Swelling of the Scrotum with Pulmonary Arterial Hypertension. We recently received a great question about scrotal edema (swelling of scrotum and often the penis as well). This is a very common problem for men with PAH who are retaining large amounts of fluid. Not only is this problem very uncomfortable but also it can make urinating a challenge. When patients have so much … [Read more...]
Snow Birds and Pulmonary Arterial Hypertension
Temporarily Relocating While Living with PAH. We recently received a great question from a reader inquiring how to handle PAH care if you split time in two locations. This is not a barrier to getting great patient care. I have many patients that winter in Phoenix and escape the Valley of the Sun when the temperatures approach triple digits. We work collaboratively with … [Read more...]
What is BNP?
BNP stands for B-type natriuretic peptide. This is a hormone that is released by the bottom two chambers of the heart (ventricles) in response to increased work. For example, increased pressure or increased stretch of the heart chambers leads to increased release of BNP. The main physiologic role of BNP is to act on the kidneys to promote increased salt and water loss … [Read more...]
Birth Control Options for Pulmonary Arterial Hypertension Patients
Before we delve too far into this topic I want to emphasize that I am a pulmonologist, not a gynecologist. That being said, birth control is a core part of caring for women with pulmonary hypertension. What follows is the lung doctor’s take on birth control. I have previously described the important physiologic changes that occur with pregnancy and the major risks to women … [Read more...]
FAQ’s: Psoriasis, Idiopathic PAH, Contraceptives & Pulmonary Hypertension
Is Psoriasis associated with pulmonary arterial hypertension? Psoriasis is an autoimmune skin disorder characterized by white patches with scaling especially over the elbows and knees. A small study was undertaken that suggested a slightly increased risk of pulmonary hypertension in patients with psoriasis. However, the study only looked at echo-estimated pulmonary … [Read more...]
