Brigid A. Morris, MD
Specialty: Internal Medicine
Location and Office HoursKannapolis Internal Medicine
559 Jackson Park Rd
Kannapolis, NC 28083
- BlueCross BlueShield
- BlueCross BlueShield of North Carolina
- Coventry Health Care
- First Health
- Great-West Healthcare Cigna
- United Healthcare
- Carolinas Medical Center Northeast
Can analgesics cause kidney damage?
National Kidney Foundation answeredHeavy or long-term use of certain analgesics, such as ibuprofen, naproxen and higher-dose aspirin, can cause chronic kidney disease known as chronic interstitial nephritis. The warning labels on over-the-counter analgesics tell you not to use these medicines for more than 10 days for pain and more than three days for fever. If you have pain and/or fever for a longer time, you should see your doctor. The doctor can check for possible medical problems and advise you about what medications you should take. If you have kidney disase, check with your doctor to be sure you can use analgesics safely.
How will an implantable cardioverter defibrillator affect my lifestyle?
Piedmont Heart Institute answered
The low-energy electrical pulses your implantable cardioverter defibrillator (ICD) gives aren't painful. You may not notice them, or you may feel a fluttering in your chest.
The high-energy pulses or shocks your ICD gives last only a fraction of a second and feel like a thumping or painful kick in the chest, depending on their strength.
Your doctor may give you medicine to decrease the number of irregular heartbeats you have. This will reduce the number of high-energy pulses sent to your heart. Such medicines include amiodarone or sotalol and beta blockers.
Your doctor may want you to call his or her office or come in within 24 hours of getting a strong shock from your ICD. See your doctor or go to an emergency room right away if you get many strong shocks within a short time.
This answer from the National Heart, Lung and Blood Institute has been reviewed and/or edited by Dr. William D. Knopf.
What is Brugada syndrome?
Brugada syndrome, also known as sudden unexplained nocturnal death syndrome (SUNDS), is a rare heart disease characterized by irregular heartbeat. Other symptoms may include fainting, seizures, breathing problems, nightmares, disrupted sleep, and sudden death. These problems often occur when a person is either sleeping or at rest. There are four types of Brugada syndrome.
Brugada syndrome most often affects people in their thirties. However, symptoms can appear at any age. The average age of sudden death among people with Brugada syndrome is about 40 for all types of the disease.
Brugada syndrome can be classified as type 1, type 2, type 3, or type 4. Type 1, the most studied type, is sometimes caused by mutations or defects in the SCN5A gene. The SCN5A gene provides instructions for making the cardiac sodium channel, which is essential to the normal electrical functioning and rhythm of the heart. Only about one-third of people with Brugada syndrome have been identified as having a mutated copy of this gene. Most SCN5A mutations cause arrhythmias that produce channels that continue to operate late in the cardiac cycle when normal channels are silent; such late activity creates an environment for chaotic rhythms and sudden death. Some researchers believe that some cases of sudden infant death syndrome (SIDS) are also caused by a mutation in the SCN5A gene. In those individuals without a mutated SCN5A gene, the cause of type 1 Brugada syndrome is often unknown. In some cases, a nongenetic form of Brugada syndrome may be caused by certain drugs. Drugs used to treat some forms of arrhythmia (irregular heart beat), angina (chest pain), high blood pressure, and depression and other mental illnesses can cause an altered heart rhythm.
When Brugada syndrome is inherited, or passed down among family members, it follows an autosomal dominant pattern of inheritance. This means that only one copy of the defective gene is needed for the disease to occur.
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