Diuretics

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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What do a mildly dilated LA, normal LV, and mild MR in echo report mean?

Query: Hello doctor, My father had an echo test. The report says 'Mildly dilated LA. Normal LV size, with moderately reduced function. Mild MR. LVDD II'. What does it mean?  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Did he have any chest pain or heart attack in the past, or is he diabetic? To summarize the report, it says there is a decreased functioning of the heart, which most commonly occurs due to coronary artery disease or sometimes due to the weakening of the heart muscle...  Read Full »

Will continuous intake of Budesonide cause a bitter taste with a swollen face?

Query: Hi doctor, My mother was diagnosed with autoimmune hepatitis last year, and her treatment is going very well. Currently, she is taking Budesonide 6 mg and Azoran 75 mg. She also takes Insulin, Actrapid Flexpen, and Basalog One to control her blood sugar fluctuations, as she has diabetes also. I h...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. I have seen all the test reports (attachment removed to protect patient identity). Yes, swelling of the face is a prominent side effect of long term use of steroid therapy. This she has to face if the use of steroids is indispensable. However, if in any case, it can be...  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 sufferi...  Read Full »


Dr. Sagar Ramesh Makode

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 pacemaker. One...  Read Full »

Do all my symptoms occur due to lupus?

Query: Hi doctor, I am a 44 year old female, and I have been diagnosed with rheumatoid arthritis, systemic lupus, and Sjogren's syndrome, with symptoms dating back to as young as six years old. I have also been diagnosed with pulmonary hypertension, thyroiditis, Raynaud disease, right-sided heart enlargeme...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. The diagnosis of asthma is doubtful as pulmonary issues are seen in conditions you are already suffering from like SLE (systemic lupus erythematosus) and rheumatoid arthritis. Basically, the right term for you is MCTD (mixed connective tissue disease), which are associa...  Read Full »

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 »


Dr. Isaac Gana

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 patients j...  Read Full »

Kindly suggest a medicine to control my blood pressure, which is always high.

Query: Hi doctor,My blood pressure is always high between 170/110 mmHg and 190/115 mmHg. My complete blood count report showed hemoglobin 18, platelet 150, MCH 26 and others normal. Please suggest medicine.  Read Full »


Dr. Isaac Gana

Answer: Hello,Welcome to icliniq.com.You need to do a lipid profile test and an ECG (electrocardiogram). Your blood pressure is too high at 190/115 mmHg. You risk organ damage with this level of blood pressure.I usually prescribe a combination of beta-blockers, diuretics, and statins depending on your lipid...  Read Full »

Can Capoten therapy be given to a patient who is already taking a diuretic?

Query: Hi doctor, I have a question about a scenario regarding blood pressure medicine and wanted to ask an expert. If say, an older person over the age of 80, who has hypertension but is on a medicine that is a combination of a beta-blocker and diuretic that is keeping it controlled, then one day the rea...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Thanks for the query. If the patient's blood pressure is controlled on her medicines, and one day it rises suddenly, then look for the cause such as: Sleeplessness. Anxiety or stress or anger. Fear. Fever or headache. Fight or quarrel. Family dispute. Treatment ...  Read Full »

Kindly suggest a treatment for my brother's heart problem.

Query: Hello doctor,For a few months, my brother is suffering from cough with asthma. When we consulted our doctor, he asked us to get a few tests like echo and CT scan. From the test reports, he was detected with some heart problem. Some doctors said that as thrombus and some said as mass. I have attached...  Read Full »


Dr. Rishu

Answer: Hello, Welcome to icliniq.com. It is a rhabdomyoma of heart. Rhabdomyoma is a benign tumor and in your brother case, it is present in the heart. As it is in the left atrium of heart, it is causing the size of cavity of the heart to increase. Cough and breathing problem you are facing are because o...  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 ...  Read Full »


Dr. Muhammad M. Hanif Md.

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 worry...  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 »


Dr. Sadaf Mustafa

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, Furosemid...  Read Full »

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