Zanax – Cardiology doctors online

Question: Doctor, hello! "Some time ago I wrote to you about your problem (http://www. doktor. ru / davlenie / ask / m. phtm? gip = 2541). But then, unfortunately, I could not confirm the letter documented, now I can do it. Thus, the results of my tests; 26. 01. 06 – T3 = T4 = 1,74 = 10,4 TSH 17,10. Appointed; L-thyroxine in doze150mkg. 24. 05. 06. – T3-1, 59 P mol l (normal 1,0-2,8) T4 – (thyroxine), free-22, 7H mol / l (normal P 10,0-23,2 mol / l) TSH-1, Mk 43 IU l (normal 2,3-3,4), appointed: L-thyroxine in a dose 175mkg. Turnout h s 3mes. Results of ultrasonography: Topography is not changed. Outlines a clear, smooth. Dimensions: the right proportion of 36 * 14 * 16mm, the left share of 39 * 14 * 17mm, 2mm isthmus, with a sharp increase in echogenicity. Parenchyma: inhomogeneous, mixed echogenicity, expressed by the alternation of plots with high and low echogenicity. In the left lobe determined izoehogennye education gipoehogennym rim, outlines a clear, smooth, size: 14 * 11 * 14mm and 4 * 4 * 4mm, blood flow increased in the periphery. Regional lymph nodes were not enlarged, the usual structure. On color Doppler mapping (DRC) vascularization dramatically increased. On the "eating of the thyroid gland 8.92 cu. See – not increased. Conclusion: The ultrasound picture of diffuse-focal changes shield. Gland. I passed blood for hemoglobin. Written on 89, continue to not understand something. This morning pulse rate was 73 beats. Min . I am the last 2 weeks every day, felt his pulse, and in a quiet sosstoyanii, and loads, and then came to the conclusion that my pulse is between 70 to 75 beats. min. Today, I drink: L-thyroxine 175mkg, Enap Mr. at a dose of 12.5, Logest (drink for about 4 years), Calcium D3 Nycomed. Complaints: intensive hair loss, brittle nails, dry skin. Sudden dizziness, with torso compression head down feeling when turning the head feeling the loss of coordination. often sudden mood changes. And yet, I have raised the level of uric acid, are gout, 3 months saw do Lago. We do herself an injection dikloberla, but in recent years and it does not help. Thank you for listening. MO

Answer: I see severe anemia, iron deficiency, probably – just can not say without knowing the number of red blood cells (RBC) and color index (or MCHC, MCH). Complaints are consistent with this diagnosis and to decrease after the elimination of anemia with medications (from calcium supplementation is of no significance). There is an overdose of L-thyroxine with 24. 05. 06.

Question: Always felt fine and considered himself healthy. Do not drink, do not smoke, do not use drugs. Recently, after waking in the morning felt bad: conciseness in the chest, hard to breath, numbness of the limbs and chest muscles, loss of sensation, numbness of the face. There is a sense of disorientation, sometimes sways, it is difficult to focus on some object. I have a weakness, diminished breathing, partial loss of sensation throughout the body, a feeling that takes away part of the body. These attacks are repeated every few days and last about an hour. Sometimes stop by themselves, sometimes only with the help of injections. Sometimes completely removes all the bad condition of a cup of coffee! But it helps not for long, only 2-2. 5 o'clock, and then attack again begins to increase gradually. With regard to injections easier to say that not popagaet – not helpful for all: eufilin, tranquilizers, sedatives, improving tserkulyatsiyu in the brain and nervous activity. All not helps. Some injections are able to remove compression in the chest, but the feeling of lack of air is not lost. Please'll show that it can be. Doctors say exactly difficult. Assumptions very different: from what I invent it myself and that nothing at all and no ending asthenia lungs. All tests are normal except 2 things – the increased number of platelets in the blood and an enlarged thyroid gland. I was lying in neurology for 12 days, still not even diagnosed, and the attacks becoming more frequent, longer, stronger. Although an understanding of what I'm sick I would very much help. I fear for my life. Thanks a lot! 24.

Answer: This is a contradictory message could assemble on the basis of our correspondence. Nevertheless, you never told how long it lasts and what changes are psychological conditions (ie, stressful situations) was preceded by the emergence of the first attacks. For life does not need to fear, because doctors are probably already convinced that the vital rates (ie, pulse, blood pressure, respiratory rate) and ECG did not deviate significantly.

Question: Doctor, It is very important your advice, because I am writing to you from Kazakhstan. (Karachaganak field, can be heard?). Since we have good doctors here, "could", lechimsya people as he can. At 200km away Russia, Orenburg, there and trying to be cured, short visits, so to speak. in the next 2-3 years with her husband plan to leave for Russia, there on the spot, I, of course, find a good endocrinologist. Now I can not monitor properly for his thyroid. I understand that I have something to advise, you need my other tests. Therefore 7. 07. 06, on Friday, I passed the KLA. Here are my results; Blood on mikroreaktsiyu-отриц. Hemoglobin-90 Color index-0, 8 RBC-4, 2 WBC-5, 3 * 10,9 Eozinofily-1 Monocytes -1 Lymphocytes – 43 segmentojadernye – 55 ESR – 11mm/chas. Can there to donate blood from a vein. At the hormones are not taken, do not take a long time and will not take blood, because of the backlog in the field of medicine, moreover ask what it is. doctor, how can I myself, and I can do, to regulate itself dose of thyroxine?. Are there any vitamins from my "alopecia", and how can I be now? Thank you. M.

Answer: The assumption of iron deficiency anemia (http://www. doktor. ru / davlenie / ask / m. phtm? gip = 2573) is confirmed. If it's cured, it will be alopecia. Antanemic listed here: http://www. doktor. ru / gastro / ask / m. phtm? ent = 4679. Receiving drugs is under monthly monitoring of hemoglobin and red blood cells to the complete normalization of these indicators. The dose of L-thyroxine can be safely reduced to 150 mg / day. A month later, TSH test and if its level is below 4 units. Then reduce the dose by 25 mcg. Then – on the circumstances.

Question: Always felt fine and considered himself healthy. Do not drink, do not smoke, do not use drugs. Recently, after waking in the morning felt bad: conciseness in the chest, hard to breath, numbness of the limbs and chest muscles, loss of sensation, numbness of the face. There is a sense of disorientation, sometimes sways, it is difficult to focus on some object. These attacks are repeated every few days and last about an hour. Sometimes stop by themselves, sometimes only with the help of injections. Seems objective problems with breathing almost was not. The point of weakness. Severe weakness in combination with the weight and heat gave me a feeling of suffocation. The weakness is really very strong. I go to cling angles and flat bumps on the ground. The weakness to such an extent that it seems that just Ruhnu to the ground. It is noteworthy that the weakness at normal pressure and the frequency sertsebeeniya. All the tests did not show significant negative. I did have all the tests except the analysis of hormones. Unfortunately the analysis of hormones is a long time (to wait another 6 days), and every day worse and worse. The doctor can not appoint a hormonal treatment no analysis (and I understand very well). The only thing he advised – until edomarin drink. By process of elimination (since all other tests are good), we calculated that the most likely problem is in harmony. 1. Please'll show that it can be. Doctors say exactly difficult. Although an understanding of what I'm sick I would very much help. 2. Could you sopovetovat a drug that could help lift a state of wild and partly even frightening weakness? I go with him almost all day and the question is somehow to not opt out altogether, while making these tests. Coffee hardly helps. Advance thanks for the great answer.

Answer: 1. Hard to say what it is. Following my questions were not your answer: a) that the injections really help? b) what life events preceded the appearance of seizures. In addition to the analysis of psychological factors, it is desirable to investigate the muscle tone and coordination of movements (neurological examination, and, possibly, and electromyography). 2. What tools help increase vitality: http://www. doktor. ru / davlenie / ask / m. phtm? gip = 1671.

Question: Dear doctor, I am 62 years old, six months ago has been found hypertension and tachycardia. The pressure rises to 185/105, pulse 100. All this is short-lived attacks, blood pressure and pulse rise sharply, then sometimes falls rapidly (within hours), sometimes have to take drugs. Frequent dizziness, sometimes predobmorochnye sensations. Unfortunately, frequently changing doctors and treatment. Last month on a regular basis accept Nebilet, at very high pressure bonnet. (1) whether these drugs are compatible with each other? (2) I agree also Cinnarizine assigned by a neurologist because of problems with the vessels of the brain, whether these funds are compatible with it?

Answer: Formally, all three drugs are quite compatible, but it is preferable that the full range of disorders studied, one attending doctor. We nebileta (one of the contra – depression) and the hood as possible side effects of dizziness and fatigue. For cinnarizine has special instructions: be used with caution in patients with arterial hypertension.

Question: Against the background of surgical menopause I chsto increased pressure. Agree atenolol. Now I have kept the pressure 140-150 at 90-100. Atenolol accept, but the pressure is almost not reduced. Continuing headache. I heard that at the time of menopause when hypertension advised to take medicine on the basis of reserpine. What can you advise me on this question: Should I change to another drug atenolol on reserpine and if so, what to choose. Thank you. 54.

Answer: Yes, combination therapy with reserpine often effective, so that the doctor may prescribe. These are: adelfan-ezidreks, brinerdin, kristepin, sinipres, triniton, Trirezid K. There are approximately equally, with significant price variation. First, it makes sense to try to self-tolerance net reserpine, it is available without prescription.

Question: I am 28 years old. Recently I have observed severe dizziness, amplifying the evening before bedtime, especially when the turn around from the back on the right side. They begin already in the morning, and happen very rapidly, to the extent that I can not stand, and I have to sit or stand for anything. Also at night, when I touch the pillow, feeling that I "swim". I am a housewife, 2 children, I get up about B8-9, lie down in different ways, from the 12-05ch. 'll Show which doctor to turn to? Thanks in advance.

Answer: The doctor can not solve social problems. . . Check the hemoglobin of the blood and if it is revealed anemia (anemia), aim it with the doctor is fully cured.

Question: dear doctor. 2 weeks ago there was a succession nepriyatryh developments relating to the family and personal life. Experienced Pts. strongly. A week ago, a bad state of health, tinnitus, weakness, depression, pain in the heart. The worst feeling was Fri 15. Normal pressure for me, 110/70. Yesterday it was 110/80. Today (given that almost the whole day sleeping) 100/80. after receiving tsitromona 110/85. Took the night valokordin. I understand that it is possible as long as it is not as complex problems, but this beats being a habitual mode of life, it is difficult to concentrate at work, attention and memory deteriorated. Tell me please, how to normalize the status as soon as possible? 25.

Answer: firm expectation that time heals. Speed up the process you can use the following resources OTC: http://www. doktor. ru / heart / ask / m. phtm? cor = 2033 – http://www. doktor. ru / heart / ask / m. phtm? cor = 1882 – http://www. doktor. ru / heart / ask / m. phtm? cor = 2011 – http://www. doktor. ru / heart / ask / m. phtm? cor = 1905.

Question: I have a climax already 4th year, 55 years old. I accept the pressure egilok retard 50 mg twice a day but at night, begins the heartbeat and increases the pressure to 150 to 100 and pulse of 115-120. I would like to find a cure to take once a day and work and sleep. Elena

Answer: Once a day – not possible.

Question: Jivu in Danmark and very difficult to meet? xoroshevo doctor. y menja problem with the pressure here in the morning at menja 90/60 åòî já sebja It's good feeling. but then povishaetsa 115/53, and so a number of art in the den again. and assuring a menja such headaches INTO dazh and medicine does not help. já beg of you help me with etoi problemoi!! vi if I answer that pojaluista to my address. Thank you in advance!! 28.

Answer: Blood pressure measurement is not necessary. Simply choose a medicine for headache, which will help. Some of them, by the way, and the pressure decreases.