Q. My mother has severe heart problem, and her feet and ankles are swollen. Please help.

Answered by
Dr. Muhammad Zohaib Siddiq
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on May 23, 2020

Age: 62 years

My mother has severe heart problem. She had high blood pressure from long time but didnt get any medication. Now her feet and ankles are swollen. A doctor recommended Triforge 5/160/12.5+Loprin 75mg. Her BP is managed now, but she feels high heart rate, palpitations and cold sweating. Please help me; i cant afford hospital expenditures. Waiting for your kind and helpful response.

P.S: She is also taking epival from last 3 years.

# Thanks for the query

Medicine is good, but in this age this medicine may cause electrolytes imbalance and renal function impairment. So blood urea, creatinine and Electrolytes should be done after starting of this medicines within one week.

Regarding cardiac point of view, swelling of feet may be caused by right heart failure. Have ECG and Echocardiography done to diagnose it.

Other causes are liver related. Have serum albumin done.

Urine D/R is a baseline test.

I am advising these tests because differential diagnosis of these complaints are vast and test may help narrow down these and know basic metabolic status to guide dosage adjustments.

Regards

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