Chronic Obstructive Pulmonary Disorder Community
PAH
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PAH

My brother is suffering from PAH.
The situation is terrible.
His whole life has become damaged.
He is on Lupibose and digioxin.
Can u suggest me better treatment for PAH.
Is there a cure for this.
What changes has to be made with diet and life syle.
Kindly help us.
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Pulmonary hypertension is a condition with high blood pressure affecting the blood vessels in the lungs and the right side of your heart. The blockage or narrowing of these blood vessels creates resistance for blood flow through the lungs. In the later stages of the disease, the heart muscle weakens and fails. Unfortunately, pulmonary hypertension is not curable, but with treatment you could have fewer symptoms and a better quality of life.
The symptoms depend on the stage of the disease and may include shortness of breath, bluish discoloration of lips or fingers, chest pain, weakness, fatigue, dizziness or lightheadedness, leg swelling and palpitations.
There are many causes of pulmonary hypertension. It can be difficult to diagnose in early stages and often requires multiple diagnostic tests to reach a diagnosis. Some of those tests may include chest X-ray, echocardiogram, lung function tests, lung perfusion scan, CT scan and right heart catherization.
The treatments are usually complex and patients need a close follow-up.  There are various medications used depending on the stage and cause of pulmonary hypertension. The medications include: pulmonary vasodilators (prostacycline analogs and calcium channel blockers), endothelin receptor antagonists (e.g. bosentan and ambresentan), sildenafil, anticoagulants (e.g. warfarin) and diuretics. The other therapies include: oxygen, surgical treatments like creating an opening between left and right side of the heart (atrial septostomy) and lung or heart-lung transplant.
In addition to above medical therapies you can modify your lifestyle by avoiding smoking, high altitude, reducing the stress, moderate exercise and staying active.
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jimgreg
piqua, OH