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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Abdominal Pains, Fluid Around Gallbladder, Lungs, Heart, Pericarditis. Had Bone Marrow Transplant, Aplastic Anemia. Advice?

When my brother was five he had Aplastic anemia and had get Chemotherapy and a bone marrow transplant. He is now 24 and after lower abdomen pains the doctors found out he had fluid around his gallbladder, lungs, and heart. On top of that the sack around his heart is inflamed, Pericarditis. Because of that his heart rate is high and blood pressure low. They drained the fluids. They ruled out many viral infections, bacterial infections, and cancers. It may or may not be connected to his past condition, but they still don’t know. They tried to treat the heart sack with steroids but it looks like they are going to have to do open heart surgery to remove the heart sack. We are looking for another opinion if you have any thoughts?

posted on Fri, 23 Aug 2013
Twitter Fri, 23 Aug 2013 Answered on
Twitter Fri, 23 Aug 2013 Last reviewed on
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General & Family Physician,  's  Response
Hi, as it is it is difficult to find the cause, if he has chacolate coloured sputum, it may be the amoebic hepatitis, migrated to the pericardium, and lungs. There could be possibility of tuberculosis or recurance of aplastic anemia,
but openion of the treating doctor will be the final, because from here we cant give the final diagnosis.
So i advise you to allow the doctor to do his work. In the mean while give him nourishing food to with stand the surgery. Thank you.
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Lower Abdominal Pains, Fluid Around Gallbladder, Lungs, Heart, Pericarditis. Had Bone Marrow Transplant, Aplastic Anemia. Advice?

Hi, as it is it is difficult to find the cause, if he has chacolate coloured sputum, it may be the amoebic hepatitis, migrated to the pericardium, and lungs. There could be possibility of tuberculosis or recurance of aplastic anemia, but openion of the treating doctor will be the final, because from here we cant give the final diagnosis. So i advise you to allow the doctor to do his work. In the mean while give him nourishing food to with stand the surgery. Thank you.