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Any nurses, paramedics or doctors in the house? Question about ...

 
Anonymous Coward
User ID: 67222728
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06/08/2015 09:39 PM
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Any nurses, paramedics or doctors in the house? Question about ...
About 2.5 years ago, I ended up in the hospital with congestive heart failure, a heart attack and atrial fibrillation (which apparently had been going on for some time). When I entered the hospital via the ER, my heart was pumping just south of 20% of capacity and I could barely breathe because I had retained so much fluid in my lungs. After my two-week stay, it was pumping close to 30% and has remained about the same ever since. The cardiologists performed a cardioversion 11 times without any success and decided against ablation and a pacemaker for fear that I would not survive the surgery. I went home with a ton of medications, most notably Tikosyn which by itself can kill you. After about a year, the cardiologists discontinued the aforementioned med because they felt that, if it were going to convert my heart to sinus rhythm, it would have done it by then. All the other meds have stayed the same and for the most part, so have I. That is, I've never truly "recovered" because my heart's pumping capacity remains in the 25% to 30% range. I have good and bad days and generally have learned to live with afib.

Prior to going to the hospital, I never noticed any swelling in my legs and/or feet, though the cardiologist remarked on it a few times. For the last couple months, if I am standing or sitting in a standard upright chair (meaning feet on the floor), my legs blow up like balloons from the knees to the toes. Some days or worse than others and the only way to prevent the swelling and/or get rid of it is to sit in a chair with my feet propped up to about heart level or to recline or lie in bed. Today, though, seemed especially bad. I had been working about my desk for about six hours and as the day wore on, I could feel legs "filling up." I did get up and down a few times to stretch, use the restroom, get a drink and so on. When I finally called it a day, I went to change into pajamas and noticed that my legs from the top of my socks to my knees had turned yellow -- the kind of yellow you see when a black-and-blue bruise is healing. After I reclined in a chair for about four hours, my legs were no longer so swollen and the discoloration was no longer visible.

So, what happened? Why am I swelling so badly and what's with the yellow coloring?
Anonymous Coward
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06/08/2015 09:47 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
Don't seek medical opinions/advice online, especially from a bunch that are considered the lunatic fringe.

That is all you need to read here.
Anonymous Coward
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06/08/2015 09:49 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
colloidal nano silver
Amazng1

User ID: 69282332
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06/08/2015 09:50 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
I had CHF and you need to cut your salt intake and lose
Weight.I lost 65lbs and it made a big difference. You just
have to eat healthy. Try to exercise the best you can.
Anonymous Coward
User ID: 884489
United States
06/08/2015 09:59 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
#1 (talk to your doctor ) you (may need to ) go to the best chf (congestive heart failure )clinic
That checks your heart function and tries different medication to optimize your heart function!
#2 (you may need to )get on heart transplant list as soon as possible
#3 best possible self care (talk with you doctor)( he may suggest )
No smoking , chewing , alcholol , start on mid eastern diet ( no bad oils ! )
Anonymous Coward
User ID: 69456488
United Kingdom
06/08/2015 10:17 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
Fluid accumulation. Like the poster above said - lay off the salt, healthy diet and gentle exercise. Try some compression socks from a sports retailer.
Anonymous Coward
User ID: 45756425
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06/08/2015 10:38 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
Like most have already said here, you really need to do whatever it takes to lose weight and cut that salt intake- those are the most natural things you could do to help CHF.

While you may not have had swelling before, the fact that it's worsening means your CHF is also getting worse. You really need to get checked out asap (not asap like run to an ER, but make an appointment this next week). Yellow coloring is usually indicative of liver issues, but the fact that it disappears...kinda weird. Does it happen when your legs are pretty much at the max swollen point? Sometimes the skin is stretched so far that it can appear yellow or brown. Compression stockings can help your swelling and also help your heart (your heart doesn't have to work so hard to 'pull' the fluid back from your legs)- they're pretty uncomfortable but if you can stand it, wear them as often as you can!!

AFib is a shitty thing to deal with, especially since it seems like surgery and meds aren't options. Now, I'm going to be perfectly blunt here-while your doctors don't necessarily believe you'll survive ablation or pacemaker, you really have to consider the risk vs benefit- you *might* not make it thru the surgery, but you'll definitely not make it long with 25-30% capacity...it really might be worth it to get a second, or third, opinion.

Hope you can get these heart issues under control! :)
Anonymous Coward
User ID: 69455263
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06/08/2015 10:50 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
Get off glp and research Magnesium, osmolarity, and jaundice, now.

Magnesium first.



[link to a-fib.com]
Mineral Deficiencies

When you have A-Fib, a sensible starting point may be to check for chemical imbalances or deficiencies. A deficiency in minerals like magnesium or potassium can force the heart into fatal arrhythmias.


Your body uses salt ions to process water through your kidneys and is necessary for proper function.

Jaundice can be treated with sunlight but can have serious health consequence if the cause is not treated.


Jaundice definition

Jaundice is a yellowish discolouration of the skin, mucous membranes and of the white of the eyes caused by elevated levels of the chemical bilirubin in the blood (hyperbilirubinemia). The term jaundice is derived from the French word jaune, which means yellow. Jaundice is not a disease per se, but rather a visible sign of an underlying disease process. Jaundice is typically seen when the level of bilirubin in the blood exceeds 2.5-3 mg/dL (milligrams per deciliter).

[link to mcb.berkeley.edu (secure)]

Fluid and Electrolyte Balance

The kidneys are essential for regulating the volume and composition of bodily fluids. This page outlines key regulatory systems involving the kidneys for controlling volume, sodium and potassium concentrations, and the pH of bodily fluids.

A most critical concept for you to understand is how water and sodium regulation are integrated to defend the body against all possible disturbances in the volume and osmolarity of bodily fluids. Simple examples of such disturbances include dehydration, blood loss, salt ingestion, and plain water ingestion.
Anonymous Coward
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06/08/2015 10:54 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
Anonymous Coward
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06/08/2015 10:56 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
You may be having blood clots, especially since your heart is not functioning well enough to circulate the blood properly. You need to contact your physician, especially if the area is hot to the touch. Ask your physician about Epsom salt baths. Epsom salt is actually magnesium and can reduce swelling.
Anonymous Coward
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06/08/2015 10:57 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
Anonymous Coward
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06/08/2015 11:02 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
Fluid accumulation. Like the poster above said - lay off the salt, healthy diet and gentle exercise. Try some compression socks from a sports retailer.
 Quoting: Anonymous Coward 69456488


Compression socks are sooooo great I wear them and don't even have anything wrong with me. Well, mentally maybe but my calves feel awesome!
MouseyMoo
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06/08/2015 11:07 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
I work in healthcare and have a lot of experience working with people that have CHF. Three of the most important things you can do are daily weights, reading food labels and monitoring fluid intake.
Weigh yourself everyday first thing in the morning after voiding. Some doctors will make changes to your meds if you have a weight gain of 3 or more pounds overnight or 5 pounds in a week. Weighing yourself daily will detect early fluid accumulation, before the more obvious sign of edema.
You have to read food labels and start to monitor the amount of sodium. Many foods that you may think are healthy are loaded with sodium. I am not sure what the recommended daily intake of sodium is for people with CHF but that is something your doctor can discuss further with you.
Also, start to measure the amount and type of fluids you are consuming. Talk to your doctor about daily fluid restriction.
Are you taking any diuretics?
I have met a lot of people that have learned how to manage the CHF and had a good quality of life.
Let me know if you have any more ?'s.
Anonymous Coward
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06/08/2015 11:08 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
Anonymous Coward
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06/08/2015 11:19 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
Former paramedic... Swelling and discoloration in lower extremities is edema (swelling from fluid). The fluid is from your blood circulating in your lower extremities and not having enough pump pressure from the heart to force it up due to gravity. This is called gravity dependent edema and is very common in CHF (congestive heart failure)patients. Your heart (usually the left ventricle IIRC)is unable to push the blood back up from legs to the heart due to either damage or disease. This is a vicious cycle to be in.
I'd guess you may be on a diuretic (water pill) to help get rid of some of the fluid, but that would also depend on blood pressure/kidney function. That may help, but you should definitely have some TED hose (compression socks) to help with the circulation in your lower legs and if able you need to ambulate (walk) several times a day. That helps a lot too.
W/o knowing much more of your history or your age, it's hard to say what is definitely going on with you.... I am of course, not a Dr. either, so take what I've said as only a retelling of what I have seen in the field in my past experience and what we would have to do in the hospital per the physician.
Good luck...I hope you begin to feel better.
Anonymous Coward
User ID: 47855495
United States
06/08/2015 11:28 PM
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Re: Any nurses, paramedics or doctors in the house? Question about ...
Also, I noticed you said you were diagnosed with a-fib. Atrial fibrillation pts. tend to throw clots. Your doc should have you wearing some kind of TED hose (Thrombo-Embolytic Deterrent)to help keep those clots from forming in your legs & traveling into your lungs. Again, light activity as tolerated helps a lot in prevention of the swelling & clots too.
You should really be asking your physician all these questions.... they would know all of your pertinent history and condition so they could recommend a plan of action that would be able to be implemented w/o possibly doing more damage.
Again, I wish you well.





GLP