Currently taking half a tablet of Kankin 5mg and half a tablet of Xinsuping once a day?
I recently sought medical attention for arrhythmia and am currently taking 5 mg of Concor (bisoprolol) half a tablet and half a tablet of Xinsheping (a medication for anxiety) every morning.
I started taking 1.25 mg of Concor a while ago and noticed numbness in my calf, but I forgot to mention it to my doctor during my follow-up visit.
I would like to consult about this since my next appointment is in a month.
Additionally, I have been experiencing a persistent cough for over a month now.
I previously had a chest X-ray, and the doctor said there were no issues.
I would like to know how I can address this ongoing cough, as it has been quite uncomfortable for me.
Dorothy, 20~29 year old female. Ask Date: 2021/09/21
Dr. Wu Xueming reply Cardiology
Your cough symptoms should not be directly related to the medications you are currently taking.
It is recommended that you visit a hospital for further evaluation.
Reply Date: 2021/09/21
More Info
Managing heart rhythm issues, particularly when medications like KanKen (which is likely a reference to a beta-blocker or antiarrhythmic medication) are involved, requires careful consideration of both the cardiac symptoms and any side effects that may arise from the medication. In your case, you mentioned experiencing persistent cough and skin numbness in your calves, which are important symptoms to address.
Understanding Your Symptoms
1. Persistent Cough: A cough that lasts more than a month can have various underlying causes. Given that you've already had a chest X-ray that showed no issues, it may be beneficial to consider other potential causes. These could include:
- Post-nasal drip: Often associated with allergies or sinus issues, this can lead to a chronic cough.
- Gastroesophageal reflux disease (GERD): Acid reflux can irritate the throat and cause a cough.
- Medication side effects: Some medications, particularly ACE inhibitors (though KanKen is not typically one), can cause a persistent cough. If your cough started after beginning a new medication, it’s worth discussing with your doctor.
2. Skin Numbness: The numbness in your calves could be related to several factors:
- Peripheral neuropathy: This condition can be caused by various factors, including diabetes, vitamin deficiencies, or side effects from medications.
- Circulatory issues: If blood flow is compromised, it could lead to numbness. However, this is less likely if your heart function is normal.
- Medication side effects: Some heart medications can cause peripheral side effects, including numbness or tingling. It’s essential to report this to your healthcare provider, as they may need to adjust your medication.
Recommendations for Management
1. Follow-Up with Your Doctor: Since you have a follow-up appointment in a month, it’s crucial to prepare for that visit. Make a list of all your symptoms, including the cough and numbness, and any other changes you’ve noticed since starting your medications. This will help your doctor assess whether your current treatment plan is appropriate or if adjustments are needed.
2. Consider a Specialist: If your cough persists or worsens, you might benefit from seeing a pulmonologist (lung specialist) to rule out any respiratory issues that may not have been evident on the X-ray. They may suggest further testing, such as a CT scan or pulmonary function tests.
3. Lifestyle Modifications: While waiting for your appointment, consider some lifestyle changes that may help alleviate your cough:
- Stay Hydrated: Drinking plenty of fluids can help thin mucus and soothe your throat.
- Humidifier: Using a humidifier in your home can help keep the air moist, which may ease coughing.
- Avoid Irritants: Stay away from smoke, strong odors, and allergens that could exacerbate your cough.
4. Medication Review: Discuss with your doctor the possibility of adjusting your current medications if side effects are a concern. Sometimes, switching to a different class of medication can alleviate symptoms without compromising your heart health.
5. Monitor Your Symptoms: Keep a diary of your symptoms, noting when they occur, their severity, and any potential triggers. This information can be invaluable for your healthcare provider in determining the best course of action.
Conclusion
In summary, while managing heart rhythm issues, it’s essential to address any side effects from medications like KanKen, as well as other persistent symptoms such as cough and numbness. Open communication with your healthcare provider is key to ensuring that your treatment plan is effective and that any side effects are managed appropriately. Don’t hesitate to reach out to your doctor sooner if your symptoms worsen or if you have any urgent concerns. Your health and comfort are paramount, and proactive management can lead to better outcomes.
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