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Question: Help please. My husband has pain in bones. It began with that swollen joints in the leg. Swelling and pain shot Nimesilom. Now he occasionally hurt all the bones, the body begins shivering, and temperature 35. 7. Urologist or anything not found, ESR 55 mm / h, stab neutrophils 23. What is it?

Answer: Hello! <br> This may be a systemic disease of the joints. You need to urgently address the rheumatologist with the data that you have. Dopolinitelnoe survey appoint rheumatologists.

Question: Plaintive pain in the heart, weakness, sweating, anxiety. This state lasts I had a fourth week. Pot sticky shower. Lack of appetite – although previously been overweight. Weakness, sometimes such that it is difficult to say. Sleep was scarce. I can not concentrate, distracted aching feeling in my heart. I am 53 years, such states have been several times in the past. Pulse high – somewhere 95 attacks. The pressure is 140 over 60, 120 80. Did EKG – say, turned out okay. I would like to know can be a weakness, through the pain to make a move and make physical activity? Or is it better to wait, may be held itself?

Answer: Hello, Alexander! The symptoms described by you can be in different diseases. Infectious diseases, heart problems still can not be excluded, vitamin deficiency but may be more serious condition. You should not zalatno relate to health, go to the doctor should be. Loading organism does not need too.

Question: my son 2.5 months. They made an electrocardiogram, in the opinion written: sinus rhythm, HR = 120-150 beats per minute, local intraventricular block. Please, suggest what is it? Our doctor is still on vacation for a month, all my hopes on you. Thanks in advance!

Answer: local intraventricular block – slowing of electrical impulses within the ventricles, a benign variant has no clinical significance, especially at that age. Make ECG again next year.

Question: My daughter is 4 years. Diagnosis of the IRR, the pain in his head, raising blood pressure to 130/78 and pulse of the case that comes to 140. An examination of pathology in the kidney, thyroid and adrenal glands do not. In the heart There are 2 chords themselves so they can be? M what to do?

Answer: No, because the chords themselves can not exercise. The child must examine in more detail for the cause of hypertension, the Council requested a specialized children's cardiology hospital, so as not to lose time. I think the reason can be found and it is curable, but the delay is not necessary.

Question: I am 52 years old. Almost 17 years when I was given EKG – partial blockade of right bundle branch block, with this defect, I even passed a medical commission in flying school. This year, during the passage of the commission of Seafarers in the ECG have written complete blockade, and rejected. In March, I did ultrasound of the heart, while examining any comments on the work of the heart was not. I feel good. In principle, not limited by physical exertion (of course within reason). Also, when the last recorded ECG, EKG that carry the load is prohibited. Please, explain to actually complete blockade so dangerous, or doctors are reinsured, and if any restrictions. What you can give advice. Sincerely, Valery.

Answer: It's good that you feel well. Doctors, of course, to a greater extent reinsured, but strictly speaking, they are right: the progression of partial to full blockade may be indicative of a developing pathology of the heart. If you are a smoker, then this is the first step towards the development of chronic pulmonary heart, we must think about this. The sample load in the blockade of right bundle branch block is not dangerous, and impractical, because it allows us to estimate changes in the final part of ventricular complex on ECG under load, ie, to diagnose coronary artery disease. Councils can give only a general nature, not seeing you: do not smoke, drink no more than 20 ml of alcohol in terms of pure alcohol per day (if more – then the inevitable early death), eat less and move more. Trite, but it is much cheaper and more effective than a long, costly and of little help treating the consequences of heart attacks and strokes.

Question: Doctor, help me, please, why is extrasystole with inclinations and in general a change in body position?

Answer: arrhythmia, an extraordinary reduction of the heart, benefiting from the presence of additional foci of excitation in cardiac muscle. The reasons are many – from nervous influences and violation of the content of microelements in the body to serious diseases such as coronary artery disease. As for the beats with a minimum of physical effort, it arises in connection with a pronounced instability of the autonomic nervous system, which is a relatively small load reacts in such an inadequate manner. Should help soothing drugs or psychotherapy.

Question: Please, if you have been diagnosed "sinus rhythm heart rate of 100. The syndrome of early ventricular repolarization. Shortening of atrioventricular conduction. Reactive arthritis of the left knee joint IRR, cardiac syndrome." Hurt if the diagnosis is physical exercise, taking with him into the army? Thank you in advance for your reply.

Answer: physical activity is not hurt, the army take.

Question: It has long been noticed that much frozen feet to the ankles, in the summer just the cold, winter, respectively, even worse. Outside the sun, heat, and feet are frozen, have to walk in socks. Made this issue a cardiologist. She asked: sweat? Me: Well, it happens: that's from this and freeze! I honestly do not understand the logic, they have me cold. My mother is going through, since her mother began to freeze, first leg as I have, then the knee and a few years later she died. She also worries that over time the blood is generally bad place and there is a chance that would take away his legs, of course I do not panic yet for myself, I do not think this is a big problem, but I would like to know what to fear and how to act, give advice Please wait for an answer! Advance grateful.

Answer: Dear Mary, taking into account your age, most likely it seems to me that you have dysfunction of the autonomic nervous system with an increased tendency to vascular spasm, which causes and the symptoms you described. On examination, you can ask the therapist to check the pulse of the peripheral arteries of the legs, to ensure the absence of organic pathology. "The chance that will take away his legs, you will be in 60 years, not before, if ever appear. You can also ask your doctor to appoint you vasodilators, in some cases they help.

Question: I am 24 years old, drank beer once a week, do not smoke. Growth 166, weight 56. About six months I felt a disruption in the work of the heart, sometimes monotonous burning sensation in the chest and ephemeral bouts of compressive pain behind the sternum, left arm numbness, pain between the shoulder blades, an electrocardiogram revealed tachycardia 120 beats / min, ultrasound of the heart – PMK with regurgitation of degree 1, Holter ECG – ventricular extrasystoles 1200 per day, blood hormones in the normal thyroid ultrasound is normal, complete blood count revealed a 2-fold elevated bilirubin, FGS – gastritis, bulb and mild Helicobacter pylori. AIDS, HIV, hepatitis B negative. Continuing high blood pressure. Therapist prescribed – Panangin, coronary, Omez drank 3 dnyaKardiolog corrected therapist – Panangin, Magnesium B6 drank 14 dneyPoka drank tablets were the normal pressure, after the cessation podnemalos. Moved to another city, went to the hospital there stabbed 7 days mildronad, Panangin and something else. Peel magnesium and B6 Egilok 25 mg in the morning and evening – the same story + top heart ache a little in the morning (severity during inspiration), was transferred to the cardiology. New cardiologist appointed Egilok 5 mg in the morning and evening, Adaptol, drank a week, while drinking, Dalen was an average 140-130/90, heart rate ranged from 55 to 85. Began to notice a temporary, dull pain in my left side at the level of the navel. Today drank Adaptol (ended), the evening took egilok, the pressure rose 180/100, pulse 64, had to call an ambulance. What's wrong with me? Why lekarsva not help?

Answer: Stepan, I offer you the following. Must poobsledovatsya for secondary hypertension, such surveys do in specialized cardiac hospitals. Probably, this hospital is not close to you, but it is your health. It is necessary to exclude endocrine causes of hypertension. Be sure to see the neurologist, it seems to me that your chest pain due to osteochondrosis. You may need manual therapist. Adaptol – psychotropic medication, I do not understand why the doctor had appointed him. So, you had some sort of emotional instability? Then to visit neuropsychiatrist.

Question: I am 24 years old. With 15 years of IRR for the hypertonic type, is increased pressure to 150/100, the therapist advises sedatives. Periodically, after the excitement, as you exhale, feeling worried about palpitations, very rapid heartbeat, a slow high-profile attacks, with hits to the head and thrown into a fever, it is very scary, my heart seems stuck. The frequency may be attacks from 4-6 to 2-3 minutes per month to 4-6 seizures a week, sometimes several times a day, always alone. Repeatedly doing EKG, all normal. What can it be? What do I need to pass inspection? Thanks in advance.

Answer: Catherine, you have to go Holter ECG monitoring.