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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Congestive Heart Failure

Hi, may I answer your health queries right now ? Please type your query here... my aunt is in the hosptial with chronic congestive heart damage however she was at the same hosptial 2 week before she went back with a good heart but they sent her home with the fluid still on her legs and feet now when we had to take her back 2 weeks later that are telling us to consider comfort care cause its nothing they can do. but my she was up walking round before she went now she can barely move she sleep all day her urine is dark brown her stool when she can is white she barely talks she got worse since being in the hosptial than at home how is it possible she this bad off

Thu, 29 Mar 2018
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General & Family Physician 's  Response
Hello,

Brief Answer: Your aunt may need more anti-failure treatment, salt restriction and may be an anti-failure device
Explanation: My opinion is that congestive heart failure mainstay treatment is diuretic,anti-failure drugs, salt restriction. some times when ejection fraction of the heart is too low we may intervene with anti-failure devices that may enhance heart condition this type of treatment has certain indications as not all patients are suitable for that kind of treatment. Stool and urine color you mentioned means your aunt mostly has obstructive jaundice, you need to check that with your doctors.
I suggest my patients the following: salt restriction and adherence to anti-failure treatment is mandatory.
The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about the echocardiography data and electrocardiograph if available.
Conclusion: I suggest you check with your aunt physician



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

Regards,
Dr. Mahmmad Gamal
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Suggest Treatment For Chronic Congestive Heart Failure

Hello, Brief Answer: Your aunt may need more anti-failure treatment, salt restriction and may be an anti-failure device Explanation: My opinion is that congestive heart failure mainstay treatment is diuretic,anti-failure drugs, salt restriction. some times when ejection fraction of the heart is too low we may intervene with anti-failure devices that may enhance heart condition this type of treatment has certain indications as not all patients are suitable for that kind of treatment. Stool and urine color you mentioned means your aunt mostly has obstructive jaundice, you need to check that with your doctors. I suggest my patients the following: salt restriction and adherence to anti-failure treatment is mandatory. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about the echocardiography data and electrocardiograph if available. Conclusion: I suggest you check with your aunt physician Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mahmmad Gamal