Conversation: The conversation between human and AI assistant.
[|Human|] welcome Dr. Prabhakar appearing online for consultations. I am feeling some heart murmering for the last two days as if the blood being pumped by the heart is passing with some force sometimes. Kindly suggest the cure.I am about 84 years old but quite active in my life............Syed.
[|AI|]  Hi, here history of murmur is of 2 days only. Is there any previous cardiac disease you have that lead to narrowing of valve of heart. Narrowing of valve(stenosis) could be due to thematic fever, infective endocarditis, lupus etc. Rheumatic fever associated with involuntary movement, skin patches, arthritis etc.CRP will be helpful.For lupus ANA level done. Treatment is according to cause. Regular treatment for hypertension has to be taken if present. If valve stenosis severe then its repair or replacement done. If heart failure present (edema over body), take diuretic.