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HAD A PULMONARY EMBOLUS ALMOST 2 YEARS AGO. AFTER WHICH I

Sent to Health Experts February 26, 2006 6:02 p.m.

HAD A PULMONARY EMBOLUS ALMOST 2 YEARS AGO. AFTER WHICH I HAVE HAD PERSISTANT SYMPTOMS OF ASTHMA AND/OR EMPHYSEMA WITH SUBSTERNAL,AND TO RT OF STERNUM, CHEST PAIN, WITH LITTLE RELIEF ,ON MED. REGIME. PRIOR TO P.E ., HAD ONLY OCCAISIONAL MILD WHEEZING WHEN EXPOSED TO LOTS OF DUST. HAD A CORONARY ARTERY STENT DEC. 05, WITH LITTLE EFFECT, RELATED TO SYMPTOMS. HAVE NOTED THAT NTG 1/150 SL X2, WILL RELIEVE THE SOB,AND PAIN, SHEN ASTHMA MEDS DON'T. ARE THERE OTHER PROBLEMS THAT MIGHT BE CAUSING THESE SYMPTOMS.

Optional Information:
Female , Age: 68

Already Tried:
SINGULAR, ALLEGRA,ASTELIN NASAL SPAY,ADVAIR 500/50, SPIRIVA HANIHALER, ALBUTER INHALER, PREDNISONE WITH REDUCING DOSAGE OVER PERIODS OF TIME. NTG 1/150 SL PRN, ISORDIL 20 MG.

Customer (name blocked for privacy)

Status: Closed Value: $10

Answer
February 26, 2006 8:07 p.m. (2 hours and 4 minutes later)

REPLIED

I think you know the answer to the underlying condition that is relieved with nitroglycerine - coronary artery disease. A nuclear stress test or cath will see if you reoccluded your stent. GI or esophogeal pain can also create chest discomfort which is relieved by nitroglycerine. Do yourself a favor and make sure your stent , and the rest of your coronaries are unoccluded.

__________________
DrStephanie

S. Sarisky DO. -- Doctor -- 98% Positive Feedback on 505 Health Accepts
board certified family physician 12 yrs

Reply
Sent February 26, 2006 10:56 p.m. (2 hours and 49 minutes later)

APPARENTLY REMAINING CORONARY VESSELS WERE OK. LESS THAN 40% OCCLUSION. COULD ESOPHOGEAL OR GI PROBLEMS CONTRIBUTE TO THE SOB?

Customer (name blocked for privacy)

Reply to S. Sarisky DO.
Sent February 26, 2006 11:00 p.m. (3 minutes and 30 seconds later)

APPARENTLY CORONY ARTIES ARE LESS THAN 405 OCCLUDED. COULD ESOPHOGEAL OR GI PROBLEMS CONTRIBUTE TO THE SOB.

Customer (name blocked for privacy)

Answer
February 27, 2006 7:05 a.m. (8 hours and 5 minutes later)

ACCEPTED

The remaining coronaries were less than 40% - but the stent has the highest incidence of reocclusion in the first 3 - 12 months. So heart is still #1 on the list. In my opinion, GI can also cause sob or at least the perception of sob. so it is still a possible candidate as well. Barium swallow could help to show a problem. I would go after the most lifethreatening first, then work the rest out.

__________________
DrStephanie

S. Sarisky DO. -- Doctor -- 98% Positive Feedback on 505 Health Accepts
board certified family physician 12 yrs

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