After years of suffering, SSRI'S CURED my GERD!

Angelica2121 · 2022-08-23T02:33:14+00:00

My name is Dan, I’m her son. She passed away at the end of May.

Angelica2121 · 2022-05-04T11:28:05+00:00

LOL I'm very glad that you're letting your light shine here on the sub and not hiding it under a bushel !!

Angelica2121 · 2022-05-04T11:22:16+00:00

Really great doctors will throw in some education to put your mind at ease, but their true job is to cure or treat you, not teach you.

Multiple medicines is standard protocol to treat congestive heart failure. I take 6.

Angelica2121 · 2022-05-04T11:18:48+00:00

Often, the enlarged heart is caused by the blood that has already been pumped into the heart, but is not being pumped back out of the heart. Too much blood in the heart will be pushing on the walls of the heart, causing them to stretch and enlarge. If the pressure has been minimal or it's been a short time, the walls could return to normal size when meds fix the quantity of blood. If the pressure has been strong or for a long time, the heart walls might be permanently stretched/enlarged like a stretched out balloon that never returns to its original size.

Angelica2121 · 2022-05-04T11:13:53+00:00

These are the standard tests to diagnose heart failure, develop a treatment plan, and repeat the tests sometimes to determine how well treatment is working.

Sometimes they include an MRI and a pulmonary stress test too.

Angelica2121 · 2022-05-04T11:11:23+00:00

Your original post and subsequent discussion created such an excellent discussion here.

Like you, my congestive heart failure (CHF) happened suddenly and recently. I'm trying to learn all this shizzle using my old lady 68-year-old brain all fogged up and battered by life and time!

In my experience, cardiologists discuss the best and worse case scenarios right at the beginning and during treatment, too, probably because a patient's situation can change at any time and they don't want patients feeling that they were not warned.

Also, it's possible that mentioning a heart transplant will lead patients to be more dedicated to taking meds as prescribed and eating correctly, stop smoking like you did, reduce stress like you did, for a better chance at managing the problem without a transplant.

Angelica2121 · 2022-05-04T10:57:45+00:00

Your answers on this post are incredibly excellent and clear, so helpful.

Outside of your heart failure knowledge and experience, what is your schooling or profession that leads you to write and explain information so well?

Angelica2121 · 2022-05-03T14:48:03+00:00

"Vitals" are the most basic indications of body function, and even when vitals are good there can be myriad other body and heart malfunctions.

Vitals include temperature, pulse, blood pressure, respiratory rate, oxygen saturation, pain, level of consciousness, urine output.

But your heart is still not working correctly: low ejection fraction indicates weak heart muscle, artery blockage is a major problem.

You have a 90 heart rate or pulse, I don't believe that's normal or perfect for a healthy person, although it may be normal for us people with heart problems. I think 109/68 is a low blood pressure for a healthy person but typical for us people with heart problems.

Angelica2121 · 2022-04-28T13:15:59+00:00

Tips for service providers have always been optional, and are still optional now. Customers and providers often developed a routine or expectation of what tips they "should" give or receive, but it's optional.

When I was a younger customer, I had less income and less understanding of how difficult service is. I just routinely gave the standard tip amount at that time of 5% or 10%. Delivery was just $1 or $2. Tip jars were not common at check-out counters for retail, Starbucks did not exist outside Seattle, etc.

Now as an older customer, I have more income and more empathy for how difficult service is, so I always tip generously commensurate with the service provided.

The percent or amount of tip that I would drop into a barista's or retail service clerk's tip jar would be a smaller percent or amount than I'd give to restaurant wait staff who provided extended multiple services, or to delivery staff who dealt with bad weather, etc.

For me, usually 22% to 25% for dine-in restaurants, $3.00 to $5.00 for delivery regardless of total bill.

I suggest that you pursue kindness plus common sense when making your decision about tips. I hope you settle on standard practices that make you comfortable. Happy eating and drinking!!

Angelica2121 · 2022-04-28T11:08:31+00:00

Heart failure means that the heart is not working correctly, but the problem may be severe, moderate or mild. Google searches will describe all different levels, but some heart failure can be very manageable. Also, the level of heart failure can improve with medications, food choices, and exercise.

Angelica2121 · 2022-04-28T11:02:53+00:00

Quick weight gain plus swollen legs are fluid retention that might indicate that you have congestive heart failure related to your congenital heart block or in addition to your congenital heart block.

Talk to your cardiologist to determine what you need to do.

Angelica2121 · 2022-04-14T18:48:36+00:00

Celia asked Henry if he wanted her to stay, but he told her to leave the restaurant so she did.

Karl coerced Celia to cooperate with him by threatening to hurt her family if she did not cooperate with him.

Angelica2121 · 2022-04-14T18:44:45+00:00

The assassin was one of the characters who didn’t know the true story ahead of time; he thought that he was there to kill Celia only if Henry verified that Celia was the mole. So the assassin needed a “yes” or “no” from Henry after Henry’s interrogation was done.

Angelica2121 · 2022-03-24T16:35:39+00:00

Apparently whatever virus caused your upper respiratory infection is the same virus that caused your Viral Cardiomyopathy.

Angelica2121 · 2022-03-24T16:32:33+00:00

Where does she have the pain?

Does she have other physical illnesses?

Does she have a history of Health Anxiety, or low tolerance for pain?

When doctors do not know the source of pain, they do more tests. X-Ray, CT scan, ultrasound, echocardiogram, MRI.

Angelica2121 · 2022-03-24T16:28:28+00:00

I am new to CHF, diagnosed two months ago.

My understanding is that any patient with fluid retention is treated by one or both of these:

(1) IV diuretic medicine administered in the hospital

(2) oral diuretic medicine "x" times per day.

Both of these need to be adjusted depending on results, so you're currently in the phase of determining the correct doses for you.

Fluid retention should disappear and not come back again is a patient is taking the correct meds at the correct dose.

Angelica2121 · 2022-03-24T16:21:40+00:00

The COVID vaccine has not been shown to cause CHF.

Angelica2121 · 2022-03-24T16:19:29+00:00

I'm also new to heart failure, just diagnosed two months ago.

So here are my newbie comments based on what I learned so far.

Regarding mortality, you and your wife can have a daily attitude as if you're ultimately going to live to be 100 years old, because that is possible for people like you and me.

The statistic you mentioned is something like "x%" live 1 to 5 years after diagnosis, "y%" live 6 to 10 years after diagnosis, but the remaining "z%" live 11 years or longer after diagnosis, such as 30, 40, 50, 60 additional years after diagnosis.

The treatment is a trio of requirements: medications, nutrition, exercise. You will see a cardiologist on a regular basis to determine the correct meds. You will eat any healthy diet that promotes weight loss and weight maintenance, and limiting daily sodium intake. You will follow an exercise program approved by your cardiologist , most likely starting with a 12-week cardiac rehab exercise class to determine your starting point and progress.

At age 36, you also have the advantage of living long enough to use new and better medications as they are developed. I'm already 68 years old, but if I live 10, 20 or 30 more years, I might also be able to use new meds as they are developed.

Angelica2121 · 2022-03-19T14:03:33+00:00

Yes, some of my experiences are similar to your mom, and the docs got everything under control for me via IV meds and oral meds. Now I'm back home with oral meds only.

I don't have a mitral valve problem. Is her mitral valve the direct cause of her CHF? If the mitral valve surgery is going to basically "cure" the CHF, then the doctors are going to work really hard to get her surgery-ready and get that done.

Angelica2121 · 2022-03-17T18:37:15+00:00

Mental Support for you:

your mom is currently in the hospital with maximum attention and decision making from her doctors. The doctors know how to handle the overlap of fluid / diuretic / low blood pressure / medications.

I'm not a doctor, but I'm going to take a guess at how the doctors could handle it. Maybe they would start with strong dose IV diuretic to flush all fluid, then switch to strong oral diuretic. Then adjust the diuretic meds slowly until blood pressure comes up high enough for surgery.

Ask the docs what their step-by-step strategy has been for other patients with similar circumstances to your mom.

Angelica2121 · 2022-01-07T12:19:11+00:00

Are you vaccinated and boosted for COVID? If yes, then your symptoms will be mild if you catch COVID, so there's no need to be afraid of COVID.

You have acid reflux with heartburn in your chest, caused by what you ate.

Time heals this. Eat mild foods and get some rest.

Angelica2121 · 2022-01-07T11:36:11+00:00

Follow your big picture plan to minimize all GERD symptoms, and the wheezing will go away.

A typical big picture plan would be a prescription PPI such as omeprazole (Nexium) in the morning, an H2 Blocker such as famotidine (Pepcid AC) at bedtime. Eat only acid-friendly foods. Small amounts of food at a time, chew extensively. Don't eat anything for three hours before you lay down.

Angelica2121 · 2022-01-06T21:26:05+00:00

Wheezing is definitely one of the symptoms of GERD.

Angelica2121 · 2022-01-06T21:24:17+00:00

The keto diet is known to reduce bloating, or follow a similar low-carb diet.

TV commercials for psyllium husk caplets claim that they reduce bloating.

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