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Weakness, Face and foot swelling and Appetite Loss

Hello Dr. Mehfooz

My father is 70 yrs old. He is suffering from Swelling on face and foot, Sleeplessness, Physical Weakness on walking and Lose of Appetite Problem. His Ultrasound and X-Ray Report is as Follows:

Ultrasound and X-Ray Report

X-Ray Chest – P.A. View (In Deep Inspiration)

Cardio-thoracic ratio is 58%. Pulmonary Conus is normal.
Lung markings appear prominent on both sides.
Left costophrenic angle is obliterated.
Chest is emphysematous.
Bony Cage appears normal.

Opinion: Findings are suggesting Cardiomegaly with left costophrenic angle.

Blood Sugar: Random 111(R)

Ultrasound for Upper Abdomen (5 Spots)

Liver is normal in size and echotexture.
No obvious focal lesion is seen in liver.
No evidence of intrahepatic billiary dilatation is seen.
CBD is normal in caliber and measure 5mm.
Gall Bladder appears normal
No evidence of calculus is seen.

Evidence of fluid is seen in peritoneal and both pleural cavities (Mainly left pleural Cavity)

Kidneys, Pancreas and Spleen are normal in size and echotexture

Opinion: Features off :-

:Bilateral pleural effusion – Mainly on left side.
:Mild Ascites.

Dr. Sahab Please look at the report and tell some medicines for him. I will be highly oblige to you.

Thanking You.
  amit_tyagi2001 on 2010-11-01
This is just a forum. Assume posts are not from medical professionals.
Please Dr. Sahab reply.
amit_tyagi2001 last decade
Please give him Ars.Album 30(5 drops per dose thrice a day) andreport after 2 weeks.Please also confirm about heart problesms.

Mahfoozurrehman last decade
I will report you soon with heart check up report.

Thank You Very Very Much.
amit_tyagi2001 last decade
Dr. Sahab
I want to know that he have to take medicine after meal or empty stomach.
amit_tyagi2001 last decade
Hello Dr. Mahfooz
You were right about heart problem. My father is suffering from Left Ventricle and Left Atrium Enlarged in heart. His Echocardiogram Report is as follows:

Echocardiogram Report

Referring Diagnosis : Cardiomyopathy

Echogenicity : Good

Dimensions Measuring Normal/M2

ACS 17mm (1.5-2.5)

AO 28mm (1.2-2.2)

LA 45mm (1.2-2.2)

RV 13mm (0.4-1.4)

LVID (Diast) 65mm (24-32)

LVID (Systo) 57mm (14-26)

IVS (Diast) 09mm (6--12mm)

IVS (Systo) 12mm (6--30mm)

LVPW (Diast) 10mm (8--13mm)

LVPW (Systo) 14mm (8--30mm)

LVEF 25% (50-75%) 2DEF 20%

IVFS 12% (25--45%)

Morphological Data

Mitral Valve : Normal, Intratrial Septum : Intact

Aortic Valve : Normal, Intrventricular Septum: Intact

Tricuspid Valve : Normal, Pulmonary Artery : Normal

Pumonary Valve : Normal, Aorta : Normal

Right Ventricle : Normal, Right Atrium : Normal

Left Ventricle : Enlarged, Left Atrium : Enlarged

Echocardiography and Colour Doppler Findings:

Mitral Valve is normal. Aortic Valve is normal. LA is normal. LV is enlarged in size.
Global reduction in contractility. LV shows global contractility is rduced. LV systolic
dysfunction. 2DEF 20% End systolic vols & End Vols are increased. RA is normal. RV is
normal and shows good contractility. Pericardium & Pericardial space is normal.

Colour Flow Mapping:

*. Severe MR
*. TR Present

Doppler Studies:

*. MVIV = E/A = 0.4/0.6 M/S
*. Aortic Flow Velocity = 0.80 M/S
*. TR (RVSP) + 47mm Hg + RAP

Final Report:

*. Dilated Cardiomyopathy.
*. Severe MR
*. PAH / TR
*. Severe LV Systolic Dysfunction. 2DEF 20%
*. No Thrombus

Dr. Sahab Please look this report and tell the medicines.
Thank You.
amit_tyagi2001 last decade
Please give him Crataegus-Q (5 drops in water twice a day along with above medicine).

Mahfoozurrehman last decade
Thank You Dr. Sahab

You Mean to say

Arsenicum Album 30
5 drops thrice a day.

5 drops twice a day.

Please tell me how much gap between the both medicine at a time.
amit_tyagi2001 last decade
Give these with a gap of 15 minutes
Mahfoozurrehman last decade
thank you.
amit_tyagi2001 last decade

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