How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29637
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
5625079
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

I have a tremor in my right hand, irregular heartbeats/palpitations

Customer Question

I have a tremor in my right hand, irregular heartbeats/palpitations especially at night, chest pain on my left side, a cough that makes me get sick at times, edema in my lower extremities or feet, extreme anxiety and panic disorder, bladder incontinence, swooshing noises coming from my body or head when I get up or arise. What could this be indicative of? I have seen a cardiologist who suggested that I have an enlargement on my right side of my heart with something funny going with the valve. I have seen a pulmonary specialist who stated that there is borderline interruption of the flow of oxygen.
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 5 years ago.

Greetings.

 

What did your echocardiography show? Were lung function tests or lung scan done?

 

What are the medications you are taking?

 

Since how long are these symptoms?

 

Do you have diabetes and high blood pressure?

 

Dr. Arun

Customer: replied 5 years ago.

One doctor examined the readings and stated that my heart was fine, another suggested an enlargement of the heart on the right side. He also noted that there was something funny about the valve and suggested an MRI of the heart to get a clearer picture or reading.

 

I am on albuterol, naproxen, oxybutin, fluorexide or prozac, mucinex (over the counter) and on several vitamins for fibromyalgia. I have on pills for blood pressure or edema.

 

I was also diagnosed with staph on the hand,(not MERSA) several months ago and was worried that it could affect my heart or lungs. I have shortness of breath and heart palpitations or heart arrthymia. I also had rheumatic fever at age 8 and was on penicillin tablets for ten years until age 18. The symptoms begin at night and run throughout the day. It has been going on for several months with the edema or swelling in the legs the past three years.

I also had a blood clot in the leg removed three years ago when I had the fractures.

Customer: replied 5 years ago.

I also was told that it could be the start of a disease so I need to know if the tremors could possibly be related or if high anxiety could cause the tremor in my right hand.

I don't have diabetes or high blood pressure.

Expert:  Dr. Arun Phophalia replied 5 years ago.

Greetings.

 

All of your symptoms and past history of rheumatic fever in childhood is more suggestive of valvular disease of the heart and associated right ventricle enlargement. With a family history of congestive heart failure (CHF), this further substantiates the CHF. This heart affection can secondarily affect the lungs. MRSA is unlikely to affect your heart and lung and being responsible for these symptoms. People who had past history of lung affection like walking pneumonitis, they do have decrease in lung functions. The respiratory disorders like bronchitis can be associated with the heart disease but your present clinical manifestations are more of related to CHF. Tremors seems to be more related to the anxiety and your neurological examination in all likelihood should be normal.

 

Please feel free for your follow up questions.

 

Dr. Arun

Customer: replied 5 years ago.
Is there any direct test that could clearly indicate that I have CHF or heart disease and if so, how will this affect my life expectancy? Does CHF reduce or shorten my life span?
Expert:  Dr. Arun Phophalia replied 5 years ago.

Hello,

 

Proper medications like beta blockers, digitalis and frusemide etc will keep the things under very good control and life expectancy is near normal and would not shorten it. Echocardiography is good enough for direct evidence of CHF.

 

It is pleasure assisting you.

 

Dr. Arun

Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29637
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Dr. Arun Phophalia and 4 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery