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BP test done and found elevated. Should I be worried? - Online Doctor Chats

Date : 26-Mar-2013
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:How are you doing?
User:I am fine
User:How are you?
Doctor:I am good, thank you
Doctor:How can I help you?
User:I have a question about my BP result.
User:My BP report says 130/80 mm
User:I am 28 years old with weight 81.5m height 165 cm and B
Doctor:How old are you?
Doctor:Is this the first time it has been elevated?
User:Actually this is the first time I am checking it
Doctor:Actually, XXXXXXX we cannot make a diagnosis of high blood pressure on the basis of 1 reading
Doctor:We need to repeat the blood pressure once a month for the next 3-6 months
Doctor:If your blood pressure is still elevated, then we call it high blood pressure and start treatment
User:So this reading is elevated?
Doctor:Normal is 120/80
Doctor:a reading of 130 is pre-hypertension
User:Ok. I will continue taking the reading.
Doctor:which means it is the initial stages of high blood pressure
Doctor:You took this reading yourself?
User:Ok. Any suggestions for decreasing it?
User:No. Through a clinic
Doctor:Then I want you to get repeated by a physician only
Doctor:Next is what we can do about it
Doctor:First, I would need you to reduce your weight
Doctor:This will happen if you modify your diet and exercise regularly
Doctor:The dietary part is most important
Doctor:First, take a heavy breakfast
Doctor:But there should be no fried food in it as such like dosa, vada etc
Doctor:Next, eat every 2-3 hours
Doctor:Something small and healthy
Doctor:Third, dinner should be early, preferably before 8 pm
Doctor:Fourth, cut XXXXXXX on the oil and sweets
Doctor:You can have sweets once a week
Doctor:Do you follow?
User:Main problem is my work timings. I am in 5PM to 2AM shift
Doctor:So what time do you sleep?
User:By 3AM
Doctor:So what I would suggest is you have your heaviest meal when you get up
Doctor:Your last meal should be around 12 am and that should be your dinner
Doctor:also, we tend to eat a lot of junk during the night
User:Ok. I will follow it
Doctor:I would suggest that you get a customized diet plan for yourself
Doctor:Do you want one of our dietitians to call you and make one according to your lifestyle and eating habits?
Doctor:Next, I want you to exercise for 50 minutes atleast 5 times a week
Doctor:When I say exercise, I mean aerobic exercise
Doctor:which means walking, jogging, cycling, swimming etc
Doctor:Does that work for you?
User:Yes. Already I am walking for some 20 minutes daily at evening
User:I will try to do that in morning also
Doctor:It needs to be a brisk walk
Doctor:It would be brisk if you would be breathless trying to talk to a person walking next to you
Doctor:The next most important thing is to cut down on salt
Doctor:Dont have pickle, papad, chutneys and dont add salt on salads
Doctor:Controlling your weight, reducing stress levels and cutting down salt levels are important XXXXXXX
Doctor:You are young and I dont want to start you on any medication as you will need to take this drug for the rest of your life
User:Yes. I understand
Doctor:Additionally, it has been shown that anulom vilom pranayam ( a type of breathing exercise) would be helpful is reducing blood pressure
User:Ok. I will get more information about that exercise
Doctor:I'll send you the link
User:Thank you
Doctor:This is the link
Doctor:Its extremely useful
Doctor:Is there anything else I can help you with?
User:Not Now. You were very helpful
User:I will follow the reocmmendations
Doctor:Thanks for consulting me
Doctor:Bye for now
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