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My Father Admitted Because Of Fluid Formation Question Is Instead Of Lazix And He Taking Dytorany Will This Affect Kidney Or Heart?
Question: Hi.
My father his age 85..last one month before he admitted bcoz of fluid formation ..and he is heart patient angioplasty did.
Last month for him continuously stomach pain for 2 month ..no dr's can find out the problem..
Then last XXXXXXX end he admitted symptoms of sweeling,and can breath properly..and stomach ache..
Then they treated and taped fluid given lazix injection..
After that one month he took lazix 40 ..bcoz of that for him weakness,postasium level low..
So that we went to cardio dr he says stop lazix and he given dytor 20..he took only 2 days again sweeling slightly starting..
Now he can continue lazix once in a day..bcoz of that for him any kindney or heart will affect?
Pl suggest me
My father his age 85..last one month before he admitted bcoz of fluid formation ..and he is heart patient angioplasty did.
Last month for him continuously stomach pain for 2 month ..no dr's can find out the problem..
Then last XXXXXXX end he admitted symptoms of sweeling,and can breath properly..and stomach ache..
Then they treated and taped fluid given lazix injection..
After that one month he took lazix 40 ..bcoz of that for him weakness,postasium level low..
So that we went to cardio dr he says stop lazix and he given dytor 20..he took only 2 days again sweeling slightly starting..
Now he can continue lazix once in a day..bcoz of that for him any kindney or heart will affect?
Pl suggest me
Brief Answer:
The Dytor dose should be increased with spironolactone
Detailed Answer:
Hello,
Firstly, Dytor and lasix are same type of medicines, but Dytor has less side effect of causing low potassium. So it's almost always a preferred medicine for chronic usage.
Here, since he is having swelling, which means he needs a higher dose of Dytor. So I think, he should have 20 mg in the morning and 10 mg at 4 pm as well. Next thing, along with both Dytor and lasix, we usually give medicine called as spironolactone, which increases the potassium level and nullifies the effect of Lasix or Dytor. This spironolactone can be given if creatinine is less than 1.8, so check his creatinine levels in kidney reports.
Anyway, lasix can be taken with spironolactone so as to reduce the chances of low potassium. Also, spironolactone prevents a reduction in heart function so it's very much advisable.S discuss with local Doctor and get it started.
Next thing is low potassium is very dangerous for patients with low heart function so it should be checked frequently till it stabilizes. Also, he should have low water and other fluid intakes like milk, tea etc. You may give him potassium-rich foods like banana, fruits, coconut water 50-100 ml day, but his potassium on weekly basis till stabilization.
Hope this helps you and get back if you have any doubts.
Regards
The Dytor dose should be increased with spironolactone
Detailed Answer:
Hello,
Firstly, Dytor and lasix are same type of medicines, but Dytor has less side effect of causing low potassium. So it's almost always a preferred medicine for chronic usage.
Here, since he is having swelling, which means he needs a higher dose of Dytor. So I think, he should have 20 mg in the morning and 10 mg at 4 pm as well. Next thing, along with both Dytor and lasix, we usually give medicine called as spironolactone, which increases the potassium level and nullifies the effect of Lasix or Dytor. This spironolactone can be given if creatinine is less than 1.8, so check his creatinine levels in kidney reports.
Anyway, lasix can be taken with spironolactone so as to reduce the chances of low potassium. Also, spironolactone prevents a reduction in heart function so it's very much advisable.S discuss with local Doctor and get it started.
Next thing is low potassium is very dangerous for patients with low heart function so it should be checked frequently till it stabilizes. Also, he should have low water and other fluid intakes like milk, tea etc. You may give him potassium-rich foods like banana, fruits, coconut water 50-100 ml day, but his potassium on weekly basis till stabilization.
Hope this helps you and get back if you have any doubts.
Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Will upload his reports tomorrow..and for him constipation problem...for that he taking movical liquid but the motion is v.hard instead..after finger feed he getting motion.
And not sleeping in the night and mor also..
And not sleeping in the night and mor also..
Brief Answer:
Various options for constipation are Cremaffin plus, Lactulose Syrup
Detailed Answer:
Hi,
You may discuss with the local doctor regarding alternative options for constipation like Cremaffin plus or Syr Lactulose or Polyethylene glycol, which may be helpful in his case.
Also, for sleep we usually give Zolfresh 5 mg to our cardiac patients, so request your doctor for the same.
All the best.
Various options for constipation are Cremaffin plus, Lactulose Syrup
Detailed Answer:
Hi,
You may discuss with the local doctor regarding alternative options for constipation like Cremaffin plus or Syr Lactulose or Polyethylene glycol, which may be helpful in his case.
Also, for sleep we usually give Zolfresh 5 mg to our cardiac patients, so request your doctor for the same.
All the best.
Above answer was peer-reviewed by :
Dr. Raju A.T
He took 20 mg of dytor ..today his urine level increasing for 12 hours means morning 6.30 to eve 6.30 ..total urine output is 950 ml is this normal or..
For him prostate problem also there he taking medicine for that...
Psa level 45.
But for his age 85 they do want to do operation.
Within. Medicine we will cure it not fully but still...dr says.
For him urine output normal or low level.
His intake water is 800 to 900 ml p.day.urine output 12 hours gap ..urine output is 950 ml is this normal or
For him prostate problem also there he taking medicine for that...
Psa level 45.
But for his age 85 they do want to do operation.
Within. Medicine we will cure it not fully but still...dr says.
For him urine output normal or low level.
His intake water is 800 to 900 ml p.day.urine output 12 hours gap ..urine output is 950 ml is this normal or
Brief Answer:
Its bit higher, but should see 24 hour output
Detailed Answer:
Okay his output is on higher side, but acceptable. We should see his 24 hour output and intake. Intake should include water, milk, tea, coffee, fruit juices, dal water etc, that is all liquids, not just water.
Day output may be higher due to morning dose, and then night output may be less to compensate it. So our target is intake equal to or slightly lower than output. So if his output is excessively more than intake in 24 hours then we need to decrease the dose of Dytor.
Its bit higher, but should see 24 hour output
Detailed Answer:
Okay his output is on higher side, but acceptable. We should see his 24 hour output and intake. Intake should include water, milk, tea, coffee, fruit juices, dal water etc, that is all liquids, not just water.
Day output may be higher due to morning dose, and then night output may be less to compensate it. So our target is intake equal to or slightly lower than output. So if his output is excessively more than intake in 24 hours then we need to decrease the dose of Dytor.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
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