Conversation: The conversation between human and AI assistant.
[|Human|] Had an echo to diagnose shortness of breath on exertion and at night. Only irregularities were as follows : mitral leaflets are mildly thickened in appearance. Mild to moderate mitral regurgitation is detected. Mild tricuspid regurgitation detected. Right ventricular systolic pressure is slightly elevated consistent with borderline mild pulmonary hypertension. My pulmonologist said its a normal echo and not the reason for the shortness of breath. That the methicoline test revealed asthma. Yet asthma does not explain the edema in my legs I take dyazide for. Am I being paranoid about this echo? Is it really no big deal?
[|AI|]  The symptoms of shortness of breath with mainly nocturnal symptoms are suggestive of small airway disease due to Asthma.Hence, you must take precautions to avoid allergens causing symptoms.Also, if symptoms are persistent then inhalers may be started on daily basis. The 2D echo report is suggestive of Pulmonary Hypertension which itself is due Asthma leading to high resistance flow towards right side of heart and the same increases the breathlessness and pedal edema For the same you must follow1. Salt reduced diet2. Breathing exercises daily 3. Work involving minimal exertion 4. For acute onset swelling Tab Furosemide 20 mg twice daily for 3-5 days after BP are suggestive of normal values