Can patient suffers from insomnia, weight gain, and swelling?

Question

Hi doctor,

The patient is a 38-year-old female. She has a medical history of congenital heart disease. Her heart rate usually ranges between 50 and 55 bpm. Before two months, she had a pacemaker implantation. After pacemaker implantation, her heart rate is 70 to 80 bpm. Now, the patient is suffering from insomnia, sudden increased weight and abdomen, swelling of the face and both legs, scanty urine for the last two to three weeks, and mentally disturbed. I want your help to know what has happened to her.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

Is it a single-chamber pacemaker or double double-chamber? It is mostly a pacemaker syndrome if the patient did not exhibit similar kind of symptoms before pacemaker implantation. In treatment, you need to visit her cardiologist to change the settings of the pacemaker. One echocardiogram would be necessary to rule out other causes and get one hemoglobin level done, if not done recently.

Also, I suggest drugs called diuretics like Furosemide, which will remove the excess fluid out of the body. Consult her cardiologist, discuss with him or her, and take medicine with consent. It is necessary to follow strict salt restrictions and avoid more fluids like water, tea, coffee, and water-containing food items.

I hope this helps.

Thank you.