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Depression
Sirs
Male, age 59 and was a Heavy alcoholic for over 20 years . Recently I noticed whenever I used to take alcohol my breathing problem started even if I walked 50 meters. Echocardiography done and found Diastolic Dysfunction Grade 1. Parameters
AOD 2.97cm
LAD 3.82cm
RVID 1.73cm
IVSD 1.32cm
LVIDD 4.38cm
LVPWD 1.38cm
LVIDS 2.08cm
LVEF 61%. Now
I have left alcohol totally, Surprisingly it is noticed that my Breathing problem Does Not Occur EVEN I Walk 3 to 4 km.
It Only Occurs Mildly if I CLIMB Many Stairs or Do Any HARD Work. After leaving Alcohol I was badly suffering from Depression, one Doctor Phychritist prescribed Sertraline 50 OD, Desvenlafaxine 50
BD , Lurasidone 40 Od.
1) Sir, now I am fine but why these medicines prescribed. 2. Whether this Diastolic Dysfunction can be improved if I lead an alcohol free life and Now any CT angiography is required. I am a Non smoker. Please advise. Regards
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When you have left alcohol, withdrawal symptoms persist that sometimes mimic as depression or Amotivation syndrome
Now You should consult the psychiatrist, gradually medications will be tapered and for alcohol abstinent some therapy as relapse prevention or motivation enhancement therapy must be planned
For echographic findings, you must consult a physician or cardiologist for expert opinion that will give opinion regarding need of ct angiography if needed
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Hello Sir
Medicines are given to help you heal and overcome the situations and issues you are going through your emotions
And diastolic functions can be improved if you lead alcohol free life
But body needs some medicines to recover from the ill health caused due to alcohol
Next Steps
kindly contact me on seven nine seven four six zero eight one nine nine or kindly consult online for further management and treatment
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Your concern is genuine. My advise is to get a cardiology consultation regarding your heart problems in the past and to get a psychiatrist consultation to check whether these medications are needed or not. For further discussion, please book an appointment with Dr Tanve Garg, MD Psychiatry
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Sir Actually there is one disorder called alcohol induced depression ,So either you are suffering from this or clinical depression.These medications are prescribed just to help you cure depression and related issues.
FOR Cardiac issue cardiologist will be a better person to answer your question...Try not to take alcohol again..and maintain complete abstinence
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