What causes weight gain with dyspnea on moderate exertion?
Patient: im gaining weight continiously since 8-10 yrs,im non diabetic,mildly hypertensive ,taking tab telmasartan 40mg,lopresor 50 mg daily,i wiegh 120kg,and has become dyspnoic on moderate exertion,my stress test is normal done 2 mths back,pl advise,what to do,i ocassionally smoke also. Doctor: Hello!Welcome on HCM!Your symptoms seem to be related to fluid retention. From the other hand the difficulty in breathing could be related to fluid retention or heart failure. Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a cardiac ultrasound and a resting ECG to examine your heart- NT-proBNP levels for heart failure- kidney and liver function tests- blood electrolytes- a urine analysis. A diuretic (like furasemid) may be needed. You should discuss with your doctor on the above issues. Hope to have been helpful!Wishing good health, Dr. Iliri