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[Help] Pericarditis



ManOfSussex

We wunt be druv
Apr 11, 2016
15,256
Rape of Hastings, Sussex
Hope you're feeling better soon. Out of interest, how are you on colchicine for months? I thought that was always for a few days maximum until your stomach can't take anymore.
 




jcdenton08

Offended Liver Sausage
NSC Patron
Oct 17, 2008
15,023
Hi. Hope you start to feel better soon.

The combination of Colchicine and Ibuprofen could be pretty hard on your stomach. Did the prescribe a Proton Pump Inhibitor alongside these? Let you GP know if you get symptoms of indigestion or acid reflux.

All the best.
They didn’t but I’ll keep this in mind - thank you for the tip
 


jcdenton08

Offended Liver Sausage
NSC Patron
Oct 17, 2008
15,023
Hope you're feeling better soon. Out of interest, how are you on colchicine for months? I thought that was always for a few days maximum until your stomach can't take anymore.
I’m not sure, maybe that’s for a higher dose? I’m on 500mg twice a day, which seems to be standard dose for this condition.

IMG_4166.jpeg


But from reading it’s not uncommon to be prescribed for 6 months or more in recurrent cases. Hope it doesn’t come to that of course…
 


TugWilson

I gotta admit that I`m a little bit confused
Dec 8, 2020
1,862
Dorset
Good to hear you`re getting the help and treatment you need , sounds lousy , hope it`s mild and stays away - all the best and take care (y)
 


hans kraay fan club

The voice of reason.
Helpful Moderator
Mar 16, 2005
62,841
Chandlers Ford
Was hospitalised with what turned out to be acute pericarditis on Wednesday, following a bout of COVID. Prescribed 3 months of colchicine twice daily and ibuprofen four times a day.

Just wanted once again to praise our brilliant NHS workers. I called 111 for advice Wednesday morning with severe chest pains and they advised they’d send an ambulance, which arrived within 20 minutes. Paramedics were brilliant, and ECG showed an irregularity.

Within 5 hours in A&E I’d seen two nurses, a GP and a cardiologist and had blood tests, two further ECG’s, a chest X-ray and an ultrasound.

Has anyone else been diagnosed with this? What are your experiences? At the moment I get chest pains and exhaustion just doing the dishes or emptying the bins. Do the pills work? How long was your recovery?

Thanks!
I had it, about 28 years ago in my mid 20s. Had a day off work, as felt a bit grim, but mid afternoon felt better, got bored, so got up and started doing a bit of housework. All of a sudden felt weak, and had palpitations. Called father in law, who said my skin looked an odd colour, and gave me a ride to the local surgery. They did an ECG and sent me straight to the Acute Cardiac unit at the hospital.

Basically it presented exactly as a heart attack. Within about 36 hours I felt completely fine, but had to stay in under observation, doing untold number of tests, for a long and boring week. They ultimately said they still were not sure - that it was almost certainly pericarditis- but it still COULD have been a small heart attack - and that the only way to know for sure was to have an angiogram.

To get this done, the NHS had to transfer me from Winchester to Southampton in an ambulance, with a cardiac nurse, at a totally unnecessary use of resources - I’d happily have driven myself. The angiogram came up totally clear, and I was free to go about resuming normal activity.

The worst thing of the whole event tbh, was the horrible scare I’d given my wife - on her own with two toddlers.
 






Zeberdi

“Vorsprung durch Technik”
NSC Patron
Oct 20, 2022
7,228
The worst thing of the whole event tbh, was the horrible scare I’d given my wife - on her own with two toddlers.
That sounds terrifying ☹️

Interesting thread btw - never heard of ‘pericarditis‘ before but according to NHS site no where near as serious or worrying as a heart attack ( once you know it isn’t one of course!)
 






willalbion

Well-known member
May 8, 2006
1,624
London
Was hospitalised with what turned out to be acute pericarditis on Wednesday, following a bout of COVID. Prescribed 3 months of colchicine twice daily and ibuprofen four times a day.

Just wanted once again to praise our brilliant NHS workers. I called 111 for advice Wednesday morning with severe chest pains and they advised they’d send an ambulance, which arrived within 20 minutes. Paramedics were brilliant, and ECG showed an irregularity.

Within 5 hours in A&E I’d seen two nurses, a GP and a cardiologist and had blood tests, two further ECG’s, a chest X-ray and an ultrasound.

Has anyone else been diagnosed with this? What are your experiences? At the moment I get chest pains and exhaustion just doing the dishes or emptying the bins. Do the pills work? How long was your recovery?

Thanks!
That sounds like a nasty one, mate. Good on you for praising the care you received. Hope your recovery is fast and easy.
 
















Albion my Albion

Well-known member
NSC Patron
Feb 6, 2016
19,934
Indiana, USA
Thoughts and Prayers!
 


Chicken Run

Member Since Jul 2003
NSC Patron
Jul 17, 2003
19,966
Valley of Hangleton
I had it, about 28 years ago in my mid 20s. Had a day off work, as felt a bit grim, but mid afternoon felt better, got bored, so got up and started doing a bit of housework. All of a sudden felt weak, and had palpitations. Called father in law, who said my skin looked an odd colour, and gave me a ride to the local surgery. They did an ECG and sent me straight to the Acute Cardiac unit at the hospital.

Basically it presented exactly as a heart attack. Within about 36 hours I felt completely fine, but had to stay in under observation, doing untold number of tests, for a long and boring week. They ultimately said they still were not sure - that it was almost certainly pericarditis- but it still COULD have been a small heart attack - and that the only way to know for sure was to have an angiogram.

To get this done, the NHS had to transfer me from Winchester to Southampton in an ambulance, with a cardiac nurse, at a totally unnecessary use of resources - I’d happily have driven myself. The angiogram came up totally clear, and I was free to go about resuming normal activity.

The worst thing of the whole event tbh, was the horrible scare I’d given my wife - on her own with two toddlers.
Almost step by step the same happened to me in 2000, went to my GP in Patcham for a sit and wait appointment, he got the Nurse to do an ECG and before i knew it off to the RSCH cardiac unit in an Ambulance with a suspected HA, i was 31 😮.

After a bunch of tests they said i didn’t have a HA but as i had a chest pain i should see the Chest Pain clinic the next day, went home and didn’t get the expected call so after a few attempts to try and book something over the coming weeks my old man paid for me to see a private surgeon at the Woodingdean Nuffield, two days later had an angiogram and all was fine, again like you with wife and 5 yo and 3 month baby at home, worrying.

Hope you get well soon JCD 👍
 




Harry Wilson's tackle

Harry Wilson's Tackle
NSC Patron
Oct 8, 2003
56,719
Faversham
From doing a little research, it seems a three month course of colchicine is first line treatment for acute pericarditis, although you’re right it’s prescribed for gout too. After that it goes up to a six month course to prevent recurrence if you get it more than once.

Luckily no side effects on the colchicine yet! It seems to really vary, some people it can weeks and months to recover, others it can be quicker. Obviously I’m hoping for the latter!
Anyway, enough of that.

Have you arrived at the Goldstone yet? I love a lunchtime kick off. Get past this lot and we could ger a Big Club in the next round :thumbsup:
 




jcdenton08

Offended Liver Sausage
NSC Patron
Oct 17, 2008
15,023
Hi. Hope you start to feel better soon.

The combination of Colchicine and Ibuprofen could be pretty hard on your stomach. Did the prescribe a Proton Pump Inhibitor alongside these? Let you GP know if you get symptoms of indigestion or acid reflux.

All the best.
As you correctly predicted this has become an issue and doctor prescribed omeprazole by phone and signed me off for 3 months. Work were delighted. Fortunately I’ve been there more than 2 years so they can’t sack me easily
 


Zeberdi

“Vorsprung durch Technik”
NSC Patron
Oct 20, 2022
7,228
As you correctly predicted this has become an issue and doctor prescribed omeprazole by phone and signed me off for 3 months. Work were delighted. Fortunately I’ve been there more than 2 years so they can’t sack me easily
PPIs can prevent absorption of certain medications - check all the meds you are on to see if you need to leave a 4 hour gap between taking any of them and taking the Omeprazole (it will be on the product leaflets if so).

Glad to hear you have been given proper time off to recover - make the most of it by getting lots of rest!
 


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