment to hopeless patients for a huge amount of money. Don't blow your life savings on one of these overseas clinics, it will be a waste of time/money and dangerous. ...Read more
Common themes: The real answer depends on the cause. There are common themes, though. If you have CHF with lv dysfunction, you will probably benefit from some level of regular exercise, angiotensin blockade (ace/arb), beta blocker therapy, and an aldosterone blocker. (all of those things should be considered.) heart failure is a speciality inside cardiology and there are heart failure teams for expert care. ...Read more
Yes: Depending on the underlying cause...Medical therapy can be quite effective. If coronary disease is the cause stenting and or bypass is indicated. Lastly device therapy with biventricular pacemakers can be quite effective. ...Read more
Congestive heart failure is causing clear fluid to leak through my skin on both legs from ankle to mid-calf. Treatment?
What is the standard treatment for someone with pfo, tricuspid valve leaking severely, congestive heart failure with high blood pressure & is nursing?
Closure: Patients with severe tricuspid regurgitation may develop cyanosis and dyspnea because of the direction of tricuspid regurgitation across the pfo. Device closure may be clinically beneficial. ...Read more
No perfect answer: Probably best to avoid combination medicines which contain pseudoephedrine, which many do. This speeds up your heart. Diphenhydramine (benedryl) can dry up secretions. However, it is important to understand that the cough may be due to the chf. Also medications commonly used to treat CHF (ace inhibitors - often end with. Pril) can sometimes cause a chronic dry cough. Talk to your md. ...Read more
Is it recommended for people who suffer from congestive heart failure to take special precautions with their dental care?
CHF: Congestive heart failure patients usually have structural abnormalities of the heart muscle and can have rhythm abnormalities so yes. Dental care both in the office and at home is important. A the dentist some office procedures and drugs could be problematic. Poor dental hygiene at home could result in infections which could cause valve problems. So dental care is important. ...Read more
My husband has COPD and congestive heart failure. He is 86 and very weak. Docs said this is bad. What is there to help him?
Consultants: He should be evaluated by both a cadiologist and a pulmonolgist, preferably in a hospital setting. ...Read more
If you have congestive heart failure.......Would that be seen in an echocardiogram at rest? If not, what tests or such can detect then.
Congestive aheart fa: The diagnosis of congestive heart failure is mstly clinical with edema, shortness of breath, engorged neck veins, liver enlargement and rales in lungs on auscultation. Xray chest, bnp test on blood elevated is done some times and resting echocardiogram is helpful in defining the ejection fraction and other imaging.So resting echo will be helpful along with all others. ...Read more
It can happen: Unfortunately, sometimes young people also get affected by heart failure. Most often it relates to a viral infection that infects the heart muscle, called "myocarditis". This can lead to substantial heart failure in young patients, and is treated similarly to older patients with hf. However, sometimes the disease can get so bad that heart transplant needs to be considered. ...Read more
It can give clues: Heart failure is a complicated diagnosis to make and is usually based on history and physical exam findings. An ekg may give clues that point towards a diagnosis of heart failure but can not fully diagnose it. You may be confusing the term heart failure with heart disease. Ask you doctor about further specifics. ...Read more
Yes: This can be related to periodontal disease. ...Read more
I have congestive heart failure and the diuretic I take is no longer working. What other options are the to avoid water rent emotion?
Change diuretic?: You should ask your physician, if you are on hydrochlorthiazide (h) if you should go to a loop diuretic, forsemide (f). Patients with chronic kidney disease do not respond to h but do respond to f. If that does not work, ask to have an echocardiogram to see if you have pulmonary artery hypertension (p) and what your ejection fraction is. If you have p, there is medicine for that to lessen edema. ...Read more
What causes my to smell dirt all the time? . I have had a heart attack and congestive heart failure. Just wanted to know if it was related or not.
May be the side effect of some medications.
Hope you are doing better with your heart conditions. Please take medicines, regular exercise as prescribed by Cardiologist, restrict salt to prevent excerbation of CHF, Maintain weight as close to ideal body weight and control the cholesterol ...Read more
My 33 yr old son had a heart attack 10-15. He now has dx of chronic combined systolic and diastolic congestive heart failure. Ef of 40. How serious?
Heart failure: Heart failure caused by a prior myocardial infarction (heart attack) is a very serious problem. Fortunately there are well-defined treatments including medications and procedures. Patients with this condition should be under the care of a cardiologist. It may also help to get a second opinion here on HealthTap to review treatment options. ...Read more
I had a heart attack and congestive heart failure and ever since then I stay cold all the time. Feels like deep inside to the bone. Any reason?
Otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with ...Read more
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