Dr. Muhammad Zohaib Siddiq
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have a small amount of fluid around my heart. I had breathing difficulty, for which I was given IV antibiotics. The pain in my heart subsided during treatment; however, it started once it ended. I had got an echocardiography done twice that showed a reduction in the fluid level. Also, I was prescribed tablet Paracetamol and tablet Codeine (Codeine Sulphate) for pain relief. Is it normal to have heart pain, and how long will it last? Kindly advise.
Hello,
Welcome to icliniq.com.
I understand your concern and would be happy to help. I have reviewed your reports (attachment removed to protect the patient's identity). Your history suggests you have fluid in the lungs. There are some changes in the ECG (electrocardiogram), and inflammatory markers are raised, which indicates an infection or inflammation in the body. However, no pulmonary embolism was detected on the CTPA (computed tomography pulmonary angiogram). Also, the cardiac enzyme is normal. Did you have any cardiac problems in the past? Also, do you have fever? Kindly revert with the answers. Thank you.
Patient's Query
Hello doctor,
I do not have any previous cardiac issues. I have been tested for all the bacteria and viruses. The only health issue I have is Hodgkin’s lymphoma. I had a fever when I went to the hospital at 38 degrees Celsius, but now the fever has subsided. Kindly advise.
Hello,
Welcome back to icliniq.com.
Fluid is present normally around the heart. In some diseases, it increases in volume due to an inflammation of the membrane around the heart. The most common cause of inflammation is self-limiting viral infections. Tablet Ibuprofen, tablet Paracetamol, or tablet Aspirin can be taken for two weeks. The fluid around your heart is reducing, which is a good sign. In other cases, inflammation of the membrane around the lungs called pleural inflammation can also cause an inflammation of the pericardial membrane, which resolves once the pleural inflammation resolves. I hope this helps. Thank you.
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Cardiology
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