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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosis Of C.O.P.D. Brain Naturetic Peptide Mild Aortic Stenosis, Edema, Low BP. Given Furosimide. Cause?

father 87 has a diagnosis of C.O.P.D. Brain Naturetic peptide 230 mild aortic stenosis had edema stage 2 pitting on extremities also some edema on arm an near clavicle , pulse oxygen 94% b.p.. 117/68 morning 132/84 respiration 20/minute, pulse 60-72per minute, afebrile given 20 mg furosimide(first time use since 2009) upon ausculation crackles on lower lobes of lungs, eating well no fever chest x-ray shows no infiltrate congestion or fluid crackles seem to diminish a bit what is the most likely cause. Not hypertensive uses no medication accept paxil, remron , exelon, oxazepam , prevacid, and breathing treatments with albuterol and ipratropium bromide. Seldom has edema yet less ambulatory with the oxazepam(which we will try and taper) most likely cause of this recent fluid increase.
posted on Wed, 8 May 2013
Twitter Wed, 8 May 2013 Answered on
Twitter Thu, 9 May 2013 Last reviewed on
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Cardiologist,  's  Response
Dear patient,

Thanks for your health concerns. There are several causes of edema, but definitely the most common are liver failure, kidney failure, heart failure and venous insufficiency; patients with advanced COPD who retain carbon dioxide on a chronic basis can also suffer from peripheral swelling. Basic testing can be done to check kidney and liver function, including albumin (main protein in the blood), an echocardiogram or heart ultrasound can detect abnomal pumping or relaxing function related to edema, and an examination by a health care provider can detect if there are signs of venous insufficiency on the legs.

Hope this basics are useful, wish you and your father the best health,

Dr Brenes Salazar MD
Mayo Clinic Rochester
Division of Cardiovascular Diseases
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Diagnosis Of C.O.P.D. Brain Naturetic Peptide Mild Aortic Stenosis, Edema, Low BP. Given Furosimide. Cause?

Dear patient, Thanks for your health concerns. There are several causes of edema, but definitely the most common are liver failure, kidney failure, heart failure and venous insufficiency; patients with advanced COPD who retain carbon dioxide on a chronic basis can also suffer from peripheral swelling. Basic testing can be done to check kidney and liver function, including albumin (main protein in the blood), an echocardiogram or heart ultrasound can detect abnomal pumping or relaxing function related to edema, and an examination by a health care provider can detect if there are signs of venous insufficiency on the legs. Hope this basics are useful, wish you and your father the best health, Dr Brenes Salazar MD Mayo Clinic Rochester Division of Cardiovascular Diseases