Tricuspid regurgitation noted in echocardigram

Posted by joanncm @joanncm, 2 days ago

I was told my echo was "okay" at the ER but this sounded like something I have been experiencing, i.e., distended stomach, ankle and feet fluid, extreme fatigue, occasional shortness of breath with HR increase to 90 or above.

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If your heart function checks out, ejection fraction is decent, within 'normal' range, then it is either an endocrine problem or kidney function problem. I'm not in the health fields, so I'm only going by what I feel I understand about edema and ascites, which I think you are describing as one objectionable and notable symptom...?

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I think you have more than one thing going on. I think you need a sit down with your doctor. Do a diary every day write down what is going on, how you are feeling and what you are eating and drinking.
I know the smallest thing can mean a lot to a doctor.
How you get your answers.

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To joanncm-
I literally had all those same issues you described. The difference is I'm from a very small community state and had an echo done. It was read and my tricuspid and aortic valve were leaking moderate plus with an ejection fraction of 66 to 68%. The fatigue was terrible three naps a day. I had had and put on six new meds over the last five years. Since December I just felt worse and worse and had more swelling in my feet my legs my stomach etc. My primary said I think you've outgrown the doctors in the state and sent me to the Cleveland clinic. The doctor listen to me first And then listen to my heart my lungs and examined me. He said we really need to get another echo which I was in agreement with. The great thing was they had gotten a new program for their ultrasounds and my echo came out completely different. It showed that I had mild leakage on the aortic and tricuspid valve it was normal for my age. My ejection fraction was 56 to 58% but that's still normal. And I had some mild pulmonary hypertension and that's probably why all the medication they were giving me we're not hitting my blood pressure because it was treating in the wrong area. I was able to get off 4 meds and cut one and a half. He started me on Spironolactone. I cannot tell you the absolute difference it has made I mean I am taking no naps I don't have any other symptoms I feel great and of course way better than I have in five years because I was not diagnose correctly. I'm not saying this to bash anybody what I am saying sometimes the second opinion really helps. You can't diagnose what isn't seen correctly. If you don't agree with your diagnosis or you have serious questions and you really need to be seen and get a second opinion. Many blessings hope it turns out better

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To joanncm-
I literally had all those same issues you described. The difference is I'm from a very small community state and had an echo done. It was read and my tricuspid and aortic valve were leaking moderate plus with an ejection fraction of 66 to 68%. The fatigue was terrible three naps a day. I had had and put on six new meds over the last five years. Since December I just felt worse and worse and had more swelling in my feet my legs my stomach etc. My primary said I think you've outgrown the doctors in the state and sent me to the Cleveland clinic. The doctor listen to me first And then listen to my heart my lungs and examined me. He said we really need to get another echo which I was in agreement with. The great thing was they had gotten a new program for their ultrasounds and my echo came out completely different. It showed that I had mild leakage on the aortic and tricuspid valve it was normal for my age. My ejection fraction was 56 to 58% but that's still normal. And I had some mild pulmonary hypertension and that's probably why all the medication they were giving me we're not hitting my blood pressure because it was treating in the wrong area. I was able to get off 4 meds and cut one and a half. He started me on Spironolactone. I cannot tell you the absolute difference it has made I mean I am taking no naps I don't have any other symptoms I feel great and of course way better than I have in five years because I was not diagnose correctly. I'm not saying this to bash anybody what I am saying sometimes the second opinion really helps. You can't diagnose what isn't seen correctly. If you don't agree with your diagnosis or you have serious questions and you really need to be seen and get a second opinion. Many blessings hope it turns out better

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Thanks for posting. We try to encourage people who are not getting better to be open to a second opinion, sometimes from a different expert. Sometimes it makes the difference, usually with a different opinion, and that comes with a different approach to treatment. If it works.............you were RIGHT!

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