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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated Heart Rate And Painful Urination While Treating Seizures?

My 37 year old son is experiencing strong or rapid heart beats on lying down when he rises it improves. He usually gets up sleeps in chair. He has seizures and takes meds for seizures which the doses have recently been increased. He stated that it is as if he has run very fast when he lies down. He also has some pain and burning when urinating he also has had passed blood through his urine. could any of these condition be a side effect of his meds. Your input would be greatly appreciated.
Tue, 16 Jan 2018
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General & Family Physician,  's  Response
Hello,

Thanks for your query on HCM

"As"per your clinical history is concerned please follow like this-

1)Do a clinical examination[DRE] by your Doctor and do few tests like [CBC, Urine RE/ME, urodynamic tests and PSA]to make a final diagnosis. Regarding heart palpitation do ECG and ECHO to rule out any heart related problem.

2)Regarding urinary problems You can discuss with your treating doctor about prescribing medications like -

a)[Ceftriaxone] for bacterial infection

b)[Tamsulosin] to relax the bladder neck and the muscle fibers

c)NSAID like [ibuprofen]for pain and discomfort.

Do follow few lifestyle modifications like this -

1)Try to soak in a warm bath (sitz bath)

2)Try to limit or avoid alcohol, caffeine, and spicy or acidic foods.

3)Try to avoid prolonged sitting or try sitting on a pillow or inflatable cushion.

4)Try to avoid bicycling.

Hope that helps



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What Causes Elevated Heart Rate And Painful Urination While Treating Seizures?

Hello, Thanks for your query on HCM As per your clinical history is concerned please follow like this- 1)Do a clinical examination[DRE] by your Doctor and do few tests like [CBC, Urine RE/ME, urodynamic tests and PSA]to make a final diagnosis. Regarding heart palpitation do ECG and ECHO to rule out any heart related problem. 2)Regarding urinary problems You can discuss with your treating doctor about prescribing medications like - a)[Ceftriaxone] for bacterial infection b)[Tamsulosin] to relax the bladder neck and the muscle fibers c)NSAID like [ibuprofen]for pain and discomfort. Do follow few lifestyle modifications like this - 1)Try to soak in a warm bath (sitz bath) 2)Try to limit or avoid alcohol, caffeine, and spicy or acidic foods. 3)Try to avoid prolonged sitting or try sitting on a pillow or inflatable cushion. 4)Try to avoid bicycling. Hope that helps