Diuretics, otherwise called water pills, are drugs that are used to increase the amount of urine expelled form the body. They are used to treat high blood pressure, congestive heart failure, and reduce fluid buildup in the body. The three types of diuretics used are Thiazide, Loop, and Potassium-sparing diuretics.
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Due to high uric acid, my father feels drowsy with leg swelling. How to manage it?
Query: Hello doctor, My father is 42 years of age, and he has a congestive and congenital heart disease by birth. He visited many doctors, but all of them suggested that there is no need for any immediate treatment and that he can live with it. He is now under medications, and he is doing well. The reason ... Read Full »
Answer: Hello, Welcome to icliniq.com. Sorry to hear about your dad's health issues. Your dad seems to be suffering from Eisenmenger's syndrome. This is a long-term complication of congenital heart disease. It is the cause of his kidney problems. In my practice, I usually suggest diuretics for my pati... Read Full »
Query: Hello doctor, I am a 50 year old female, who weighs 65 kg, and I am 5 feet tall. I had a urine test, which showed 200 pus cells, RBC 2 to 3, protein 2 to 3, and urine culture showed E.coli. I am suffering from fever, high blood pressure, and high sugar level. My face is swollen, and sometimes my fee... Read Full »
Answer: Hello, Welcome to icliniq.com. You have diabetes, high blood pressure, and probably some heart condition, for which you need an echocardiogram to confirm. These are your baseline diseases. Now, the current issue is urinary tract infection, due to which you have pus cells. You should also u... Read Full »
My stress test showed abnormality. Is there any health issue?
Query: Hi doctor,Shortness of breath and rapidly reaching maximum heart rate has been my concern for many years. I turned 50 this year. It is impacting my ability yo exercise, so thought it was time to investigate. I just had a cardiac catheterization test. No blockages were discovered. However, they were ... Read Full »
Answer: Hi,Welcome to icliniq.com.First, you need to be started on medicines called as diuretics like Torsemide 10 mg once a day in the morning and also Amlodipine should be replaced with Beta blockers like Metoprolol XR 25 mg once a day. Both drugs will help you in relief of symptoms and also other benefit... Read Full »
Why does a patient develop weight gain and insomnia after pacemaker implantation?
Query: Hi doctor,The patient is a 38 years old female. She has a medical history of congenital heart disease. Her heart rate usually ranges between 50 and 55 bpm. Before two months, she had a pacemaker implantation. After pacemaker implantation, her heart rate is 70 to 80 bpm. Now, the patient is suffering... Read Full »
Answer: Hello, Welcome to icliniq.com. Is it a single chamber pacemaker or double chamber? It is mostly a pacemaker syndrome if the patient did not exhibit similar kind of symptoms before pacemaker implantation. In treatment, you need to visit her cardiologist for changing the settings of the pacemake... Read Full »
How to improve low sodium levels after a brain aneurysm repair surgery?
Query: Hello doctor, My father underwent a brain aneurysm repair one and a half years ago, after which, he is having a constant loss of sodium. He is taking one Tolsama 15 mg tablet every alternate day to stabilize his sodium levels. He is also currently taking Encorate Chrono 500, Absolut 3G, Nexfolin and... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query about your father and it appears that he has SIADH (syndrome of inappropriate antidiuretic hormone secretion). It commonly occurs after a brain surgery, due to excessive fluids and use of diuretics. The sodium levels usually return to normal soon, ... Read Full »
Should I be worried about the side effects of diuretics on kidneys?
Query: Hi doctor, Three months ago, I had a heart attack. Then, I went through angioplasty with stenting. Post heart attack, I was diagnosed with moderate systolic HF with EF at 35%. Currently, I am on Clavix, Rozucor 10 mg, Tide 5 mg, Metocard-XL, Planep 25 mg and Telma 20 mg. I am improving well. My EF h... Read Full »
Answer: Hi, Welcome to icliniq.com. I appreciate your concerns. After thorough review of your health query, I want to answer those questions. Do not be overconscious regarding the issue of the lipid profile. It seems to be fine to go with this. Keep taking healthy diet. Your profile is not too low to worr... Read Full »
What are the medicines that I can take to regulate BP?
Query: Hi doctor, I am 58 years old. I do not have any health problem except high BP. In spite of medicines my BP does not come down. First I tried Eslo 5 mg and Amlodac 5 mg and now I am on Cilaheart 10 mg. But, my BP remains at 140/100 mmHg. I do not smoke or drink. I eat less and avoid red meat and high... Read Full »
Answer: Hello, Welcome to icliniq.com. We are here to help you. Reading your case scenario, I would just recommend addition of diuretic like Hydrochlorothiazide to your existing regimen. I would also recommend you to go for a walk daily and take low salt diet. I am very hopeful, that your blood pressure w... Read Full »
How to get cured from peripartum cardiomyopathy?
Query: Hi doctor, My wife is suffering from peripartum cardiomyopathy for the past six months. She is taking beta blockers and diuretic medicine for the past four months. Her heart EF is 38 % with flat T in ECG reports. Her heart function is normal. How many days does it take to get cured? Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. Peripartum cardiomyopathy is a condition with an unknown cause. It follows after delivery for a few days to few weeks and manifests with the symptoms of heart failure. Beta blockers and diuretics are suitable. But the condition is not completely curable. The symptoms ca... Read Full »
My mom's health has deteriorated completely in a year. Please help.
Query: Hi doctor, My mother is 56 years old. She has been a diabetic for the last 20 years. Her health has deteriorated completely in the last year. We found out through a biopsy that her kidney has been damaged. Her gallbladder was removed as it was infected and had a stone as big as a marble. The mouth a... Read Full »
Answer: Hi, Welcome to icliniq.com. She is having hypoalbuminemia (low level of albumin in the blood).Also, her serum potassium is high. We have to treat serum potassium first with diuretics and Insulin infusion.If the serum potassium does not come below 5.5, then she can go for dialysis.I would like to kno... Read Full »
Please suggest ways to remove excess abdominal fluid in a colon cancer patient.
Query: Hi doctor, My aunt has colon cancer for the past three years. She has a tumor of 8 cm. As all other organs are not compromised, she stopped with the chemotherapy like one year ago. Now, she has peritoneal pseudomyxoma and ascites. In the hospital, the doctors say that the liquid in her abdominal c... Read Full »
Answer: Hello, Welcome to icliniq.com. She can be given a trial of albumin and furosemide, which is diuretics, intravenously slowly in a monitored setting. They are afraid of the spread of the tumor further by putting needles through the peritoneum. Please, also try oral diuretics meanwhile. Both... Read Full »