How is Eisenmenger syndrome managed?

Question

Hello doctor,

My father is 42 years old and has congenital heart disease, which he was born with, along with congestive heart failure. He has seen many doctors, but all of them suggested that there is no need for any immediate treatment and that he can live with his condition. He is currently on medication and is doing well overall.

The reason I am reaching out is that my father recently found that his urea and creatinine levels have increased slightly, so we consulted a nephrologist. The doctor explained that this issue is related to his heart condition, as blood does not flow to his kidneys properly. They believe the increase in urea levels is due to dehydration and fluid retention. For the past month, he has been feeling extremely drowsy, which often occurs because his body retains fluid, though it decreases with medications like Furosemide.

The current issues are that his legs and abdomen are swollen due to water retention, and he is feeling very drowsy and unable to concentrate on his work. What are the effective treatments for his drowsiness and swelling? Are there any alternative treatments for his condition?

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

I am sorry to hear about your dad's health issues. It sounds like he may be suffering from Eisenmenger's syndrome, which is a long-term complication of congenital heart disease and can lead to kidney problems. In my practice, I typically recommend diuretics for patients in similar situations, like the ones he is currently taking. I advise you to consult his nephrologist for a follow-up review.

I wish him a speedy recovery.

Thank you.