Download FREE Practo app
Get ₹200 HealthCash
Restlessness and fast breathing
My 80-year-old father has recurrent episodes of rapid breathing and restlessness, mainly in the evening after lunch and afternoon sleep. He was hospitalized previously with severe breathlessness, diagnosed with acute LVF, and underwent coronary angiography. No angioplasty or repeat bypass was advised. He had bypass surgery 20 years ago. His oxygen saturation remained 98–99% during hospitalization. He also has chronic acidity, constipation, and a history of gastritis. Dytor 10 mg, previously prescribed SOS, was restarted recently as symptoms returned. Could these episodes be cardiac, pulmonary, or gastrointestinal in origin? Why does he remain relatively normal during the first half of the day? What further tests, treatment, or medication adjustments are recommended?
Answers (11)
.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+145
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
AGE RELATED ISSUES CONSULT IN GAEREIATIC CONSULTATION IS ADVISABLE.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Needs In person evaluation...
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
He seems to be having chronic lvf, needs dytor daily.
Please share details of his medical history, test results, then I can guide further to heal.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hello,
Take Balanced diet.
For diet details and ePrescription consult by practo app.
Thanks.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Divyansh Jain
General Physician
1 yrs exp
Ghaziabad
Hello,
Given your father's age (80 years) and history of coronary bypass surgery and acute left ventricular failure (LVF), his recurrent episodes of rapid breathing and restlessness require careful cardiac evaluation.
Possible causes include recurrent heart failure, intermittent arrhythmias, or cardiac ischaemia. Gastritis and acid reflux may contribute to discomfort after meals, but cardiac causes should be prioritised.
Symptoms appearing after lunch or afternoon sleep may be related to lying down, fluid redistribution, or medication timing.
Importantly, normal oxygen saturation (98â99%) does not rule out heart failure or cardiac ischaemia.
His previous angiography not requiring further intervention is reassuring but does not exclude recurrent cardiac problems.
Next Steps
Arrange an cardiology reassessment. If he is currently breathless, visit the emergency department immediately. Investigations may include ECG, 2D echocardiography, chest X-ray, BNP/NT-proBNP, kidney function, and electrolytes. Consider Holter monitoring if intermittent arrhythmias are suspected. Review his latest ejection fraction (EF), angiography findings, and complete cardiac medications. Monitor daily weight, blood pressure, pulse, ankle swelling, and episodes of breathlessness. Gastrointestinal causes can be evaluated after important cardiac and pulmonary conditions are assessed.
Health Tips
Avoid heavy meals and lying flat immediately after eating. Elevating his upper body may help if symptoms worsen while lying down. Dytor 10 mg (torsemide) helps remove excess fluid, but inappropriate use can cause dehydration, electrolyte disturbances, and kidney dysfunction. Do not independently restart or adjust Dytor unless this follows his cardiologist's existing instructions. Seek emergency care for severe breathlessness, chest discomfort, fainting, confusion, or worsening symptoms. My recommendation: Given his cardiac history, recurrent heart failure and arrhythmias should be excluded before attributing these episodes to acidity. A timely cardiology review and medication optimisation are essential. Wishing your father good health!
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.