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Ask Dr. Saha Your Own Question

Dr. Saha
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 15519
Experience:  30 years of experience
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Hi, I just recently lost my job a few months ago and so my

Resolved Question:

Hi, I just recently lost my job a few months ago and so my employer cut off my medical insurance. I couldn't afford to make my payments with the hospital and the clinic can no longer treat me nor can I see my Internal Medicine Physician. I am having medication withdrawals for 2 weeks off the Bystolic because Walgreens told me they can't provide my prescription without the doctor's approval. My feet are severely swollen after I started my new job and it has been unbearable to walk. I lost my appetite and eat only before and after work so about 13-14 hour intervals. The weather is very humid so I've been burning up with headaches, sometimes I get confused, and I thought maybe it's dehydration? I also have vomiting more lately and experience some chest pain. What is the cause?
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Saha replied 1 year ago.

Dr. Saha :

Hello,

Dr. Saha :

Thank you for your question,

Dr. Saha :

I’m Dr. Saha and I’ll try to help you.

Dr. Saha :

Why were you taking Bystolic?

Dr. Saha :

Are you on any other medicine?

Dr. Saha :

When did the swelling of feet begin?

Customer:

I had to switch a few Physicians the last 2 years. At first, the one Physician when I moved here to Indiana gave me Lisinopril for high blood pressure.

Dr. Saha :

When did the swelling of feet begin?

Customer:

Then a Physician near my hometown back in Chicago gave me Hyzaar which turns out that I had an allergic reaction to that and Lisinopril.

Customer:

The swelling was extreme, I wanna say the last few months but became hard for me to stand or walk short distances after I couldn't get a refill of the Bystolic.

Dr. Saha :

When did you have last tests?

Customer:

Even still the ER doctors and my Physician saw how swollen my ankles can get.

Dr. Saha :

You need an examination by doctor indeed.

Dr. Saha :

The swelling of feet, chest pain needs to be investigated urgently & thoroughly.

Customer:

I had a lab test done months ago. No diabetes & I was on other meds.

Dr. Saha :

Headache can occur from rise of blood pressure.

Dr. Saha :

Chest pain can occur if there is less blood flow to heart.

Dr. Saha :

Swelling of feet can occur if the heart does not work properly.

Dr. Saha :

I am sorry that you do not have insurance.

Dr. Saha :

You can visit a free clinic.

Dr. Saha :

If one does not have insurance, one can visit one of the centers run by the Health Resources and Services Administration.

Dr. Saha :

They provide affordable quality healthcare to people without insurance.

Customer:

Wellbutrin, Progesterone, & painkillers for my back.

Dr. Saha :

You can find a health center near you by clicking the link below
http://www.hrsa.gov/

Customer:

The problem is all the doctors had different opinions.

Customer:

ER doctors suggested I see a Cardiologist.

Dr. Saha :

Yes.

Dr. Saha :

You need to see a cardiologist.

Dr. Saha :

You need to have tests like EKG, echo, blood.

Customer:

Each Physician said my heart rate was normal when on Bystolic.

Dr. Saha :

Bystolic slows the heart rate & can keep it within normal.

Customer:

The hospital had records of my heart rate jumping to 160 beats when I get sick or feverish.

Dr. Saha :

So Bystolic helps in your situation.

Customer:

That was just at rest and my father has irregular heart.

Customer:

He had a few Atrial Fibrilations done.

Dr. Saha :

These are abnormal rhythms.

Dr. Saha :

Bystolic helped you to keep the rate normal. There are other drugs too depending on the condition.

Customer:

I have been telling each Physician I get winded or have 2 areas of pain.

Dr. Saha :

Where are those 2 areas?

Customer:

Right side chest pain and when I bend down sideways only tp the left.

Customer:

*to

Customer:

The right side I can bend over just fine.

Dr. Saha :

Does only bending increase the pain?

Customer:

Yes but also touching the left rib cage area hurts as well.

Dr. Saha :

Pain on touching or bending can be from muscle, cartilage or bone.

Dr. Saha :

You can take tylenol for that.

Customer:

My doctor said it's just a muscle spasm but it's a stabbing pain.

Dr. Saha :

The doctor was correct.

Dr. Saha :
My goal is to provide you with excellent service.
Customer:

If I go to a 24 hour urgent care clinic, how will they diagnose it?

Dr. Saha :

Yes, they will be able to diagnose & treat you.

Dr. Saha :

You should not stay without treatment.

Customer:

What is the caution if my blood pressure is over 220?

Dr. Saha :

This level needs to be treatment on an emergency basis.

Dr. Saha :

This can cause complication like stroke, heart attacks.

Customer:

I work long hours and stay on my feet moving actively.

Customer:

10-12 hour shifts

Dr. Saha :

Long standing can cause swelling of feet. But as you have high blood pressure, heart issues like failure needs to ruled out.

Customer:

My legs are heavy and feet cannot bear standing or even walking.

Dr. Saha :

Collection of fluid can cause heavy feeling.

Customer:

It could be some type of heart disease?

Customer:

Possible blood clots?

Dr. Saha :

That needs to be checked for.

Dr. Saha :

Both are possible.

Customer:

What do you suggest? MRI or CT Scan?

Dr. Saha :

Not at this point. I would suggest to have EKG, echo, blood tests first.

Dr. Saha :

If there’s anything else I can do, please let me know

Customer:

Okay, I'll have someone take me this morning.

Dr. Saha :

Yes, please get an examination soon.

Customer:

Is it possible for me to follow up with you on this condition?

Dr. Saha :

Yes, you can follow up with me on this site.

Dr. Saha :
If you are satisfied, please leave an excellent rating.


Dr. Saha :

Good luck.

Customer:

Thank you for your time! I thought I can hold off another week or two, but I will let you know what they find.

Dr. Saha :

You are always welcome.

Dr. Saha :

Please do not delay.

Dr. Saha :

Please rate my answer as excellent so that I can get compensated for my time & effort.

Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 15519
Experience: 30 years of experience
Dr. Saha and 6 other Health Specialists are ready to help you
Expert:  Dr. Saha replied 1 year ago.
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

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If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.
Customer: replied 1 year ago.

I checked into Urgent Care and the doctor was nice enough to give me 2 months of Bystolic samples until I can afford insurance. My blood pressure was high and they did an EKG on me where my heart was racing a little over. They took care of it and did the blood work so I am doing fine. Thank you!

Expert:  Dr. Saha replied 1 year ago.
Thank you for the follow up.

I am happy to know that you are feeling good.

Best wishes.

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