Breathing problem

Question

Breathing problem

Asked for Female, 62 Years

After 5 dose of anti rabbies vaccines both the legs are continuously paining and now I am felling breathing problem ,for last 15 years I was taking medicine of Nitroglycerin 2.6 mg tablet.But after dog bite I am not taking nitroglycerin tablet 2.6 mg .Now I am felling breathing problem, having leg pain .what should I do kindly advise.

Answers (1)

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Dr. Karthikeyan A B Cardiothoracic Surgeon 9 yrs exp Gurgaon Consult Now · Accepted Answer

Dr. Karthikeyan A B

Cardiothoracic Surgeon 9 yrs exp Gurgaon

Consult Now

You have two concerning symptoms: * Breathlessness * Bilateral leg pain and you have also stopped your long-term nitroglycerin medication after the dog bite/rabies vaccination. The rabies vaccine itself is unlikely to directly cause persistent severe breathlessness, so this should not be assumed to be a vaccine reaction. More important possibilities include: * Worsening underlying ischemic heart disease/angina * Cardiac failure or reduced cardiac perfusion after stopping nitrates * Electrolyte or vascular issues * Less likely but important: DVT/vascular insufficiency or another systemic illness

Next Steps

Do not stop prescribed cardiac medicines without medical advice. You should review whether nitroglycerin or other cardiac medicines need to be restarted. * Continue the rabies vaccine schedule as advised unless a doctor specifically stops it. * Check: * ECG * Blood pressure and oxygen saturation * Cardiac evaluation * Basic blood tests * Examination of legs for swelling/tenderness

Health Tips

Red flag symptoms requiring emergency care * Chest pain/pressure * Severe or worsening breathlessness * Sweating or fainting * One leg becoming swollen/red * Bluish lips or low oxygen

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