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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Numb Arm And Fingers With Swollen Face And Heavy Heart A Cause For Concern?

Good evening, I am contemplating going to the er. I have numbness in my left arm and fingertips. it feels like my arm and fingers are sleep. The right side of my face is swollen and bruised. I am short of breath and my heart feels like it is going to come through my chest. I also have a dark tongue and it burns so I have no taste to food? Not sure what is going on?
Mon, 13 Apr 2015
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General & Family Physician,  's  Response
Hi welcome to HCM.
I understand your query and concern.
Congestive heart failure has poor prognosis in all cases if the ejection fraction is under 30%.The overall prognosis in your son's case is marginal since Duchenne muscular dystrophy leads to respiratory complications affecting the cardiac output.Its always advisable to keep the blood pressure under 130/80 mm of hg. Avoid overt treatment to prevent lightheadedness,for this I advise you to have a baseline 2 dimensional echocardiography,ECG,Hs CRP and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6gm/day.Drugs like Frusemide and Digioxin will help to improve the congestive symptoms.Reduce the intake of fatty and fried food.Oatmeal for breakfast 30-50 gm taken in milk daily will clear the accumulated fat.Avoid smoking and alcohol.Semiannual follow ups are advisable on maintenance. Once the above measures are carried out,good survival can be expected.
Consult a Cardiologist for further expert management.
Post your further queries if any.
Thank you.
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Are Numb Arm And Fingers With Swollen Face And Heavy Heart A Cause For Concern?

Hi welcome to HCM. I understand your query and concern. Congestive heart failure has poor prognosis in all cases if the ejection fraction is under 30%.The overall prognosis in your son s case is marginal since Duchenne muscular dystrophy leads to respiratory complications affecting the cardiac output.Its always advisable to keep the blood pressure under 130/80 mm of hg. Avoid overt treatment to prevent lightheadedness,for this I advise you to have a baseline 2 dimensional echocardiography,ECG,Hs CRP and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6gm/day.Drugs like Frusemide and Digioxin will help to improve the congestive symptoms.Reduce the intake of fatty and fried food.Oatmeal for breakfast 30-50 gm taken in milk daily will clear the accumulated fat.Avoid smoking and alcohol.Semiannual follow ups are advisable on maintenance. Once the above measures are carried out,good survival can be expected. Consult a Cardiologist for further expert management. Post your further queries if any. Thank you.