My wife suffering PAH. It has been diagnosed on last week. But she is not accept the reality and not willing to take medicine properly. Is it any psychologist can help this condition? Is it anybody in Thrissur, Kerala. Or any telephone counselling can possible on this situation.

Dr. Paramjeet SinghCardiologist9yrs exp

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Pulmonary hypertension (PAH) is high blood pressure in the arteries to your lungs. It is a serious condition. If you have it, the blood vessels that carry blood from your heart to your lungs become hard and narrow. Your heart has to work harder to pump the blood through. Over time, your heart weakens and cannot do its job and you can develop heart failure. Symptoms of PH include Shortness of breath during routine activity, such as climbing two flights of stairs Tiredness Chest pain A racing heartbeat Pain on the upper right side of the abdomen Decreased appetite As PH worsens, you may find it hard to do any physical activities. There are two main kinds of PH. One runs in families or appears for no known reason. The other kind is related to another condition, usually heart or lung disease. There is no cure for familial PH. Treatments can control symptoms. They involve treating the heart or lung disease, medicines, oxygen, and sometimes lung transplantation. So I will advise you to get her evaluated to check for heart and lung diseases and if you find some and get her treated for that as soon as possible.  

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