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Dr. Brims
Dr. Brims, U.S. Licensed Physician
Category: Health
Satisfied Customers: 9611
Experience:  U.S. Licensed Physician, general surgery and internal medicine experience
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blood..discharge..her hands swelled and she was put on a water pill

Resolved Question:

My 87 year old mother was released from the hospital Sunday 11/28 following admission for pneumonia. She was also found to be anemic, has thyroid problem, high blood pressure and takes coumiden because of a history with blood clots. Prior to her discharge from the hospital her hands swelled and she was put on a water pill. Now she urinates constantly but her feet and ankles have become very swollen. What's happening here?
Submitted: 6 years ago.
Category: Health
Expert:  Dr. Brims replied 6 years ago.

Dr B :

Hello, welcome to Justanswer, I will try to assist you with your medical question, and any medical information you seek

Dr B :

When did the swelling start?

JACUSTOMER-ps4jqbn0- :

about 4 - 5 hours ago, I think.

Dr B :

is it edema?Any redness or pain?

JACUSTOMER-ps4jqbn0- :

Hold on while I go upstairs to check.

Dr B :

ok

JACUSTOMER-ps4jqbn0- :

she says her feet have be getting more swollen since this morning. no pain or redness.

Dr B :

what medications is she taking?

JACUSTOMER-ps4jqbn0- :

meds shes taking in addition to coumedin; levothyroxine 50 mg/furosemide 20mg/avelox 400mg

JACUSTOMER-ps4jqbn0- :

and methylprednisolone tablets 4mg

Dr B :

Why does she take methylprednisonone?

JACUSTOMER-ps4jqbn0- :

i do not know. its a 6 day regemine prescribed when she was discharged Sunday. She took 6 pills Monday, 5 pills today, 4 pills tomorrow, 3 pills, 2 pills etc

Dr B :

Does she take any other medications?

JACUSTOMER-ps4jqbn0- :

albuterol through an inhaler as needed. I misspelled the drug she takes for the six days. it is methylprednisolone. no other drugs

Dr B :

What dose of lasix is she on?

JACUSTOMER-ps4jqbn0- :

If methylprednisolone is lasix she has finished day 2.

Dr B :

Lasix is furosemide

JACUSTOMER-ps4jqbn0- :

day 2. I don't know if she started taking it in the hospital.She began it monday, yesterday.

Dr B :

I mean is she taking 20 mg once a day or twice daily

JACUSTOMER-ps4jqbn0- :

she is on 20mg 1 daily.

Dr B :

When you press down on the swollen area does it leave an indentation that stays for a few seconds?

JACUSTOMER-ps4jqbn0- :

no. not giving with pressure.

JACUSTOMER-ps4jqbn0- :

we release she is not taken her procardia in the morning since sunday.

Dr B :

This may be a sign of her heart failing, and it may indicate that she needs to be on the appropriate medications like a beta blocker and an ACE inhibitor.It may also be due to her not taking her procardia as well. I think it would be wise for her to have an echocardiogram if she has not had one. She may also need a higher dose of lasix

JACUSTOMER-ps4jqbn0- :

we realize she has not taken the procardia since sunday!

Dr B :

Has her blood pressure been stable?

JACUSTOMER-ps4jqbn0- :

Not while she was in the hospital. I don't have the capability to take her blood pressure at home. She had numerous heart test in the hospital and was cleared . I think we have made a mistake by not taking the procardia.

Dr B :

I think she should re-start it right away if she was supposed to be taking it

JACUSTOMER-ps4jqbn0- :

Will do. and will continue. Anything else?

Dr B :

No, just the other things I mentioned as well

JACUSTOMER-ps4jqbn0- :

When should I see the impact of the procardia? 12 hours, 24 hours?

Dr B :

24-48 hours

JACUSTOMER-ps4jqbn0- :

So the swelling may remain until tomorrow evening? She has a doctor appointment Thursday at 1:30PM

Dr B :

Yes it may remain until tomorrow evening

JACUSTOMER-ps4jqbn0- :

okay. I'm good. Gotta go give her the procardia now. Thanks

Dr B :

You're welcome
Let me know if you have any more questions or concerns

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