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Archive for the ‘Combination with other diseases’ Category

Question: Help, please. Very poor condition, I do not know what to do. A week ago, broke her leg (a triple fracture of the ankle), the temperature soared, the pressure of 200/120 after pill finigidina smacks of 160/100, but two hours later returns again, a constant headache, nausea and vomiting constantly (Kohl tserukal). THERE swelling of legs and face. I used to be pyelonephritis, now a little pull waist. I think that this is again inflamed kidneys, probably a reaction to change? My biochem. Analysis: Society. protein. 63, albumin. 30, seromukoid. 216, bilirubin Society. . 12,3, straight. 2,0, indirect. 10,3 urea. 7,3, creatinine. 86,8, AST. 37, ALT. 38, alkaline phosphatase. 276, a-amylase. 34-9, LDH. 319 e / l, triglycerides. 2,1, chlorides. 100, calcium. 2.14, phosphorus. 0,94, and iron. 13.4, next page + beta-lipoproteins. 63, cholesterol Society. . 5,6, thymol test. 1,2, albumin. 47,6, globulins. 52,4, a1-globulin. 3,6, a2-gobulin. 11,0, beta-globulin. 12,8, y-gobulin. 25,0, proteins. coefficient, – 0,91, uric to-ta. 185. DRR. weak. positive. Urinalysis: protein. 0,099, Microscopy Draft: epitelnye cells are flat. many in PROHECO. , Polymorphic. united. in PROHECO, leukocytes. 1-3, red blood cells. not OPL. , Hyaline cylinders. not the OPL, salt. oxalates. isolated. . Dear Doctor, please tell me, what can I do to bring down pressure (kidney), because it is impossible to tolerate a diet, and what antibiotics to take to improve the state of the kidneys? Many thanks for your reply. Ludmila. (31).

Answer: Symptoms related to high blood pressure, probably reinforced intoxication (resorption of bone fragments, aseptic inflammation) and stress condition. Data for the presence of pyelonephritis or renal dysfunction is not visible. For the first time, I will limit intake several times a day, clonidine (in addition has a calming effect), or fenigidina under the control of blood pressure, so that it has stabilized at a satisfactory level.

Question: I'm 47 years old, high blood pressure with more than 10 years of experience. For many years, has Enap India, then Trirezid, monopril sometimes diuretics, with an increase in weight of 172 was always 58-62 kg. After Perforated gastric ulcer in 1999, the weight decreased do57 kg. Previously, always worried about the rejection of feeling in the heart, in the autumn tortured systole and arrhythmia, moved to prestarium and seizures-verapamil. Last month bespokoet feeling tingling and discomfort in his left arm and leg. Appears speech disorders, sometimes just can not pronounce the word. In the month of March was investigated in the diagnostic center, prveryali bad, the good cholesterol, sugar, all within the rules. Performed Doppler cerebrovascular disease, reduced blood flow in the ophthalmic arteries. Special treatment is not appointed, drink prestatarium, pressure in the main 130 90, rarely 140 90, 150 100. Self start chopping nicotinic acid and 2 ml, and take Nicergoline po10 mg 3 pp. day. Evening drink Mazeppa, because there is a strong feeling of fear. To a neurologist to get hard to leave, and recording in advance. Headaches and dizziness no. It would like to get expert advice on your problem.

Answer: That is, you expect that I submenu neurologist. . . Taking into account age, variability, and variability of the disease with satisfactory control of blood pressure can be assumed that the disease is not associated with arterial and has a functional nature, ie due to changes in vascular tone. Why is that dystonia can not say, perhaps with fatigue (you're a teacher, http://www. Doktor. Ru / gastro / ask / m. Phtm? Ent = 5134). Of course, you should consult a neurologist. It is an unpleasant condition, but not dangerous and accustomed to mazepamu not worth it.

Question: Dear Doctor! I'm 28 years old, work as a programmer. I have the following problem: 3 weeks have been a strange situation. In the morning, where after about an hour after awakening, begins to drive up the weakness, dizziness, and there is discomfort in the heart, leg weakness and uncertainty in his movements and gait, loss of concentration, pressure and noise in my head. I was at the doctor who did an electrocardiogram and blood tests. Everything was OK, except for platelets (about 115 thousand). I was advised to take a vacation, relax, etc. After 4 days of compensatory time off not become easier. That is steadily each morning begins weakness. Sometimes the attacks of the strong to the extent that I can compare them with presyncope. On the work and can be no question. My observations: the pressure in such cases 145 to 100, pulse 85. If I lie down – immediately dropped to 115 to 70. I have a feeling that as soon as I lie down, then a valve opens and immediately becomes easier. I sleep well, do not drink, smoke 1.2 cigarettes per day. Actually the question: Could my symptoms be something so that you can not see a simple ECG? What advise do take and how serious my situation?

Answer: Nothing dangerous there, additional studies are not needed. Indeed, it is necessary first of all fully with complete distraction from the rest of cases, but they certainly engage in moderate physical activity. You can add the rest and some safe means: http://www. doktor. ru / davlenie / ask / m. phtm? gip = 1671.

Question: dear doctor! I would like to consult with you. The fact that my father inguinal hernia, which was operated in 1997. But in 2000 it climbed again. Make it a routine operation father decided only a week ago. He was 45 years. When he went to the surgeon who must operate it, he was given direction to the preoperative examination, in general, tests were normal, but cardiologist said that the rhythm of heart rate is not quite normal, and he was very high pressure of 190/110, but only this day. He appointed drug Enap. NL tablets, and said that her father measured the pressure of 3 times a day. For about a week his blood pressure an average of 160/100, seeing that the figures do not change, he went to the anesthesiologist to determine whether such indicators do the patient a deep anesthesia. He said that in principle can do anesthesia with such indicators, but because during the operation the patient's head will be sent down the pressure will rise on the order of 20-30ed. A surgeon who must operate it said that he would do laparoscopic surgery only under deep anesthesia. Now he was given medication Korvitol. I have a few questions: 1) How do you think it will help him Korvitol reduce pressure and approximately what time? 2) If the pressure remains 160 / 100 is it worth it to accept the operation? 3) What are the average should be indicators of pressure at his age (45 years)? 4) Is it necessary to introduce corrections in the diet? I look forward to your reply. Many thanks in advance!

Answer: 1) Enap HL show its full effect no earlier than two weeks of receipt, if it proves insufficient, then, in my opinion, it is better to add pure Enap or go to Enap H. Korvitol nzhelatelen prior to general anesthesia. 2) I would have changed his priorities: would be brought slowly to a stable blood pressure is a satisfactory level, and then raised the question about the planned surgery. 3) same as in another age: <140 / <90. 4) a positive influence nutrition is manifested not just with the exception of a sharp reduction of salt intake. General questions, see the article "The most important of hypertension" – http://www. doktor. ru / davlenie / sta / hypertension. htm.

Question: I am now 29 years old, a year ago suffered severe stress and, as it seems to me on the background of this has occurred, zamette the first time in his life, racing pressure 180/110. Previously, the heart is not never worried, always steady pressure – 120/80, right now, for the past year, the constant pain in the heart – without fenazepama and sometimes Seduxen can not sleep, and pressure against a background of tabs is not below 135/95, in addition frequent bouts of tachycardia to 140 beats – learn to take Inderal. Repeatedly appealed to the clinic, I appointed different courses (Inderal, Enap), (diroton, Concor), (in riboksin. In., ATP. M., Panangin table.) No improvements. By the way when I asked the doctor to call you did not get a diagnosis, saying he sees "the heart are concerned." What do I do in the end, I do not even thirty and had a heart suffering. . .

Answer: It is necessary to consistently take some steps. The first stage – eventually phasing medication type fenazepama and Seduxen (http://www. Doktor. Ru / davlenie / ask / m. Phtm? Gip = 1697) against the background of self-selection of a harmless drug that will sleep. For example http://www. doktor. ru / heart / ask / m. phtm? cor = 1946 – http://www. doktor. ru / heart / ask / m. phtm? cor = 1905 – http://www. doktor. ru / heart / ask / m. phtm? cor = 1882 – http://www. doktor. ru / heart / ask / m. phtm? cor = 1879). Diagnosis presumably – neurosis, psychogenic kardialgiya (http://www. Doktor. Ru / heart / ask / m. Phtm? Cor = 1481).

Question: doctor! Help me, please: I plan a pregnancy, but very excited, I have a chronic neurosis with dizziness, headaches, asthenia, vegetative-vascular dystonia with an ever-increasing (or jumping) in AD. My normal blood pressure 120/80, but the course of the day it ranges up to 130/90, sometimes 140/90-rezhe 140/100 (in a state of fatigue or after a busy day). The morning can be immediately 130/90. And perhaps at any time of day 110/80 (but rarely). And sometimes happens that a kind of vascular crises (sometimes at night) with panic, increased blood pressure before 140-160/100 (but it does not last very long). After consulting a neurologist about the next 1.5 months. take Paxil and flyuanksol. Pos. hosted alprazolam. I feel better, but last night, even while taking these drugs had a night crisis. . . After cessation of treatment planning pregnancy: really want a child (5 years ago was a miscarriage) and I'm afraid that my condition would be difficult to make a healthy baby. Please, do (or confirm) my fears! And what else do I need to do to prevent high blood pressure before pregnancy? And can we talk about that I have hypertension? Thank you very much, Natasha. 29.

Answer: For the prevention of elevated blood pressure during future pregnancies do not need to do anything. Hypertension you do not. Blood pressure measurement is not necessary, it only reinforces the neurosis.

Question: I am 64 years old, suffer from hypertension since April this year, during the night an ambulance was called, about a hypertensive crisis with severe dizziness. Was to assist me – an injection, not the exact name of the type digidroperedol. The next morning I felt kind of chatter in my heart and now 8 months I lived with him and, like the motor I have some on, sometimes pritihnet, for 1-2 days rattle disappears, then reappears. Doctors at the clinic when listening to anything they hear the tones are good, normal pulse, the ECG changes in age, say that nothing terrible. Due to the fact that I'm all for their opinion in the order, directions to the hospital do not give. Pressure rises at night from 180/90 to 220/110 with a heartbeat. Agree Enap-NL morning 5 ml, 10 ml of the evening. At night, when the pressure rises to high numbers take clonidine and captopril, with the heartbeat Inderal. Took Belnipril, but I have him badly. What did cause a rattle in the heart and how to get rid of him, what medications can help in this? What drugs can normalize nighttime pressure? Advance grateful.

Answer: What is the feeling connected, I can not say, so I do not know what to do. The pulse rate is not reduced; motivations to measure blood pressure at night – too. Enap-NL take twice a day is not advisable; occasionally, haphazardly taking drugs – as well. Try just Enap 5 mg in the morning and evening, and something soothing and normalizuyusche sleep during the day and night: http://www. doktor. ru / heart / ask / m. phtm? cor = 1946 – http://www. doktor. ru / heart / ask / m. phtm? cor = 1905 – http://www. doktor. ru / heart / ask / m. phtm? cor = 1882.

Question: My mother 82 years many years ago a doctor prescribed KAVENTON, passing a course which she felt much easier. She now lives in America and not know how KAVENTON combined with other drugs. It takes mostly Toprol (of pressure) and Ritmol (from arrhythmia), both of American medicine. All her life she suffers from vascular dystonia, her frequent dizziness. She would like to repeat the treatment Cavinton, but does not know or it does not lower the pressure, because it takes toprol and pressure separately. Pre blogadarna. Alla

Answer: Cavinton (vinpocetine, vinpocetine) is available in tablets of two different dosages and in ampoules for injection. With his use of the short-term _povyshenie_ blood pressure and rapid pulse, occasionally it triggers arrhythmias. Severe forms of arrhythmia are contraindications. In general, caution is used inside with arrhythmia, angina pectoris, unstable krovyachnom pressure. Therefore, in Russia there (but not executed…) Usually leave it in pharmacies by prescription.

Question: My mother 62 years. In June 2004 she had a small stroke (both written in medical diagnosis). No special physical effects. Few years of its troubled by headaches. After a stroke, they become stronger. Moreover, the pressure jumps up to 210/120, especially in the mornings. Therapist writes only diuretics and enalapril. She feels like it. then alternates: the day seemed to be nothing, fine, the next day. bad: headaches, pain in the neck (say it is osteochondrosis), pain in the back. spins. whole body, in recent years has deteriorated hearing, the pessimistic gloom. In 1996, the local Oncology Center, she underwent a course of irradiation (watched by proctologist and gynecologist). Now the doctor says. beam recto. , In early December, she was treated in the radiological department. pierced neostigmine methylsulfate, Picamilone, gentamicin. Based on the analysis and testing, again saying that onco. line there is nothing terrible. But she believes that high blood pressure and frequent headaches. then it raises. Can you please tell what healing means you can improve her health. In advance, many thanks for the advice.

Answer: Can improved her mood and alleviate jumps in blood pressure, eliminate the existing depression. But you need to turn to a psychiatrist, which patients do not like to do. Usually treated only tormented years.

Question: I'm 28 over the past two weeks, jumped pressure 150/100, this summer's survey took place in Tyumen cardiology, cardiac abnormalities were found, in the opinion written cardiopsychoneurosis, and my state every day is worse / presses in the heart, podskavivaet sudden pressure, dizzy and not understandable weakness of the whole body. Last night was a tachycardia at rest heart rate was 180 strokes, both had high blood pressure 150/100, summoned an ambulance, was given Inderal and motherwort. But always call you will not! Did the daily monitoring, nothing but the tachycardia was found. Please'll show how vylichit Distanov! Thanks in advance!

Answer: Anaprilin motherwort and can be made independently and systematically, there are other medicines: http://www. doktor. ru / davlenie / ask / m. phtm? gip = 2046. Treatment of autonomic dysfunction with hypertonic _legkimi_ reactions (http://www. Doktor. Ru / davlenie / ask / m. Phtm? Gip = 1961) in absentia – a difficult task (even if it is only in it, but not in the general condition of the nervous system – asthenic conditions http://www. doktor. ru / davlenie / ask / m. phtm? gip = 2108, etc.). There are so-called. autonomic crises, they may take the form of temporary violations of various combinations of the functions of organs, most often it is a violation of rhythm and rate of respiration and cardiac activity, the so-called. vasomotor (fluctuations in blood pressure, etc.) and gastro-intestinal disturbances, sweating, frequent urination. (For NDCs native doctors have described more than 150 symptoms and 32 of the syndrome, ie, the combination of symptoms!) There svoebraznye and forms, such as the so-called. Heart soldier, or syndrome Da Costa, where the primary – a feeling the heartbeat (http://www. doktor. ru / davlenie / ask / m. phtm? gip = 802). Very often when the first measurement of blood pressure can be exceeded the upper limit of normal, but after 3-5 minutes blood pressure returns to normal, often is determined by asymmetry of blood pressure on the hands. However, prolonged periods of arterial hypertension does not happen (in this context is hardly appropriate to speak of hypertonic version NDCs). Tachycardia can easily occur with a change in body position, many of the pulse is the difference in the horizontal and vertical position of 100-300% (!) From the source. Over time, the brightness decreased sensation and people are not frightened at the appearance of crises, which occur less frequently. It is clear that further investigations are not needed (http://www. Doktor. Ru / davlenie / ask / m. Phtm? Gip = 2175). Many raznooobraznyh tips can be found, proceeding from the following hyperlink: http://www. doktor. ru / davlenie / ask / m. phtm? gip = 2243. Suplemental: http://www. doktor. ru / davlenie / ask / m. phtm? gip = 951 – http://www. doktor. ru / davlenie / ask / m. phtm? gip = 546. Wonder pills from this ailment not. P. S. The term "neurocirculatory dystonia (NCD) proposed domestic therapist NN Savitsky a blanket term for disorders of the circulatory system, caused by violation of the highest levels of the nervous regulation of vascular tone, stressing that the role of the nervous system. Factor contributing to the NDCs, consider hereditary and constitutive predisposition, the periods of hormonal adjustment of the organism, especially the individual. But Aggravating factors in aggravation – acute and chronic neuro-emotional stress, infection, physical and chemical effects, alcohol abuse, overwork. There are three degrees of severity flow NDCs: lung (retained the ability to work, moderate symptoms, no ECG changes), moderate (prolonged existence of multiple symptoms, reduced physical performance by more than 50%, the need for drug treatment) and heavy (resistance of multiple manifestations of the disease , a sharp decrease in exercise tolerance, frequent autonomic crises, persistent ECG changes). Big problem is the struggle with neurotic disorders, which are initially available only in 8-10% of cases, but evolving and progressing patients in the process of repeated and unsuccessful visits to doctors.