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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Breathing Problem, Cough, Pneumonia, Large B Cell Lymphoma, Stem Cell Transplant Done. Suggestions?

My mom had a stem cell transplant a little over a month now. She was diagnosed with large b cell lymphoma. We had to rush her to the er because she couldnt breathe. She was diagnosed over 2 years ago and through that time she started getting a cough that she still has which they told her it was pneumonia on the right side but there was still a little something in her chest. The lastest is that she might have conjuctive heart failure they dint think its pneumonia at all
Fri, 18 Oct 2013
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General & Family Physician 's  Response
Hi and thank you so much for this query.

I am so sorry to hear about all what your mom has been through and this recent difficulties in breathing. I know it must be so distressing for the entire family but facing the challenge is the best thing to do.

Pneumonia and congestive heart failure can initially present in the same way both on examining the lungs and looking at the chest x-ray. The best way is to use the clinical signs like fever which is more indicative of pneumonia than heart failure.

Given her history of chemotherapy, most of these drugs are toxic to the heart and can predispose her to heart failure. Whatever the real problem is, a good clinical exam and possibly some investigations would give the definite answer to this. Work with her doctors and identify the exact problem so that a well suited plan is established for her.

I wish herwell and thank you for using our services. Feel free to ask for more information if need be.
Dr, Ditah, MD
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Breathing Problem, Cough, Pneumonia, Large B Cell Lymphoma, Stem Cell Transplant Done. Suggestions?

Hi and thank you so much for this query. I am so sorry to hear about all what your mom has been through and this recent difficulties in breathing. I know it must be so distressing for the entire family but facing the challenge is the best thing to do. Pneumonia and congestive heart failure can initially present in the same way both on examining the lungs and looking at the chest x-ray. The best way is to use the clinical signs like fever which is more indicative of pneumonia than heart failure. Given her history of chemotherapy, most of these drugs are toxic to the heart and can predispose her to heart failure. Whatever the real problem is, a good clinical exam and possibly some investigations would give the definite answer to this. Work with her doctors and identify the exact problem so that a well suited plan is established for her. I wish herwell and thank you for using our services. Feel free to ask for more information if need be. Dr, Ditah, MD