Doctor insights on:
Which Treatment Is Given In The Case Of Constrictive Pericarditis
Depends: Constrictive pericarditis is a thickening of the pericardial lining of the heart. It can cause reduced filling of the heart and lead to heart failure in severe cases, along with decreased blood flow out of the heart to the rest of the body. In "mild" cases, cautious use of diuretics and medicines to lower the pressure inside the heart can successfully avoid heart failure. ...Read moreSee 1 more doctor answer
Surgery: You will need definite surgery.Get a more detailed answer ›
What is the implication of cocci being found in the lungs of someone with severe copd? The patient is extremely confused & agitated most of the time
ACEI ; carvedilol: Acei = angiotensin converting enzyme inhibitors were first ; continue best track record to reduce mortality rates for congestive heart failure (1 result of HTN ) but commonly do not improve heart function, just slow decline. Fat soluble ones, e.g. Perindopril best. Adding on carvedilol, with care (along with aggressively txing drivers of arterial disease) usually improves heart function over time. ...Read more
No need!: Take sublingual oral B12 at a 2500 mcg dose daily. No need for injections! ...Read more
Multiple treatments: Many medications can help, including neuromodulators like Gabapentin or lyrica, (pregabalin) anti-depressants like Cymbalta or effexor, and modalities such as contrast baths. Topical pain creams, especially ones containing ketamine which may effect hypothesized peripheral nmda receptors. Manage the underlying issues, like sugars to help slow or stop progression, but most likely will not change the currentpain. ...Read moreSee 1 more doctor answer
What is the efficacy of having a pericardial biopsy to determine the exact autoimmune cause of non specific onflammation. Reoccoring effusion?
They may be: Your doctor may want to identify what exactly is going as there are other conditions that can cause pericardial effusions besides autoimmune diseases. ...Read more
What is the dose and duration of treatment with prednisolone in the management of nephrotic syndrome?
What is the medication of choice in the treatment of urethritis caused by staphylococcus species?
Antibiotics: Antibiotics.Get a more detailed answer ›
HR control: Digoxin is sometimes used to help control inappropriate tachycardia typically in the face of uncontrolled atrial fib. This might help if someone has acute pulmonary edema from the fast hr but if the patient is unstable then electrical cardioversion is usually preferred perhaps in combination with meds to control the rate. ...Read moreSee 1 more doctor answer
In case of paralysis of a leaf of the diaphragm, is a surgical procedure needed or can it be treated by medicines only?
Surgical procedure: If only one side of the diaphragm is paralyzed, and the muscle is so thinned out it is pushing on the lung, sometimes a procedure to plicate the muscle is performed. This should be done by a general or thoracic surgeon with experience in this technique in a minimally invasive fashion - thoracoscopiccally, or laparoscopically. I am not aware of medication that will work for this. Hope this helps! ...Read more
Pericardial effusion: There is no particular area as almost all effusions affect the heart function. However, that being said the worst would be any restriction on ventricular function. ...Read more
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