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Suggest Remedy For Pain And Anxiety When On Hydrocodone After Knee Surgery
Question: I AM RECOVERING FROM KNEE REPLACEMENT SURGERY WAS ON XARELTO FOR A WHILE BUT THROUGH NOW. I FEEL NAUSEOUS FROM TIME TO TIME FOR SHORT PERIODS OF TIME & NO APPETITE. MY ANXIETY LEVEL IS PRETTY HIGH AND I'M STILL IN A LOT OF PAIN FROM SURGERY. I TAKE HYDROCODON 10MG. AT LEAST EVERY 5 HRS. AM I HAVING PRECURSERS OF HEART ATTACK?
Brief Answer:
Unlikely to be heart attack precursor but cardiac cause should be ruled out
Detailed Answer:
Hello and Welcome
I appreciate your concern
Based on the history you described, it appears to be a panic attack which is an anxiety disorder. However a cardiac cause should be ruled out especially if there is any chest pain or heaviness, shortness of breath, light headedness , confusion or persistent palpitations. By your term, PRECURSERS OF HEART ATTACK , I would look for any evidence of ischemic heart disease or angina. An EKG and subsequently a cardiac stress test like ETT can be done. If both are normal then you can relax as that would exclude a cardiac cause for your symptoms. If the ETT shows ischemic patterns then coronary angiography would be indicated. The post operative pain should be managed adequately by adding topical capsaicin and NSAIDs to the hydrocodone. If no cardiac cause is found then GERD / dyspepsia should be adequately treated with PPIs and pro kinetic medication.
Wishing you best of health
Thanks
Please consult your doctor before deciding on any further course of action.
Dr. M.S. Khalil
Unlikely to be heart attack precursor but cardiac cause should be ruled out
Detailed Answer:
Hello and Welcome
I appreciate your concern
Based on the history you described, it appears to be a panic attack which is an anxiety disorder. However a cardiac cause should be ruled out especially if there is any chest pain or heaviness, shortness of breath, light headedness , confusion or persistent palpitations. By your term, PRECURSERS OF HEART ATTACK , I would look for any evidence of ischemic heart disease or angina. An EKG and subsequently a cardiac stress test like ETT can be done. If both are normal then you can relax as that would exclude a cardiac cause for your symptoms. If the ETT shows ischemic patterns then coronary angiography would be indicated. The post operative pain should be managed adequately by adding topical capsaicin and NSAIDs to the hydrocodone. If no cardiac cause is found then GERD / dyspepsia should be adequately treated with PPIs and pro kinetic medication.
Wishing you best of health
Thanks
Please consult your doctor before deciding on any further course of action.
Dr. M.S. Khalil
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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