Archive for February, 2010
It hurts the heart of the back wall under the shoulder blade
Question: Dear doctor, I am now 28 years old in 2003, working physically hard work at disease throat, and colds, I get sick every month and a child was diagnosed with chronic tonzilit, legs moved myocarditis. The temperature was 37.1 and there was pain under the shoulder blade, shortness of breath. Then, like shortness of breath became less pain under the shoulder blade had passed, but remained tachycardia 100 beats per minute in the morning and after prema write, while I feel a headache and generally feeling unwell. In the winter of 2007 made the repairs in the apartment, pain under the shoulder blade was resumed but became stronger than it was in 2003, then was given in the left shoulder. Now the pain under the shoulder blade is also preserved and very concerned. Helps Andipal but not for long. Doctors prescribed me to take prestarium, verapomil, but they do not help. Pressure is normal 120/75, but rarely comes up when fatigue to 140/90. Colds get sick as often happens to 2 times a month and cost me a little catch cold as inflamed throat and a temperature of 37 degrees, it starts to bleed under the shoulder blade, gives in his left shoulder. When colds prescribed antibiotic Amoxicillin, made bitsilin-pain decreases, but not for long until the next cold. Sensitive to physical stress, becomes ill with a heart for the above symptoms. Because of lacunae of tonsils always stands caseous mass. Audiologist recommends to remove tonsils, but I am afraid, would not it be worse with the heart. Dear doctor Advise me whether to remove tonsils, and whether this will be a pain in the rear wall of the heart under the shoulder blade whether it can lead to heart surgery? It feels that in the back wall of the heart is a viral center and another cold, this center becomes inflamed. All tests were normal. They did chest x-ray, found nothing. It hurts because the Bud pain is on the surface of the back, and even the place it hurts when touching.
Answer: tonsillectomy to be useful, but your feeling is probably not affected. Heart, I think, great. To see this, you need to go through daily monitoring of ECG or tredmil test.
Is this high blood pressure?
Question: I am 22 years old, decided to go to yoga. Otzanimalas one session. I thought hard. A lot of head-down exercises, as well as the load on the legs. And I have problems with veins. The next day was feeling unwell, dizzy, eyes dark, distractibility (working at the computer), headaches. pressure did not measure it. 'll Show whether or not to continue lessons? Or maybe better to do belly dancing? Should I ask my doctor? P. S: with relatives of problems with the pressure there.
Answer: to a doctor just is not necessary.
DEP, jumps AD
Question: doctor! "My mother 49 years, 8 months ago underwent surgery to remove uterine fibroids (ovaries left), after the operation she very quickly went to work (open air), all the time tormented by headaches , heart pain, fatigue. She took Corvalol, analgin, a burden-pu, was on the receiving cardiologist for a diagnosis: IRR, began receiving preduktala, Neurovitan. A 3 weeks ago, the night has risen blood pressure (150/100) with the usual 115/70, numbness of extremities, severe cold, the pulse above 95 beats / min. They made electroencephalography: FM region: Angiospasm vessels of medium and small caliber with the two sides. OM region: hypovolemia with moderate asymmetry (S> D), Angiospasm vessels of medium and small-caliber right Angiospasm vessels precapillary arteriole-left expressed venous plethora on the left and moderate right. When applied to a neurologist-ds: DEP 2stepeni, signs of intracranial hypertension. Treatment: injections eufilin, korglikon, aktovegin, magnesium, mildronat, discus 15 days. During the injections, blood pressure jumped 130/100, 140/100, palpitations. Especially лутше not felt. After the injections were appointed reception nitseriuma 1K / 1 times / day (3 mo.) Troksevazin (1 mo.) Also made an X-ray range. Conclusion: The signs of osteochondrosis and spondidoza cross-department ridge Th12-S1, more pronounced in segments L4-S1. Cartilaginous Schmorl's nodes L1, L4. After receiving nitseriuma happened numbness, heart rate fell to 55 bpm. min. Mom stopped taking it. 3 days ago once again suffered an attack of: high blood pressure 140/90, kolotanie heart, cold hands and feet, shivering. 10-15 min. After Hot foot bath, Corvalol becomes moderately лутше. Ambulance colitis magnesium + analginum. And all this happens to change the weather or stress. Today was a reception at gynecologist, all normal, drink remens 2 tab. / day. Tomorrow we go to an appointment with a psychiatrist (my mother is very emotional and samovnushitelny people). But the DEP is not treated. Tell me how you can prevent blood pressure racing at night, as it is dangerous to any doctor to turn to? A huge thank you in advance!
Answer: No it has no primary "DEP." After visiting a psychiatrist and his designated treatment racing AD cease. 150/100 – a paltry figure.
Hypertension
Question: Tell me please. I have hypertension 2 tbsp. , entselofopatiya complex genesis, detected antibodies in the blood to TSVMI. At ultrasonography revealed moderate splenomegaly. Blood tests were normal. Can hypertension cause of splenomegaly. Even the last two years I am in constant stress. Three years ago, was diagnosed with postpartum depression. At the moment I feel good.
Answer: It can not be a cause of hypertension splenomegaly. Size of the spleen are not.
Blood pressure and pregnancy
Question: I am 36 years old, I have high blood pressure can say with experience (6 years). She took different medications, but stopped at BETALOK ZOK, now want a second child. Weácan pozhalysta can I take this drug at the time and period of planning pregnancy.
Answer: dose-dependent.
Dizziness and vomiting
Question: Good afternoon, doctor. 4 days ago late at night I started having dizzy with nausea and is still continuing. This morning I tried on the pressure (it was 140-70, but I tend lower) and drank a drug Captopril. That evening I vomited 2 times, my head was spinning so I nemogla watch TV. After the vomit, blood pressure fell. Last week I was in the woods and found a tick. Are also similar whether these simtomy with diseases that may transferring mites?
Answer: Not similar.
Weácan replacement Concor
Question: Please, Please, suggest what to do. I'm 26 years old, from his childhood problems with the heartbeat. A year ago, found high blood pressure – about 170 to 90, I do physical work. Therapist appointed permanent reception Concor. We take it for a year on weekdays at a dosage of 5 mg per day, being improved, the pressure of about 135 for 80 – 90. In the last 4 months was faced with erectile dysfunction, apparently as a side effect. Please, help with analog Concor, able to lower the pressure, but without the side effect of impotence.
Answer: Not counterparts, representatives of other pharmaco-therapeutic groups: http://doktor. ru/qa/46889/qa. html? id = 85155.
Overdose Sirdaluda
Question: There is a depressing feeling of lower lobe of the left ear, the ENT found nothing, sent to a neurologist. Installed osteochondrosis of the cervical 2 degrees, fusion of C2-C3, a neurologist appointed Fevarin 50 mg and 4 mg Sirdalud Milgammu. After receiving these drugs after 4 hours there was a sharp fall in BP (90/70), temperature (34. 8), the pulse rose to 120, weakness, tremors, inability to sleep. Within 12 hours after admission rates than the pulse stabilized. ECG showed tachycardia. After this 3 days feeling pressure in his chest, squeezing the throat, weakness, tremor, blood pressure from 90/60 to 130/80 during the day rides. I read (after) that increases the effects Fevarin Sirdaluda 33 times. What could have happened and what to do now?
Answer: Medicines completely leave the body within a time equal to five half-life; sirdaluda for this period is 4 hours. Given the launch delay for 4 days everything must go. And fevarin shown 3 days. After poisoning may persist for some time asthenic symptoms, they are treated symptomatically.
Q Vladimir Vladimirovich (elevated heart rate)
Question: Dear doctor, please consult. I'm 26 years old, took up weightlifting and doing it month after the day classes for 1-2 hours. Moved from the load and the last time, noticed that heart rate remains elevated after training from 85 to 100 beats / min. We have suspended the practice (only charge) and is not engaged in four or five days. Pulse still holds 85-100. Frankly speaking, from the beginning chose a large load of 30 to 40 kg for 3-4 approach to exercise. Exercises for engaging in approximately 5-6. Have eaten an active protein supplement "Nutrinor" production Diso. The increase per month in body weight was about 2-3 kg. Now I feel a little heaviness in the chest in the heart sometimes light tingling. Pulse measures each day in a calm state, he keeps the 85-100. classes as we have said to stop, only charging. Prior to the sport increased pulse and blood pressure did not suffer. Is there a chance that the heart rate to normal after a while and I have developed an irreversible disease? Can I continue to workout? Thank you in advance for your reply.
Answer: After a while, all normalized independently.
Raising A D
Question: My name is Natasha I am 33 years, I am na28nedele pregnancy. Pregnancy the second, the first successful birth son 7 years old. After the first genera recovered from 76 to 124 in this weight I am so far. This preobrela gepertoniyu 140 80, Doctor of predeprezhdaet opastnosti Dopegit prescribed for the baby drank the pressure drops to normal, but my head starts spinning, May 140 80, my working pressure and should not be so pugatsya. I have no edema and protein in normal. Little is progressing well and I feel myself very well. Thank you.
Answer: I do not know what blood pressure is normal. It is not known, reduction of blood pressure in this case will improve or worsen the placental blood flow.
