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Suggest Treatment For Severe Arthritis

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Posted on Tue, 2 Aug 2016
Question: Husband 77 years old, 285 lbs, severe arthritis joints and spine so limited mobility, atrial fib, high blood pressure, sleep apnea, reports feeling nausous and dizzy last night followed by night sweats. Much better in a.m. Rule out food causes. Has happened before. Takes meds for blood pressure and a fib. List of meds and doctors and UTD in seeing doctors. Wife concerned about last night's episode.
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Answered by Dr. Ilir Sharka (5 hours later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that his symptoms could be related to an inner ear disorder or cervical chronic backbone (also called cervical spondylarthrosis), which is very common in patients suffering from arthritis.

Both the above mentioned conditions are benign and are not a matter of concern.

But there are also possible conditions like transient ischemic attack that can not be excluded.

Coming to this point, if the problem repeats, I would recommend going to the ER for a physical exam and some tests:

- a resting ECG
- some blood lab tests (complete blood count, coagulation tests, PCR, sedimentation rate, blood electrolytes, kidney and liver function tests).
- a cervical spine X ray study
- a brain CT scan study may be needed.

Meanwhile, I would recommend continue his therapy and take plenty of fluids to stay well hydrated.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9545 Questions

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Suggest Treatment For Severe Arthritis

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that his symptoms could be related to an inner ear disorder or cervical chronic backbone (also called cervical spondylarthrosis), which is very common in patients suffering from arthritis. Both the above mentioned conditions are benign and are not a matter of concern. But there are also possible conditions like transient ischemic attack that can not be excluded. Coming to this point, if the problem repeats, I would recommend going to the ER for a physical exam and some tests: - a resting ECG - some blood lab tests (complete blood count, coagulation tests, PCR, sedimentation rate, blood electrolytes, kidney and liver function tests). - a cervical spine X ray study - a brain CT scan study may be needed. Meanwhile, I would recommend continue his therapy and take plenty of fluids to stay well hydrated. Hope you will find this answer helpful! Kind regards, Dr. Iliri