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Doctor insights on: What Is Lbbb Due To Chemo

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Mom is dying of liver failure due to secondary cancer, what to do?

Mom is dying of liver failure due to secondary cancer, what to do?

Sorry 2 hear: We don't have all the details so we cannot answer your question. Her oncologist is the one best suited to do that. If she truly has liver failure, though, she may not have long to live. Make sure comfort, quality of life, and dignity are preserved as much as possible. Be strong and best to both. ...Read more

Dr. Devon Webster
972 doctors shared insights

Chemotherapy (Definition)

The term chemotherapy typically is used to describe using chemicals to treat ...Read more


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My dil blood platelets is 28 and is taking chemo to bring them up, but no cancer. What is causing this to happen?

My dil blood platelets is 28 and is taking chemo to bring them up, but no cancer. What is causing this to happen?

Destruction of cells: The platelets could be getting destroyed faster than they are being made. This can be caused by viruses, an autoimmune process, certain drugs. It could also be a production problem, where the body isn't producing platelets. ...Read more

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Due to infection of liver both kidneys and liver fails completely doctors are responding that dialysis is not possible due to low bp what should be do?

Due to infection of liver both kidneys and liver fails completely doctors are responding that dialysis is not possible due to low bp what should be do?

Hepatorenal syndrome: Often as the liver function continues to deteriorate, acute renal failure tends to follow. Renal replacement therapy (dialysis) can be considered but hypotension (low BP) would make intermittent hemodialysis impossible. In this setting, CRRT (continuous renal replacement therapy) can be tried--i.e. continuous venovenous hemodialysis (CVVHD). ...Read more

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I need to know what is transposition of greater arteries, is it possible to cure?

I need to know what is transposition of greater arteries, is it possible to cure?

Congenital: Transposition of the great arteries is a congenital heart defect, meaning that it is an abnormality of cardiac development and is fully present at birth. Classic, or d-tga refers to a disease where the aorta arises from the rv and the pulmonary artery arises from the lv. Diagnosis is typically made early. Successful correction is possible by surgery in the first few days of life. ...Read more

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What is RENAL AUTOTRANSPLANT and how does it relate to an Ileostomy Reversal?

What is RENAL AUTOTRANSPLANT and how does it relate to an Ileostomy Reversal?

Here are some ...: Organ auto-transplant is to move a locally damaged organ - intentionally or unintentionally - to a new site so such organ will / may continue to survive & function. For kidneys, such need usually takes place for insufficient ureter or artery. How is that related with ileostomy reversal? It would be most likely to make the shortened ureter to function. For individual situation, ask Doc. ...Read more

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What is inferior cerebral ischemia can it be cured?

What is inferior cerebral  ischemia can it be cured?

Poor blood flow: Inadequate blood flow to lower part of brain. It can improve with controlling BP & cholesterol, medications such as Aspirin and plavix, (clopidogrel) smoking cessation, heart healthy diet and exercise. Clot buster medication may be used within 90 minutes of an acute stroke and rarely angioplasty. ...Read more

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Anyone know what is a tenkoff catheter and why is it used related to kidney disease?

Anyone know what is a tenkoff catheter and why is it used related to kidney disease?

Tenkoff catheter: Tenkoff catheters (t) are placed in the peritoneal cavity (pc) in patients with renal failure that want to be on peritoneal dialysis. The (t) is the tube that clean peritoneal dialysate is infused into and removed from the pc. ...Read more

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What is a renal autotransplant involving retroperitoneal fibrosis & what would be the reason for having this?

What is a renal autotransplant involving retroperitoneal fibrosis & what would be the reason for having this?

Bench Surgery: In retro-pertonial fibrosis , the scar tissue choks the Kidny and ureter results in renal failure, in order to prevent this complication , kidney and ureter is removed and re-implanted in the peritoneal cavity ( auto implantation ) ...Read more

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What is the best way to prevent chemo and radiotherapy induced fatigue?

What is the best way to prevent chemo and radiotherapy induced fatigue?

Exercise: In general, the best way to reduce the amount fatigue that occurs with chemotherapy or radiation (and maybe prevent it) is to stay active. ...Read more

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My 7 month old is admitted due to increased heart rate, likely due to consumption of ventolin. How serious is this?

My 7 month old is admitted due to increased heart rate, likely due to consumption of ventolin. How serious is this?

Depends on situation: Infants easily tolerate heart rates in the 200/min range for a variable length of time. If intake has stopped, 1/2 should be out of babies system in 4-6 hours with 1/2 the remainder in another 4-6h. Baby should do fine if this was the cause. If there is another issue the outcome depends on that issue. ...Read more

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My aunt is said to be at stage four of liver cancer. Whats is the exact level or the case and what is stage four ? Is it something very very serious ?

My aunt is said to be at stage four of liver cancer. Whats is the exact level or the case and what is stage four ? Is it something very very serious ?

Stage 4 : This means that the disease has spread to or metastasized to other places like distant spread . Speak with your aunts oncologist to have a full understanding of the condition and prognosis. ...Read more

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What is the outcome and process if you are diagnosed with mod to severe ischemia of inferior heart. what is next ?

What is the outcome and process if you are diagnosed with mod to severe ischemia of inferior heart. what is next ?

Heart cath: A heart catheterization followed by intervention (likely angioplasty with stenting) if indicated. If the problem is more severe than initially suspected, bypass surgery may be recommended to improve life expectancy. ...Read more

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What is gait instability? How can I treat it if the patient is not suffering from sever disease but he is 77 yrs.Is there any supplments to be given?

What is gait instability? How can I treat it if the patient is not suffering from sever disease but he is 77 yrs.Is there any supplments to be given?

Not simple: There can be many causes for inability to walk without assistance, and experience risk of toppling over. If b-12 deficiency, injections might help, if due to degenerative brain problem, stroke, normal pressure hydrocephalus, brain tumor, binswanger's encephalopthy, thyroid problems, need to get this diagnosed. See a neurologist. ...Read more

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If one's kidney fxn is 14 percent, is that considered end stage renal failure? Any way to reverse its course? Any fluctuation possible?

If one's kidney fxn is 14 percent, is that considered end stage renal failure?  Any way to reverse its course? Any fluctuation possible?

GFR <15 is end stage: Kidney doctors will follow the lab results, start dialysis, and refer to the transplant team if one is eligible. Criteria for transplant can vary among medical centers and may include: end-stage renal disease, creatinine clearance at 20 or less, no active or ongoing cancers, no active infections, have reasonable heart and lung function, bmi <35, no smoking/drug-abuse/alcohol-abuse, etc... ...Read more

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Is hashimotos goitre always going to be there, or is this condition reversible ?

Is hashimotos goitre always going to be there, or is this condition reversible ?

Often to a degree: Hi. Hashimoto's goiters often regress over long periods of time and may regress completely, but often a goiter remains. I know that's not very exact or helpful, but at least you know it's fair to expect some degree of longterm goiter. If it grows rapidly or significantly or develops a nodule, it should be evaluated. Good luck! ...Read more

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What reason would cause the ammonia level in your body to go up to 120? Is it due to kidney failure this is a question about my 81 year old father

What reason would cause the ammonia level in your body to go up  to 120? Is it due to kidney failure this is a question about my 81 year old father

Ammonia level: Ammonia level is moat likely due to kidneys not working effectively, but there are other rare causes. Your dad needs to see a doctor very soon. ...Read more

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Is hyperkalemia related to chemotherapy?

Is hyperkalemia related to chemotherapy?

Not necessarily: The start of chemo may cause hyperkalemia in certain cancers (leukemias, lymphoma). Certain chemo can affect the kidneys causing hyperkalemia. But chemo is not always related to hyperkalemia. ...Read more

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What is aplastic thyroid carcinoma? Can someone with this ca be anemic? What is the pathophysiology behind it?

What is aplastic thyroid carcinoma? Can someone with this ca be anemic? What is the pathophysiology behind it?

Aggressive cancer: Anaplastic thyroid cancer is rare but a very aggressive form of thyroid cancer. Unfortunately, most people with this type of thyroid cancer do not survive long. Anemia can be seen. As with most cancers, we do not know why they occur, but sometimes anaplastic thyroid cancer appears in people who may have had less aggressive forms of thyroid cancer. ...Read more

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Can LBBB be reverted?

Can LBBB be reverted?

Often permanent: I have only seen it once in a patient who developed lbbb with a viral infection/myocarditis and several weeks following resolution of the illness, the lbbb also resolved. Otherwise, al other cases so far have been "permanent finding." it is not a dangerous thing, just a bit difficult to interpret when you are actively having issues with your heart such as a heart attack. Worry not anita. Good luck. ...Read more

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BP great, LBBB diagnosed, cath was excellent w/slightly elevated EDP, no dyastolic dys. What causes it if all else is perfect? Is caffeine bad for it?

BP great, LBBB diagnosed, cath was excellent w/slightly elevated EDP, no dyastolic dys. What causes it if all else is perfect? Is caffeine bad for it?

LBBB: you appear to have LBBB due to 'we don't know what but your heart is ok anyway '. Caffeine in moderation should be ok. Follow good health practices,diet,exercise don't smoke. A list of possible causes of LBBB won't fit in this space ...Read more

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Can myocardial bridge cause lbbb?

Can myocardial bridge cause lbbb?

Bridging: Myocardial bridging is a condition that one is born with and is usually not cause of symptoms. I am not aware of an association between myocardial bridging and left bundle branch block, although it would not be impossible if it were to cause impairment in coronary blood flow. ...Read more

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Is there a link between LBBB and hypertrophic cardiomyopathy?

Not neccessarily: A hypertrophic cardiomyopathy may not involve a lbbb but the cardiomyopathic process can cause interventricular conduction delay and this could manifest as a lbbb. ...Read more

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61yr.fem.w/LBBB-take 12.5/AM, 12.5/PM Metoprolol Tar. Can I up to 25/AM,25/PM for stress of 8 day trip to Ireland, or as/if needed, temporarily?

61yr.fem.w/LBBB-take 12.5/AM, 12.5/PM Metoprolol Tar.  Can I up to 25/AM,25/PM for stress of 8 day trip to Ireland, or as/if needed, temporarily?

You have not said: what you take the Metoprolol for. Your current dose is very small but it is not for stress it is for cardiac or vascular reasons. LBBB will not affect the consideration for dosage adjustment. Your blood pressure and heart rate are bigger considerations. You need to check with your prescriber to determine why you are on low dose and if it is safe for YOU. Without knowing your medical history, No. ...Read more

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I have LBBB, diagnosed at 34 years old, no symptoms. BP 117/74, failed stress test but excellent cath. Workout daily. Afraid to push. Am I safe?

I have LBBB, diagnosed at 34 years old, no symptoms.  BP 117/74, failed stress test but excellent cath.  Workout daily. Afraid to push.  Am I safe?

LBBB: This question is far more appropriate for your cardiologist. In general if your cath/angio is normal your cardiac risk should be low, but without full information about you such as your physicians have, that statement is not very weighty. ...Read more

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I have LBBB, found at 34 years old, ef 50% BP 117/74, failed stress test but excellent cath. Workout daily. Afraid to push as I lose breath am I safe?

I have LBBB, found at 34 years old, ef 50% BP 117/74, failed stress test but excellent cath. Workout daily. Afraid to push as I lose breath am I safe?

See below: As your angiogram did not show any evidence of coronary artery disease, you are safe from that aspect. Your EF appears to be towards the lower limits of normal. Unsure what the cause of that is. You should speak with your cardiologist regarding further management. As far as exercise is concerned, you may continue as tolerated. ...Read more

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Hello, Dr. Friedlander. I am 61, have LBBB, 6 mos. ago began Metoprolol Tart. 12.5 mg. at AM, 12.5 PM. Can I up to 25/25 for travel stress 8 days?

Hello, Dr. Friedlander.   I am 61, have LBBB, 6 mos. ago began Metoprolol Tart. 12.5 mg. at AM, 12.5 PM.  Can I up to 25/25 for travel stress 8 days?

See answer: If you are trying to reach a specific physician on Health Tap you need to go thru Concierge. Prime will connect you to the next available primary care physician. ...Read more

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I am a 28 year old female who was just found to have LBBB on an EKG during my physical. I feel fine and have normal bp. Could I have something serious

I am a 28 year old female who was just found to have LBBB on an EKG during my physical. I feel fine and have normal bp. Could I have something serious

Requires follow up: Lbbb is an unusual finding in a normal heart, and requires further testing and follow up. At the very least, you should undergo an echocardiogram. If normal, it should be repeated every 5 years or so. An exercise stress test and a 24 hour holter monitor may also be appropriate, but are not mandatory. You should see a cardiologist. ...Read more

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Dx IST 2005;put on toprol; diagnosis 2014 LBBB now with decreased EF; could beta blocker have caused LBBB and now non ischemic cardiomyopathy? I feel it may

LBBB/Cardiomyopathy: The devil is in the details;LBBB in its own right can cause a reduction in ejection fraction,vice versa can also occur.Cardiomyopathy with reduced EF is best treated with betablockers,Please consult in detail with a competent cardiologist ...Read more

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I have LBBB and peripartum cardiomyopathy. The LBBB was diagnosis 1st before the cardiomyopathy diagnosis in 11/2004. I'm concerned about my life span. Help?

Cardiomyopathy: Your life span will depend on your overall heart function, how we'll you respond to medications, and how compliant you are. Find a good cardiologist that you trust and can talk to. ...Read more

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Sir, can Propranolol in therapeutic dose cause LBBB in a healthy heart?

Sir, can Propranolol in therapeutic dose cause LBBB in a healthy heart?

In general beta: blockers like propranolol at appropriate doses will not have an effect on the conduction system. If LBBB developed on therapeutic doses it is more likely to represent disease of the conduction system. ...Read more

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I have wpw and lbbb and am having chest pains. Is there any pain meds I can take to help?

I have wpw and lbbb and am having chest pains. Is there any pain meds I can take to help?

You're off the mark: WPW and LBBB won't give you chest pains. That being said if you're having chest pain you need to evaluated as to why you're having them - taking Meds to suppress the discomfort might mask an underlying problem that needs to be addressed. See your provider. ...Read more

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Will taking celexa affect my lbbb? My diagnosis of LBBB has given me pretty good anxiety and my doc prescribed 10 mg once a day of citalopram.

Will taking celexa affect my lbbb?  My diagnosis of LBBB has given me pretty good anxiety and my doc prescribed 10 mg once a day of citalopram.

IMHO: I admit to an anti-ssri bias, so my opinion is humble, but it is educated. Since heart disease is so serious a threat, even at a conservative dose, i'd try to deal with the anxiety in cbt therapy and with mindfullness meditation before using drugs that are known to have side effects damaging to the heart. Do not stop ssris without doctors management if you've begun, but do consider alternatives. ...Read more