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This is regarding my father’s ( age 79 ) fast breathing problem, which usually happens after his afternoon sleep and after minor activities like bathing or using the toilet.
I am sharing his echocardiography report, whole abdomen USG report, and chest X-ray (PA view) and CBC report for your review.
I would be very grateful if you could kindly share your valuable opinion and guidance.
Answers (15)
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Yah these all are CHF features. Which medicines is he taking currently
Need detailed history for consultation.or you can consult with cardiologist.
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Emergency, consult superspecialist like cardiologist
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Need a few more details please consult for further evaluation and treatment
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Looks like he has developed Heart Failure with water pooling in his body and lungs.
Do the following,
1. Lasix (Furosemide) 40mg once a day for at least two weeks
2. ECG test
3. Blood tests: KFT, TSH
4. Will need a physical examination by a doctor and additional medications for heart failure
All the best.
www.jgsr-health-education.in
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Based on the reports:
Next Steps
This is not an emergency unless:
• Breathlessness at rest
• Oxygen saturation < 92%
• Swelling increasing rapidly
• Chest pain
Otherwise:
Immediate Steps:
✔ Review with cardiologist urgently (not routine — but within days)
✔ Optimize heart failure medications:
• ACE inhibitor / ARNI
• Beta blocker
• MRA (spironolactone)
• SGLT2 inhibitor
• Diuretics (very important here)
✔ Check:
• Serum creatinine
• Potassium
• NT-proBNP (if available)
• Repeat chest X-ray if worsening
Fluid restriction may be required.
Health Tips
Until review:
✔ Monitor:
• Daily weight
• Urine output
• Swelling
• Breathlessness grading
✔ Reduce salt intake strictly
✔ Avoid excess fluid
✔ Elevate head while sleeping
✔ Avoid heavy bathing exertion
Breathlessness after sleep happens because:
• Fluid redistributes into lungs in supine position
If breathlessness worsens suddenly, go to ER.
⸻
Important
This is manageable but requires structured heart failure protocol treatment.
If you share:
• Current medications
• BP readings
• Oxygen saturation
I can guide more specifically.
Given his age and current findings, a proper cardiology-guided optimization can significantly improve symptoms and quality of life — do not delay consultation.
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He already underwent cabg
Heart failure is also there
It looks like he’s in fluid overload state
His medications need to be adjusted
Kindly consult for guidance
Or consult nearby cardiologist
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The reports suggest that his heart pumping is reduced, which can cause fluid collection and fast breathing after activity. This needs proper heart treatment and regular follow-up.
Next Steps
Please consult a cardiologist soon for medication adjustment and further care.
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He has slightly enlarged left ventricle, prostate, grade 1 fatty liver, bilateral renal cysts.
Please share detailed medical history, meds taken results of his kidney and liver function tests, cbc results not visible. then I can help to heal.
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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He has breathing issue due to pleural infusion...water is accumulate around his lungs...
And it is also affecting his heart also..
And his prostate got enlarged
With fatty liver..
You better need to consult cardiologist and pulmonologist..so they can help him better by seeing his condition
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Consult cardiologist
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Heart failure
Pls have physical examination with nearby cardiologist
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