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Rheumatic heart disease
Can patients with rheumatic heart disease not drink a lot of water?
The early manifestations of rheumatic heart disease include rheumatic myocarditis or pericarditis, sometimes accompanied by significant pericardial effusion. In later stages, there may be thickening of the pericardium, presenting as constrictive pericarditis. Some patients may also develop severe mitral stenosis, aortic stenosis, or insufficiency. When the disease reaches a certain level of severity, the patient can experience cardiac failure and systemic sodium and water retention. In such cases, it becomes necessary to control water intake. Therefore, in the early stages of rheumatic heart disease when there is no cardiac failure, it is possible to drink more water. However, when patients experience severe cardiac failure, edema, and similar conditions, it is not advisable to drink excessive amounts of water.
What to do about rheumatic heart disease joint pain?
If the patient has a history of rheumatoid arthritis or rheumatic heart disease, symptomatic treatment is primarily used in their treatment. If the patient experiences joint pain, it is suggested that they can use some non-steroidal anti-inflammatory drugs (NSAIDs) to control their symptoms. Another approach is to recommend Chinese herbal medicine treatments, including acupuncture and massage to relieve joint pain. Since rheumatic heart disease mainly manifests as a cardiac condition, particularly when the patient experiences palpitations and chest tightness, it is crucial to actively manage these symptoms using cardioprotective drugs or positive inotropic drugs to improve cardiac function.
What should I do if I have dizziness and nausea due to rheumatic heart disease?
If a patient with rheumatic heart disease experiences dizziness, fatigue, nausea, and vomiting, these symptoms require active management. The current treatment for rheumatic heart disease primarily focuses on symptomatic treatment. It also involves the use of medications that improve heart function and reduce cardiac load. This helps in controlling heart rate, blood pressure, and pulse changes, thereby alleviating symptoms. If a patient presents with dizziness, nausea, and vomiting, it could sometimes be due to insufficient cerebral arterial blood supply or ischemic cerebrovascular disease. In such cases, a head CT scan should be performed for a more definitive diagnosis. Treatment may include the use of vasodilators and other medications to improve circulation and provide symptomatic relief.
The causes of syncope in rheumatic heart disease.
The most common manifestation of rheumatic heart disease involves the mitral valve, leading to severe stenosis and insufficiency of the mitral valve, and decreasing the amount of blood returning to the heart. At this time, there is not enough blood returning to the heart, and naturally, the amount of blood pumped out is reduced. If it is extremely severe, it can lead to fainting; this is the first scenario. The second scenario is rheumatic heart disease affecting the aortic valve, which can also result in insufficient blood being pumped out, causing ischemia and hypoxia in the cerebral arteries, leading to fainting. Another situation is related to heart arrhythmias, which are divided into two types. One type occurs when rheumatic heart disease is very severe, potentially causing atrial fibrillation. Some patients with cardiac bypass might experience ventricular fibrillation, leading to fainting. Additionally, there is a scenario where severe rheumatic inflammation causes dysfunction in the heart's conduction system, leading to conditions similar to sick sinus syndrome or complete atrioventricular block, causing significantly slow heart rhythms, which may also lead to fainting.
Rheumatic heart disease can be relieved by massaging which areas?
Since rheumatic heart disease is a type of valvular disease, especially mitral regurgitation or mitral stenosis, these can lead to rheumatic heart disease. Pathological murmurs can also be heard in the precordial area. The treatment of rheumatic heart disease is primarily pharmacological. If the condition is severe, surgical treatment can be used, but massage is not recommended. Because sometimes massage can exacerbate symptoms and does not alleviate the patient's condition, I personally suggest that it is better not to massage. In treating rheumatic heart disease, if the condition is severe, or the defect area is relatively large, sometimes it is advisable to consider surgical treatment for the patient, but pharmacological treatment can also relieve symptoms.
Does rheumatic heart disease cause bloating?
Rheumatic heart disease can cause stomach bloating. The main reason is that if the patient has severe tricuspid regurgitation, it can lead to right heart failure, causing congestion in the gastrointestinal tract. This leads to a decrease in appetite and a feeling of stomach bloating. Additionally, some heart disease patients are treated for heart failure with large amounts of diuretics, causing electrolyte disorders, such as low sodium or low potassium levels. Patients often exhibit symptoms of stomach bloating, and even nausea, vomiting, and increased fatigue. Thus, rheumatic heart disease can cause stomach bloating.
Can rheumatic heart disease cause fever?
Rheumatic heart disease, in the early stages of onset, can present with fever. The main cause of rheumatic heart disease is due to an infection with streptococcus that causes damage to the heart valves. Initially, bacterial infection is the most prominent clinical manifestation, with common diseases like tonsillitis. If effective medication is applied to control the infection at this time, it can reduce the occurrence of rheumatic heart disease. If not treated promptly, it can lead to damage to the heart valves, resulting in rheumatic heart disease.
Does rheumatic heart disease require surgery?
Patients with rheumatic heart disease primarily have involvement of valvular lesions, with the most common being accumulation in the mitral valve, leading to mitral stenosis. In the early stage of the disease, mitral stenosis often has no clinical symptoms and can only be detected through physical examinations, such as auscultation, which may reveal mitral valve murmurs. For patients with asymptomatic rheumatic heart disease, conservative treatment is primarily advised, which includes rest and reducing cardiac load to avoid surgery. Additionally, for severe rheumatic heart disease, mitral stenosis can be very serious, affecting the patient's cardiac function and causing symptoms such as chest tightness and fatigue after activity, and even paroxysmal nocturnal dyspnea and inability to lie flat at night. In such cases, surgical treatment is required, such as mitral valvuloplasty or prosthetic valve replacement surgery. Thus, surgery is necessary in the late stages of rheumatic heart disease.
What to eat to supplement for rheumatic heart disease?
Rheumatic heart disease often occurs in people with lower resistance, making them susceptible to colds and fevers. Their diet should include foods that enhance immune and disease resistance, such as lean meats, fish, and seafood, which are high in protein, along with milk and eggs. Eating fruits that are rich in vitamins and fibers, like apples, avocados, oranges, and dried fruits, as well as consuming more vegetables, can strengthen the body's resistance and provide various vitamins and trace elements needed by the human body.
Can rheumatic heart disease be inherited?
Rheumatic heart disease is not hereditary and it is not a genetic disease. Rheumatic heart disease is a hypersensitivity disease caused by an infection, especially following a streptococcal infection. This type of infection leads to the body producing antibodies. In some individuals, these antibodies combine with antigens, causing inflammation of the collagen tissue and affecting the heart. This results in inflammatory lesions on the heart valves, causing the valves to become narrowed or fail to close completely, leading to pathological changes known as rheumatic heart disease.