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I need the second opinion for my old aged mom (almost 95 years). She is suffering from all these symptoms those are mentioned below. Loss of appetite means she doesn't have the same desire to eat as she used to. Signs of decreased appetite include not wanting to eat, unintentional weight loss, and not feeling hungry. The idea of eating food may make she feels heartburn, gastroesophageal reflux disease (acid reflux) as if you might vomit after eating. She is mostly indigested whatever she takes. I am worrying she might get gastrointestinal (gi) bleeding, sometimes. She is taking pantocid 10 mg (a.c.) half and an hour before every meal. Her lung is filling with fluid (water) and she gets pulmonary edema and that make her feeling shortness breath and tightness is chest and get chest pain as well. She is taking lasix (furosemide) 10 mg (q.d.) to get rid of that extra fluid retention. She gets hypertension (high blood pressure) and is taking amlodipine (norvasc) 5 mg b.i.d. And for the heart related issues, she is taking metaguard 20 mg, monotrate 20 mg (1 tablet each) a.c. When she is taking the lasix, we have to put on hold for the (amlodipine). When the cardiologist took her the e.c.g and angiography (echocardiogram), he found the narrowing of the pulmonary valve opening i.e. Pulmonary stenosis. Firstly, he suggested us to do the pulmonary valve replacement. Due to her weakness and older age, the doctor is recommended to do so. Again, the doctor mentions she might get the chest pain due to her vitamin-d deficiency. It causes the inflammation of the cartilage in the rib cage (costochondritis). She has to take pain killer to release and comfort herself. One or two months ago, she was admitted to the hospital due to her continuous chest pain and shortness and tightness of breath. Then she got fainted. May be she got mild heart attack. After the blood test and angiogram results, it stated clotting of blood in the heart. The blood clot completely obstructs a coronary artery supplying blood to her heart muscle. The doctor also stated magnesium deficiency is heart arrhythmia that was weakening her heart muscle. When her heart can't pump enough blood to meet her body's needs, blood flow slows which can cause clots to form. The doctor injected her blood thinning medication and kept her relaxed in the hospital for about two weeks with a nasal cannula attached to the oxygen supply. After that episode, her physician prescribes her clopilet a 75 mg (q.d.) for thinning blood to avoid the clotting of blood. Due to the medications, her liver gets much toxins, that make her histamine level is high can cause pruritus and dryness. She is always complaining the itchiness most of the time. Whenever she causes the episodes of angina in order to prevent the angina from occurring, we apply nitroglycerin spray to her several times either day or night. Is there any other option to release her chest pain? How about the oxygen therapy? What we should do for her great health. No one wants to see his parent severe suffering with great sorrow. Please assist me with your precious, valuable sound suggestion with earliest response. Thank you very much in advance.


1Doctor Answered
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