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Archive for the ‘Combination with other diseases’ Category

Question: Dear doctor, I have a constant pressure of 160/90 is often rises to 200/110. Interruptions in the regular rhythm of the heart, but unobtrusive throughout the year. Each year in April, causes more about atrial fibrillation and high blood pressure. The cardiology prescribed monopril. It does not help. And drink Enap 5 ml. Autumn did enema method Malakhov. 2 months feel good. April 27 again summoned an ambulance. By profession I am soloists pianist, a former master of sports of figure skating. Lifestyles active-emotional. I never saw and did not smoke, but it was a lot of life stress. Now I am 57 years old. How to get out of this elastase derived?

Answer: (30. 04. 07) Read the instructions on the tactics of treatment monoprilom, if there is no possibility to re-visit the doctor. Do not combine it with Enap. Definite effect has the current hormonal status, but this is transitory.

Question: Good day! The diagnosis of WPW syndrome type B, GB 1 tbsp. Risk 2 (normal pressure is 135 90), PMK 1 tablespoon without regurgitation. 'm Planning first pregnancy, age 35 years, accept Locri 10 mg, preduktal 2 times a day. Questions: 1. Receiving drugs should be stopped before pregnancy, or can be taken to confirm the pregnancy (how big the risk of any deviations, because of attempts can be much greater than one)?

Answer: Now we must think about what would happen if from Locri smoothly refuse completely.

Question: doctor! "In the last year (about) signs of slight dizziness (periodically) and deterioration of vision (blurring of long-and medium-plan," radiant halos "around the light sources). Two months ago, amid the growing deterioration of added compressing chest pain (such as angina), weakness and shortness of breath. May 16 (was a hot day) for pain in the chest on the advice of friends took a pill nitrosorbita and after 3 minutes fainted. Ambulance to hospital. For nitrosorbit scolded because the pressure was so low and, as was found in the blood sugar high. Diagnosis – diabetes mellitus type-2 first identified. Discharged after two weeks. At the hospital, increased dizziness, a sense of pulsation of blood in the head. The doctors said that it is – from reducing sugars. Pressure all the time was normal or decreased. (top – from 120 to 95). After a while all was quiet and vision improved to almost normal. The blood cholesterol was elevated (17), at discharge – 8,9. In words, the doctor said that could be heart disease or risk of CHD. Research vessels was not performed. (Pushed back as soon as the sugar back to normal come). Houses in some time vision started to deteriorate again appeared dizziness, heaviness in the back right side, pain in the neck (at the passage of the carotid artery), right leg weakness, numbness in the fingers of his left hand. Otolaryngologist "their" my pain is not found. The pressure is slightly lower (105… 117), Merya several times a day. Sugar – keep in normal (diet + designated funds: Manini + siofor). Can my condition be caused by a vascular insufficiency (atherosclerosis, for example) or is the result of reducing sugar? Why does the phenomenon of growing? Could it be mikroinsultom?. Which doctor should call first (vascular, cardiac profile, or neurologist), what the survey should be?

Answer: 54 years. On the negative trends early. Blood pressure, blood sugar normal, hemoglobin, pulse rate and resting ECG is also likely. Gradually the feeling should return to normal. However, if there is anxiety in this question, it is advisable to seek additional help from a neurologist.

Question: Zdravstvujte! 2. 5 years nazad ja priexala v Kanadu. Mne 25 let, ves 55 kg, rost 171. Ja tut odna. Jazikom esho ne vladeju polnostju, tem bolee med. S doktorom ne objasnus. 5 ijunja ja shla i u menja perestuknulo serdce. Ja silno ispugalas'! Boli ne bilo, a kak budto udar iz nutri. Potom povtorilos 18 ijuna v magazine. Ja tak i osela. Ruki, nogi onemeli, u menja panika, tjazelo dishat. i ja slegla. Moj drug uxazivajet za mnoj. Ja kak tol'ko vstanu s krovati u menja 4uvstvo, 4to kamen 'v gorle, grudi i zivote i ja ne mogu dishat. temperatura 36 i 3 max. 4to so mnoj? A ja tak me4taju bit 'mamoj!! Zizn 'poterjana. Ja bojus '4to u menja problemi s serdcem ili vegetososudistaja distonija ili ataki pani4eskogo sindroma 4to etot perestuk serdca slu4itsja opjat'. V obojix slu4ajax po years rezko padala temp. vozduxa. Mozet eto? A mozet vsjo vmeste?

Answer: Let your friend at least a few times measure the pulse rate during an attack, as well as better and blood pressure. Complaints and tone of the letter can be assumed normal neurosis. Fainting – IN NO EVENT SHOULD CONSULT A DOCTOR. If you have recently suffered a head injury. If you have mentioned two or more fainting spells in the past 24 hours. If fainting there you have no symptoms, precursors, such as slight dizziness. If before fainting you observed heart disease, stroke or seizures. If you are memory lapses or involuntary defecation during fainting. If fainting occur during treatment with any drugs. If you are running on the machine or your profession involves high risk and during the fainting, you can endanger yourself and colleagues. What do your symptoms. Do not have diplomatic justification for fainting. Former U.S. President George W. Bush was confronted with this condition during an official dinner in Japan several years ago. Unlike President Bush, when we fall into a swoon, we do not show the whole world on television. Fainting can result in confusion anyone. This is a serious cause for concern. Fainting (also called loss of consciousness) is due to the inadequate performance of the heart, which does not provide sufficient blood flow to the brain. As a result, there are dizziness and loss of consciousness. Heposredstvenno before fainting person may experience weakness, nausea, instability or slight dizziness. There may also be blurring of vision, or profuse perspiration. Among the many causes of syncope observed, circulatory disorders, pain, stress, blood type, alcohol or other hard drugs, dehydration, sleep deprivation, head trauma, seizures, heart disease and stroke. To syncopal conditions leads stay on a rigid diet or lack of mineral content, especially potassium. There are several medications that have side effects, manifested in the form of fainting. In some cases, fainting may occur during urination, vomiting, severe coughing or laughing. This is due to stimulation of the vagus nerve – the main nerve in the body of a man who sends commands from the brain to the heart. When there is irritation of the vagus nerve, the brain perceives the signals that the heart beats too fast, and gives him a command to slow down. In the normal state is good. Ho when some people there, for example, a bad cough, the vagus nerve sends the wrong signals to the brain about how the heart works too hard. The result is a slowing of the heart, which is not required in this case. Diminishes blood flow to the brain, and the person faints. LECHEBHYE EXPOSURE TO SMYAGCHEHIYA USTRAHEHIYA AND SYMPTOMS. Despite the dramatic nature of what is happening, in most cases, fainting going on just 10 – 15 seconds, and usually are not signs of serious illness. Nevertheless necessarily need to let them know about your doctor. In most cases, fainting can be prevented or mitigated through available means. Here are some tips to help you deal with fainting. Make gravity work for you. The worst thing you can do for yourself is to remain in the sitting or standing, when you happen faint. Huzhno lie down and give his legs elevated position to facilitate the flow of blood to the brain. If you do so from the outset, you have a chance to avoid the loss of consciousness. Do not look for a convenient place. If you feel that you are about to happen to faint, fall to the ground right where you are, even if this place will be crowded restaurant. Between the initial manifestations and full development of syncope there is a gap of about five seconds. Many people try to find a soft or a secluded place at the time of syncope, but they rarely do so. Lie where you are, and lift the legs. After a minute or two try to slowly get up and get to bed or even a place where you can normally go. Breathe deeply. In anticipation of fainting make 10 – 12 breaths per minute to as long as you do not feel better. With deep breathing improves circulation. Ho must ensure that one deep breath accounted for every five seconds, no more, because the alternative is the state of hyperventilation. Revise your medications. Hekotorye drugs taken by a doctor, particularly diuretics, sedatives and lowering blood pressure can cause fainting. Ask your doctor or pharmacists are not associated with the disorder if your taking medication, and if so, then stop taking them. Take care of your dreams. Lack of sleep can cause fainting. Therefore, we must try to sleep at least six to eight hours a day. Get plenty wander the exercise. Exercise strengthens blood vessels and improve blood circulation. Fast walking for 20 minutes three times a week – it may be all you need to reduce the risk of fainting. Follow proper nutrition. In most cases, people feel much better when they begin to adhere to a balanced diet. If you observe any unusual diet, such as taking only liquid food, you may be disturbed mineral metabolism. This is the cause of fainting. Do not forget about water. When dehydration, you can suffer fainting. To prevent these phenomena may be due to consumption of at least eight glasses of water daily. If you feel the need for fluids, avoid alcohol, because it will lead to further dehydration. Instead, try to quench the thirst of drinks, which are intended for athletes. They allow you to replenish your supply of minerals, including such important salts like potassium and magnesium. Hauchites well understand their feelings. If you do not just occur fainting, then you will be useful to start keeping a diary. Where and when did it happen? In what position you were in that moment? You sat, stood or leaned on something? This type of investigation will help your doctor determine the causes of origin of syncope. [Symptoms of disease and treatment. Causes and prevention. - M.: KROH-Press, 1997]

Question: I have a problem after a nervous or during nervous situation, a shortage of air. Sometimes it becomes very tangible, I start to choke, and in the back of the head, hands, legs and neck, I feel a strong tingling sensations are the same as they had served the leg, only stronger. Typically accept half Adelfan, then it becomes easier. I often podnimaetsya lower pressure 120/100. How dangerous is this condition and how to fight it? Sincerely Sergei 25 years.

Answer: Condition is not dangerous. Therapeutic breathing exercises – http://doktor. ru / qa / heart / article. html? id = 48588.

Question: Dear doctor! "Thank you very much for taking the time to my problem and answered (http://doktor. ru/qa/46410/qa. html? id = 74037). Be sure to do tests as you recommend. I want your advice. I work for a company to sell honey. equipment and the work associated with the Institute of Psychiatry. A week ago I talked to the head. Office of the institution. I said that I had poor sleep, constant stress, anxiety, and bad mood. Head. office gave me anti-depressant REMERON half a pill. The effect was on the first day. I slept well the whole day feeling calm and pressure in this day dropped to 130/90. All week, pressure is 130/90 in the morning but for some reason in the evening 140/100. This morning it was even 128/86. Can there be such that the pressure had jumped on the background of constant stress and overwork. Elevated blood pressure was discovered in June when I complained to the low immunity doctor wrote a diagnosis – recurrent herpes infection. Also, I osteochondrosis of the cervical spine. Can these three areas of difficulty affect my blood pressure. Do I have examined a cardiologist. Dear doctor, I really do not want to sit on the pill and really want to return the blood pressure in the standard framework. Is this possible? Thanks. KI

Answer: Can it affect? – Can. Is it possible without drugs? Already answered: is it possible without the help of special antihypertensive drugs.

Question: My mother (68 years) a few years pressure of 120 to 48-50. Upper sometimes rises to 140-170, but the bottom it always about 50. And while she is diagnosed with "hypertension". In the morning she takes 5 mg once amlotopa. Tell me, please, what she can normalize the lower pressure. She has diabetes, thyroiditis, hypothyroidism.

Answer: Why do think that the lower (systolic) pressure should "normalize"? Blood sugar and hormone TSH to normalize.

Question: I'm not writing is probably years 3-4 or even offer large. Vi helped me very much. For this to you many thanks. I have a question that's taco back pain, in sheye it can beat the temple of the pressure or it osteochondrosis and Cho posovetuyte although I know that the pain is not lechatsa. Thanks

Answer: 21 June 2001, Mr. replied: "The natural way out – an appeal for help (including medication) to a psychologist, psychiatrist or neurologist. September 20, 2003:" This is called objectification and documentation of performance (- of two weeks during morning and evening after work, measured the pressure without using drugs). Well, you do so: there is a topic for critical self-reflection. Usually nervous and suspicious person on such a feat can not be solved even after such a council are going to complain about being already by another doctor (..).. FIGURES EXCELLENT, specific treatment aimed at stabilizing blood pressure is not required, you can play football. Your questions and my answers are already on the third and fourth terms of (…), is nothing new to previous recommendations to add is simply impossible. The general condition (generalized anxiety disorder-dominated kardiofobii) actually requires psychotherapy and medication adjustment. "fixation" on the issue, eccentricity, the viscosity of thinking with selective deafness to the advice and answers to this points. For more than two years, lost to correspondence and walking on the medical staff, it was possible to significantly improve their condition and state of health. "May 20, 2004: Tips, you know, the old (…), but if you are deaf to them, then buy and take from time to time something like Russian OTC medicines (…). "

Question: 'll show on this situation, my mother 62 года pressure jumps; sense of rocking, walking on pillows as diagnosed vegetative dystonia, ischemic heart disease of 2 degrees; cardiosclerosis 2 degree last year in November, has periodically raised the pressure up to 150 / 85. Aktovegin began taking 200 mg 2 times a day and fezam 2 times a day showed improvement, in December, his blood pressure increased again slashed these same drugs for 10 intramuscularly (aktovegin and tiatsetam) has been a noticeable improvement in this condition lasted for 4 months while preparations were taken in constant tablets. Then the distance between the well-being and reduced piercing-2 months is normal then puncturing of 10 shots and Actovegin tiatsetama; even made intravenously, but still no long-term relief. They began to regulate the pressure on Enap ¼ 5mg in 8utra – pressure up to 110/60 hours from 13 to 16,00 drops to 97/54 and she was lying all this time, the evening comes again to 110/60; takes 4 times a day aktovegin; 3 times a day lutsetam; at night ½ 10mg simvastatin and aspekard 1 table. What other drugs or the tactics of treatment can be variable is destroyed or we have exhausted all possibilities? (my mother in the heat does not happen, does not work, air conditioner in the apartment) Thanks for pomoschElena

Answer: diagnoses of CHD (degrees does not happen) and IRR are mutually exclusive; drugs needed for coronary heart disease had not received. Episodic rise in blood pressure to 150/85 does not require use of specific antihypertensive funds. We must pay attention to the condition of the nervous system, psyche, because her feelings, apparently, are not supported by objective diagnostic methods.

Question: I am 23 years old. With 15 years diagnosed with hypertension, now AG2st. Recently, after a steady survey added a diagnosis of bilateral Nephroptosis 2ST. After Holter survey on Channel 2 on the tachycardia were reported 2 long episodes of ST segment depression 1 mm from the contour with inversion 3. T duration of 7,5 and 20 min. The median ST segment on Channel 2 for the entire monitoring period was equal to 0,8 mm. (excerpt from the Holter study) Recently, concerned about the pain in my heart, difficulty breathing, feeling of lack of air, very tired all the time where nbud want to lie down and sleep, although sleep for 8-9 hours. This condition is already very beginning razdrozhat, at work I can not concentrate, nothing hochitsya to do, I feel 80 years, and after all the child wants to give birth, if at all possible in my condition.

Answer: If done daily blood pressure monitoring, the results presented here, if not carried out – to implement. Sensations and "Holter" quite possible to explain neurosis.