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Suggest Treatment For Swelling In The Ankles And Feet

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Posted on Wed, 15 Feb 2017
Question: I had taken Ambiance for years, breaking in half & taking balance when I awakened at 3 or 4 in the am...
Have had 4 episodes of passing out after consuming 1/2 glass wine...could the blanking episodes be related?
Also, can the Ambian show up when having eye exam?
doctor
Answered by Dr. Olsi Taka (20 minutes later)
Brief Answer:
No relation with fainting after the wine.

Detailed Answer:
I read your question carefully and I understand your.

I do not think that the fainting episodes are related to the use of Ambien, not in the quatity you mention. Also its effects last for about 7-8 hours, so since as I suppose you haven't had that glass of wine in the night the two shouldn't be related.

I believe some other cause should be searched for those passing out episodes. They are commonly related to low blood pressure. Alcohol may contribute as it dilates skin blood vessels and there is less blood for other organs including the brain. However other causes may be involved such as heart arrhythmias, orthostatic hypotension, metabolic alterations etc. So should speak to your doctor about having some routine tests such as EKG, blood count, sugar, liver and kidney function, electrolyte panel as well as blood pressure measurements supine and standing. If those result normal 24 hour Holter EKG monitoring and an EEG may be considered.

Regarding the eye visit the answer is no, there is no way Ambien will show up on that visit.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (30 hours later)
A couple of weeks ago I noticed that both ankles & feet were swollen....Dr thought it might be related to need to add a higher dose of Synthroid... Did blood work & thyroid seems ok. I am taking Amiodarone & wonder if all of this is related?
doctor
Answered by Dr. Olsi Taka (52 minutes later)
Brief Answer:
Read below

Detailed Answer:
Thank you for the additional information.

That info reinforces the possibility of a heart rhythm issue being a cause for the passing out episodes. Patients with thyroid issues commonly have problems with heart rhythm, the fact that you are taking Amiodarone confirms that you have a heart rhythm issue. So EKG and prolonged 24-48 hour Holter EKG remain recommended.

As for the swelling of the ankle and feet, they may be related to low thyroid function which I suppose is why the doctor wanted to raise the dosage of Synthroid although if test results are completely normal that shouldn't be necessary.
I do not know if there are other drugs which you hadn't mentioned at first, some medication like Amlodipine can lead to swelling as well. Other causes to be considered are kidney or liver issues, heart failure, low protein concentration, however I am assuming these would've been noticed by your doctor.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Suggest Treatment For Swelling In The Ankles And Feet

Brief Answer: No relation with fainting after the wine. Detailed Answer: I read your question carefully and I understand your. I do not think that the fainting episodes are related to the use of Ambien, not in the quatity you mention. Also its effects last for about 7-8 hours, so since as I suppose you haven't had that glass of wine in the night the two shouldn't be related. I believe some other cause should be searched for those passing out episodes. They are commonly related to low blood pressure. Alcohol may contribute as it dilates skin blood vessels and there is less blood for other organs including the brain. However other causes may be involved such as heart arrhythmias, orthostatic hypotension, metabolic alterations etc. So should speak to your doctor about having some routine tests such as EKG, blood count, sugar, liver and kidney function, electrolyte panel as well as blood pressure measurements supine and standing. If those result normal 24 hour Holter EKG monitoring and an EEG may be considered. Regarding the eye visit the answer is no, there is no way Ambien will show up on that visit. I remain at your disposal for other questions.