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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Pulmonary Hypertension Be Treated?

MY MOTHER IS 73 AND HAS PULMONARY HYPERTENSION - THIS IS BEING MANAGED WITH LASIX AND OXYGEN AT HOME WITH FAMILY AND VISITING NURSES BUT SHE HAS RECENTLY DEVELOPED A BLACK FINGER TIP THAT IS VERY PAINFUL - IT GOT BLACKER AND BLACKER AND IS NOW SHRIVELING UP - WE HAVE GONE TO THE DOCTORS AND THEY DONT KNOW WHAT TO DO SHE RECEIVED A SPINAL NERVE BLOCK, AFTER MANY OTHER TESTS AND NOW SHE IS GETTING IT IN HER OTHER HAND - BOTH ARE HER RING FINGERS PLEASE HELP US!
Fri, 28 Sep 2018
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General Surgeon 's  Response
Hi,

Pulmonary arterial hypertension (PAH) is having four subtypes.

1. Type 1. It is known as idiopathic Pulmonary hypertension. It is also known as primary Pulmonary hypertension. It is seen in young female patients.
2. Type 2. It is seen with cardiac disease.
3. Type 3. It is seen with Pulmonary diseases.
4. Type 4. It is seen in connective tissue disease (CTD) and storage diseases.

At your age of 85 years, possibility of either type 2 or type 3 Pulmonary hypertension is more. Treatment should include drugs for PAH and drugs for underlying cardiac or Pulmonary diseases. So please let me know:

1. Reports and investigations on which diagnosis is made.
2. What are your other symptoms?
3. What is the severity of PAH? Treatment is based on severity of PAH.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein,
General Surgeon
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How Can Pulmonary Hypertension Be Treated?

Hi, Pulmonary arterial hypertension (PAH) is having four subtypes. 1. Type 1. It is known as idiopathic Pulmonary hypertension. It is also known as primary Pulmonary hypertension. It is seen in young female patients. 2. Type 2. It is seen with cardiac disease. 3. Type 3. It is seen with Pulmonary diseases. 4. Type 4. It is seen in connective tissue disease (CTD) and storage diseases. At your age of 85 years, possibility of either type 2 or type 3 Pulmonary hypertension is more. Treatment should include drugs for PAH and drugs for underlying cardiac or Pulmonary diseases. So please let me know: 1. Reports and investigations on which diagnosis is made. 2. What are your other symptoms? 3. What is the severity of PAH? Treatment is based on severity of PAH. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon