Patient's Query
Hello doctor,
Recently my wife survived after having an attack of postpartum cardiomyopathy. She is 26 years old, and her EF was reduced to 20 percent when she was admitted. She had an attack of repetitive convulsion, and her lungs got filled with gastric juice. Now after remaining hospitalized for more than two weeks (more than five days in the ICU), she has been discharged. Now her EF is 55 percent. But still, I am very worried about how to manage her situation. I mean what will be the restrictions on a diet, whereabouts? Even now, her pulse is on the higher side (> 100 beats per minute), although the BP is fine.
Kindly suggest.
Hello,
Welcome to icliniq.com.
Regarding the diet restrictions, common salt intake should be within one teaspoon daily. Salt intake is to be maintained strictly. Avoid strenuous activities. She should be on rest till she improves. It is very good that her EF (ejection fraction) improved to 55 percent. That is highly encouraging.
I hope that over a period of time she will improve further. Do not worry about the pulse rate. Avoid spicy, fried, and salty food. Be on a follow-up with your cardiologists. She may require a combination of Pantoprazole and Domperidone one tablet once daily. Consult your specialist doctor, discuss with him or her, and take the medicines with take the medicines with their consent.
I hope this helps you.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
She has a WBC count of 13,200 cells per microliter with 80 percent Neutrophils, 15 percent Lymphocytes, 3 percent Monocytes, 2 percent Eosinophils, CRP of 46.6 mg/L, and AST (UV with PSP) of 44 U/L. Kindly suggest a course of action. Her current medications include Ivabradine 5 mg twice a day, Carvedilol twice a day, Phenytoin 100 mg three times a day, Cefpodoxime proxetil twice a day, and cough syrup. She is experiencing a severe cough.
Hello,
Welcome back to icliniq.com.
Your wife has been suffering from aspiration pneumonia due to aspiration of stomach contents. I suggest you admit her to a hospital. It sometimes becomes very critical. Meanwhile, I suggest taking tablet Clarithromycin 500 one tablet two times daily for seven days, and tablet Levofloxacin 500 once daily for seven days. Consult a specialist doctor, discuss with him or her, and start taking the medicines with their consent.
Do sputum for routine and culture sensitivity, and based on the reports proper antibiotics are to be started. Please consult a chest physician. For cough, take Bromhexine and Terbutaline sulfate syrup two teaspoons twice daily. Do steam inhalation twice daily.
I hope this helps you.
Kindly follow up if you have more doubts.
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Answered byDr. Amiya Kumar Chattopadhyay
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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