Update on diuretics and breathlessness - Atrial Fibrillati...

Atrial Fibrillation Support

32,397 members38,733 posts

Update on diuretics and breathlessness

Nickybhf profile image
9 Replies

Hi,

Thank you to everyone who responded to my previous post, I had a telephone appointment with GP this morning, wasn’t our usual doctor. I explained mums symptoms- the breathlessness and swollen thighs. He advised to increase the furosemide to 80mg for now , and that he’s putting the symptoms down to the excess fluid. I mentioned about maybe changing the beta blocker- bisoprolol but he said to continue with that to control the heart rate. He said get mum to sit with feet elevated and sleep with plenty of pillows so more upright. He also said to keep an eye on BP and use oximeter to check oxygen levels. Every time I’ve mentioned about changing the bisoprolol, they seem reluctant. I don’t know when we will be seen by cardiologist- probably summer next year based on the current waiting lists! I mentioned about the ventolin inhaler, the fact that it counteracts the bisoprolol, he said the ventolin only causes heart rate to increase for a very short time and that if it’s helping mum to feel less breathless while she has this breathlessness, then she can use it but was reluctant to prescribe a preventer or different inhaler.

I don’t know what else to do.

Sorry for another long post, I just hope this excess fluid goes away quickly so that mum feels better.

Written by
Nickybhf profile image
Nickybhf
To view profiles and participate in discussions please or .
Read more about...
9 Replies
Bagrat profile image
Bagrat

Sounds like you're trying every which way to get the best treatment for your Mum, and yes it can feel like wading through treacle.I see someone touched on basic stuff to help with fluid retention. I don't add salt at all when cooking but do let myself have a sprinkle on the last mouthful or two of my meal.

Another vote for avoiding processed food which can contain a lot of salt. I can put on a couple of pounds after a restaurant meal.

Ready meals are another culprit sadly, as many older folk rely on them.

Bananas are a good source of potassium as furosemide is not a potassium sparing diuretic.

Nickybhf profile image
Nickybhf in reply toBagrat

Thank you. I’m trying so hard, just hope mum gets some relief from this horrid breathlessness.

I have bought the lo-salt to try. Maybe that’s an option to consider. Mum hardly eats anything as she says she fills full all the time, I guess that’s due to all the excess fluid.

pusillanimous profile image
pusillanimous in reply toNickybhf

Just check if the lo salt has a warnings on it, some are contra indicated for heart patients because of the ingredients. . I was prescribed a diuretic from all three classes of diuretic, none had the desired effect, Spiractin, the potassium sparing one, made me think my kidneys had stopped functioning ,furosemide made my heart rate accelerate. and the other one did nothing! The consensus between my GP and Cardiologists now , is that my foot and ankle swelling (mostly the right leg) is a vascular problem, due to damaged veins! so we'll see. My Cardiologist was adamant about not using anything other than the Symbicord for my Asthma though !

Nickybhf profile image
Nickybhf in reply topusillanimous

Thank you. Will check that about the salt. Are they going to treat you for the damaged veins?

pusillanimous profile image
pusillanimous in reply toNickybhf

The Cardiologist (I don't think he's keen on feet) said there's not much can be done except compression socks and I'll never get those on, my late husband had a DVT and getting the stocking on was a nightmare. The trouble with the Cardio is he doesn't have a cupboard full of shoes he can't wear. The left foot is improving - maybe I can wear a decent shoe on that foot and a moon boot on the right!!!!!! Anyhow, I'll be seeing my GP after Christmas , she's much more sympathetic regarding appearance (she has a diploma in cosmetology as well as her medical degree) and she might think it's worth consulting a vascular surgeon. Varicose veins are much simpler, but I don't have those !!!!

Nickybhf profile image
Nickybhf in reply topusillanimous

Did you know that’s there’s a device to actually help put on compression socks? I don’t know if this could possibly help. I can try and find the link if you want.

pusillanimous profile image
pusillanimous in reply toNickybhf

Please send it if allowed, I might have to have them !

Nickybhf profile image
Nickybhf in reply topusillanimous

I’ve messaged you.

Ducky2003 profile image
Ducky2003

Talk about banging your head against a brick wall. Let's hope the extra Furosemide helps at least.As Pusilianimous advises, be wary of low sodium stuff as I know it's contraindicated with at least one of my meds.

If you're unsure, check with your pharmacist rather than the GP.

Not what you're looking for?

You may also like...

Breathlessness and Diuretics

Desperate for some advice, my mum has HF and permanent AF. Mum never had asthma in the past, since...
Nickybhf profile image

Breathlessness- pollen or something else?

I just wanted to ask if anyone else has been experiencing more breathlessness with the weather...
Nickybhf profile image

Breathlessness, PAF and Bisoprolol

Has anyone experienced breathlessness with bisoprolol? It doesn't happen when I am walking around,...
SteveA profile image

Heart rate monitor results - another update

We had our second private consultation today for mum. Mum had the Zio XT monitor for a week. She...
Nickybhf profile image

Breathlessness and Bisoprolol

I take only 1.25mg of Bisoprolol which my EP says is essential to keep down the heartrate of my...
Finvola profile image

Moderation team

See all
Kelley-Admin profile image
Kelley-AdminAdministrator
jess-admin profile image
jess-adminAdministrator
Emily-Admin profile image
Emily-AdminAdministrator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.