Conversation: The conversation between human and AI assistant.
[|Human|] I am 51years old , hypertensive and diabetic for 10 years.At present on Amaryl,thyronorm,ramipril,amlodepin,nebicard,nurokind-in the morning,gluconorm,ramipril,amlodepin,storvas-at night.My diabetes and hypertension is poorly controlled in spite of taking above medicines regularly. I experienced severe breathlessness in my sleep at 3a.m.compelling me to sit till 6a.m.Then after feeling exhausted,I go to sleep again for2-3 hours.This happened in two successive nights.I feel tired and exhausted throughout the day.what is the future course of action?Istay in a remote place where medical service is very primitive.should I get echocardiography done?
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to heart failure or pulmonary edema. Other possible causes to consider would be sleep apnea or a lung disorder (like asthma). Do you have leg swelling? Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests: -a resting ECG and a cardiac ultrasound (echocardiography)-a chest X-ray study and pulmonary function tests-complete blood count for anemia-blood electrolytes- PCR and ESR for inflammation. You should discuss with your doctor on the above issues. Kind regards,