Hi Cardiology Doctors,

I have a patient here:
Male
74 y.o
Pulmonary hydrops
His heart is weakening.
Having short of breathing
Edema Feet
High blood pressure

My father has been experiencing intermittent tooth pain, although his teeth appear to be healthy. Additionally, he occasionally has swelling in his feet. Last month, due to the frequent swelling in his feet, we consulted a government doctor who diagnosed my father with heart weakness. My father then started taking medication and received two to three heart-strengthening injections (one per week).

Recently, he has developed a severe cough, runny nose (not excessive), shortness of breath, and difficulty sleeping. He can only sleep while sitting up. A doctor diagnosed him with pulmonary edema and advised him to limit his water intake to 1 liter per day and reduce his food intake. At home, my father is increasingly uncomfortable; he can't lie down because of the severe shortness of breath. He can only find relief by sitting up straight, even when sleeping. The attending doctor is currently abroad, so we sought another doctor's help in Kuching.

In Kuching, at Pusat Jantung Hospital Umum Sarawak, a cardiac examination was performed, and the doctor stated that there were no issues with his heart. However, they did not refer him to a cardiologist.

We also consulted a traditional Chinese medicine (TCM) practitioner and a cardiologist who prescribed the following medications:

Lanoxin 250mg (prescribed by TCM)
Spironolactone 25mg
Forxiga 10mg
Provinace 4mg (for hypertension)
Hovasc 5mg
Cough syrup 10ml
Simvor 40 (RANBAXY) Simvastatin USP 40mg (for cholesterol)
Rasitol (Furosemide 40mg) (diuretic)
Glumet DC (for diabetes)
Warfarin and another anticoagulant for blood thinning
Given his complex medical history and current symptoms, we seek your expertise to provide a comprehensive evaluation and treatment plan. Your guidance on managing his condition would be greatly appreciated.

Thanks.