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Chest pain and High blood pressure - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2527 Questions
User :   Hello
Doctor :   Hi
Doctor :  
How can i help u
User :   Im not sure how this works are you the doctor?
Doctor :  
Doctor :  
i am family medicine
User :   ok I have a question i'm having chest pains for about a month already
User :   in the center of the chest more to the left side
Doctor :  
ok
Doctor :  
ok
User :   i also have high blood preadure
Doctor :  
ok
User :   pressure sorry
User :   155/93/123
Doctor :  
ok
User :   and i'm on metoprolol
User :   25 mg twice a day
Doctor :  
ok
User :   im 25 male
User :   smoke about pack a day
Doctor :  
i will help you in this can i ask few Q
Doctor :  
ok
User :   sure
Doctor :   do yu have family history of hypertension
Doctor :  
or diabetes or heart disease
User :   my grandparents have heart problems
Doctor :  
ok
User :   diabetes not sure
Doctor :  
since how many days yu have high blood pressure
User :   i do not know that
Doctor :   since how many days are you on Metaprolol
User :   about 6 months ago doctor told me that i have it so i been checking and is still high
User :   about 6 months
Doctor :  
ok
Doctor :   wats your ht and wt
User :   right now i'm sitting and talking to you and i feel that my blood pressure is up and my heart beat is very strong too
Doctor :  
ok
User :   wt about 190
Doctor :  
its called palpitations
Doctor :  
ok
User :   and hight anout 6.10
User :   am not skinny but not fat
Doctor :   ok
Doctor :  
ok
Doctor :  
as per your ht and wt
Doctor :  
your body mass index is 25
Doctor :   its slight obesity
Doctor :  
do yu have acidity or gastritis problem
User :   no none
Doctor :  
ok
Doctor :  
wats your occupaation
User :   casino - finance
Doctor :  
are yu frequently stressed or tensed
Doctor :   ok
Doctor :  
are yu frequently stressed or tensed
User :   sometimes
Doctor :   ok
Doctor :   regarding chest pains
Doctor :  
does the pain radiate to left shoulders
User :   not that i notice
Doctor :  
do yu have any vomiting or nausea
User :   last time when my blood pressure was 147/90 i had nausea
Doctor :  
ok
User :   (sorry if i'm tapping to slow)
Doctor :  
its ok take your time not an issue
Doctor :  
do yu have any difficulty in breathing at the time of chest pain
User :   yes
Doctor :  
ok
Doctor :  
do yu have sweating at the time of chest pain
User :   so sweating not too much
Doctor :   ok
User :   and it gets hot
Doctor :  
is the pain heavy chestpain or squeezing type
User :   squeezing/somebody stepping on my chest
Doctor :   ok
Doctor :  
is your sugar levels normal ?
User :   i believe so
User :   i eat some sweets but not too much
Doctor :   did you check you sugar levels
User :   no
Doctor :  
ok
Doctor :  
did yu do any ECG test
User :   nope and thats what i'm afraid of
Doctor :  
ok
Doctor :  
so yu have not taken any test
User :   no
Doctor :  
ok
Doctor :  
let me explain the risk factors for you
User :   if i can add something i also have numbness in legs and fingers sometimes
Doctor :   first and the foremost be relaxed
User :   ok
Doctor :   not to get stressed and tensed
Doctor :  
this will further worsen you condition
User :   ok
Doctor :  
the risk factors for you is
Doctor :  
1. Hypertension
Doctor :  
2. family history of heart disease
Doctor :   3. obesity
Doctor :   wat was the last reading of BP
User :   that was couple days ago 155/93
Doctor :  
ok
Doctor :  
even after taking the medications you pressure are high
User :   after two 25 mg
Doctor :  
the other risk factor is Tension and stress
User :   ok
Doctor :   as per your history and symptoms the pain is due to increased blood pressure
Doctor :  
and can be heart related also
Doctor :  
no need to worry or get scared
Doctor :  
nowadays we have all the investigations and treatment option
Doctor :  
that are very good
User :   well i have a friend who is 31 and had a bypass done
Doctor :  
so i will advice you to go on following tests
Doctor :  
ok
Doctor :   is that fine

User :   yes
Doctor :  
1. Blood glucose
Doctor :  
2. ECG
Doctor :  
3. 2D echo - heart scan
Doctor :  
4. fasting lipid profile- cholesterol levels
Doctor :   if required TMT test - tread mill
User :   (so do you think i may be at risk of a heart attack ? ) sorry to interrupt
Doctor :  
the chances are there
Doctor :   its 30- 40 %
User :   hhhmmmm
User :   i need to take a pill
User :   lol
User :   ok Thank You very much
Doctor :  
but a correct and as early as tests will help u
Doctor :  
to take only medicatations
Doctor :  
need to reduce the wt also
User :   I will make an appointment with the doctor to do the tests
Doctor :  
thats great
Doctor :  
wat about you diet and exercises
User :   Thank You
Doctor :  
are you doing any exercises
Doctor :  
please fill the feed back form and comment box
User :   well i have two jobs a house so i have some exercises
Doctor :   ok
Doctor :  
but a brisk exercise is ideal one tor reduction of wt and
Doctor :  
even blood pressure
User :   i will try to find time
Doctor :  
ok
Doctor :  
do yu know wat brisk walk is
User :   no
Doctor :  
let me explain this to yu
User :   ok
Doctor :   its a aerobic exercise
Doctor :  
1. walking speed less than jogging but more than normal walk
User :   ok
Doctor :  
2. free movements of shoulders and arms
User :   how often
Doctor :  
3. walk only on plain ground, no ups and down
Doctor :  
4. atleast for 4-5 days in a week
User :   ok
Doctor :  
for atleast 30 min per day
User :   ok
Doctor :   Caution : not to do this exercises when chest pain is moderate to severe
Doctor :   this exercise has also reduces stress and tension levels
Doctor :  
reduces the bad cholestrol
Doctor :  
and improves good cholestrol
User :   to tell you the truth for the stress I'm on cymbolta also i forgot to tell you sorry
Doctor :  
ok
Doctor :  
Kamil not a problem it
Doctor :   its good that you said now
Doctor :  
regarding diet
Doctor :  
Need to avoid fatty and oily foods
User :   i eat home made foods
Doctor :  
like cheese, butter , gheee, panneer
User :   oooooo
Doctor :  
reduce junk and spicy foods
Doctor :   no to carbonated drinks like pepsi or coke
User :   ok
Doctor :   do you consume milk or coffee or tea
User :   yes
User :   all of it
Doctor :  
milk should be skimmed milk
Doctor :  
as it contains less saturated fat
User :   ok
Doctor :   ok
Doctor :   need to use low fat yogurt
Doctor :  
in diluted form
Doctor :  
wat oil do yu for cooking ?
User :   i dont really cook on oil
User :   maybe once or twice a year and it is a vegi oil
Doctor :  
even if u use canola or olive oil is good
Doctor :  
or even sunflower oil is good
Doctor :  
no for coconut or ground nut oil
User :   ok i will try to look for it
Doctor :  
do yu have non veg foods
User :   i'm not sure i undestand
Doctor :  
are you vegetarian or mixed diet
User :   mixed
Doctor :  
ok
User :   can you just tell me what is an "2D echo - heart scan"
User :   if you still have time
Doctor :  
yes i have time '
Doctor :  
i will explain this to you
User :   thank You
Doctor :  
heart scan is called 2D Echo
Doctor :  
it will say the blood flow to the heart
User :   o
User :   ok
Doctor :  
functioning of the heart
Doctor :  
any blocks
Doctor :  
reduced blood flow
User :   i see
Doctor :  
most of the hypertensive changes
Doctor :   that the reason i advised you to go for 2D echo
Doctor :  
or heart scan
User :   i will do this i just made the appointment with my doctor
Doctor :   good
Doctor :  
ok
Doctor :  
not to worry more
User :   :)
User :   Thank You again and I appreciate your help
Doctor :   will hope yu dont have any heart issues
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   i will thank you
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