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Diet advice for a high BP patient - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hello Doctor
User :   My name is XXXXXXXX and my age is 28
Doctor :   Hi
Doctor :   Iam.Dr.XXX
Doctor :   May i help you?
User :   Since 3days, i've found my BP seems to be high and went to doctor and he gave XM-beta
Doctor :   ok
User :   and for 2nd opinion, i went to another doctor and said lostat-H is enough
User :   so, i was taking this since 2days
Doctor :   since when you are using medicines?
User :   2days
Doctor :   ok
User :   was Lostat-H is advisable to take?
Doctor :   do you have haedache?
User :   no, sometimes, i feel gidiness
Doctor :   lostat-h is good
User :   i take this lostat-H every morning
Doctor :   as it is long acting
Doctor :   do you take excess salty diet?
Doctor :   do you have any family history of bp?
User :   yes, sometimes and last week, i ate lot of chocklates
User :   yes, family history of BP
Doctor :   ok
Doctor :   since you have recently started
Doctor :   the medicine
Doctor :   it will take some time to get bp in control
Doctor :   also you need to be mindful
User :   2day, i travelled back to my native and checked BP without taking tablet... its 133/82
Doctor :   of your diet and stress
Doctor :   ok
Doctor :   thats not too high
Doctor :   also the bp changes every time during a day
User :   does this medicine cause side effects?
Doctor :   after food intake
User :   How long this medicine (lostat-H) take effect in a day?
Doctor :   lostat-h has losartan
User :   ok
Doctor :   drug
Doctor :   that is long acting dru
Doctor :   drug
Doctor :   and did you check your blood sugar
User :   yes, empty stomach 123
Doctor :   ok
Doctor :   try to get it below 100 or 110
Doctor :   do take more of fresh fruits and vegatables
User :   like
Doctor :   and avoid spicy and oily foods
User :   i take apple
Doctor :   do you smoke or take alcohol?
Doctor :   ok good
User :   nope
Doctor :   continue that
Doctor :   try taking more veg salads or soups in the night
Doctor :   use only sunflower or safflower oil
User :   wht sort of veg salad can be taken?
Doctor :   a mix of carrots
Doctor :   cucumber,onion
Doctor :   cabbage
User :   ok
Doctor :   and drink 10-15 glasses of water a day
User :   At night time, when i suddenly wake up, my body feels like cold and shivering
User :   is that due to tablet?
Doctor :   try to go for a daily morning exercise of atleast 30 min
Doctor :   ok
Doctor :   it can come due to low bp
User :   morning exersice - walking for 30min
Doctor :   so what you need to do now is check your bp at least 3 times for a week
User :   in that case what should i do?
Doctor :   good
Doctor :   and also if your bp is consistently low for a week
Doctor :   you will have to adjust the drug dose
Doctor :   what was the bp at the time you started medicines
Doctor :   was it so high to start ,drugs?
User :   165
Doctor :   ok
Doctor :   its high
User :   150
Doctor :   but did you recheck atleast 3 times
Doctor :   after that
Doctor :   to verify
User :   yes, its around 130
Doctor :   since as i told some times bp will be high like after
Doctor :   emotuional upsets exercises etc
Doctor :   ok
Doctor :   130 is ok
User :   fine. can i stop this tablet if my bp under control?
Doctor :   so try checking at least thrice a week
User :   does this tablet has side effects?
Doctor :   yes sure
Doctor :   not that much side effects
Doctor :   but those with asthma cannot use beta blocker drugs
Doctor :   whom did you meet for the medicines?
User :   I went to doctor for consultation
Doctor :   was it a physician
User :   cardialogist
Doctor :   ok good
Doctor :   so he would have advised well
Doctor :   so when didi he ask for follow up visit
User :   he just said to avoid oily foods and take this medicines, as my family history has CAD
Doctor :   ok
Doctor :   you need to be mindful of the lifestyle
Doctor :   what job you do /
User :   XXX
Doctor :   ok
Doctor :   good
Doctor :   so do some regular exercises
Doctor :   and be diet conscious
Doctor :   that will help you a lot
User :   ok, after i take lostat-H, evening or afternoon- i feel little bit gidiness
User :   is this because of impact of this tablet?
User :   i mean suddenly it will come nd go
Doctor :   yes for some it will be there
Doctor :   but this drug is comparatively safe
Doctor :   than others
Doctor :   and also costly
User :   yes.
User :   whn i feel such type, wht i can do myself?
Doctor :   There are two types of hypertension: essential, which accounts for 90% to 95% of cases, and secondary
Doctor :   you may lie down and rest
Doctor :   and if possible get a bp checked
Doctor :   you may use a home bp checkup apparatus
User :   yes
Doctor :   electronic ones
Doctor :   but it is not that reliable
Doctor :   are you overweight?
Doctor :   did you check cholesterol /
User :   nope, am 68 with 5.5'' height
User :   nope
Doctor :   ok
Doctor :   you may reduce the weight further
Doctor :   to 62-65 kg
Doctor :   also do a lipid profile test
Doctor :   with early morning fasting
Doctor :   so that you will have a better idea of the cholesterol status
User :   ok
User :   I'll do that
Doctor :   as per your BMI standards you are at the extreme
Doctor :   of normal
Doctor :   so your BMI should be like 20-22
Doctor :   it will have great impact on your blood pressure
User :   ok
Doctor :   Engage in regular physical activity, such as brisk walking, at least 30 minutes per day most days of the week. This can decrease systolic blood pressure by 4-9 points.
Doctor :   Reduce dietary sodium to less than 2,400 milligrams or about 1 teaspoon a day
User :   Ok
Doctor :   Follow DASH (Dietary Approaches to Stop Hypertension) eating plan
User :   can i've food without salt?
User :   is that ok?
Doctor :   a diet rich in fruits, vegetables, and low-fat dairy products. Reduce saturated and total fat. This can be expected to drop systolic blood pressure by 8-14 points.
Doctor :   ok
Doctor :   but for taste you may
User :   ok, Walnet and badam is advisable?
Doctor :   only lifestyle changes is needed for you
Doctor :   badam is ok
User :   How many badam piece,i can have per day?
Doctor :   1-2
Doctor :   but do check your blood cholesterol before that
User :   Ok
User :   walnet is not advisable?
Doctor :   Young men with hypertension often have what's called "metabolic syndrome," which is known to contribute to heart disease and diabetes.
Doctor :   It includes a cluster of risk factors found in an individual and include excess body fat (especially around the waist and chest), high cholesterol, and insulin resistance.
User :   Ok
Doctor :   Studies have also shown that early vertex baldness can be associated with HBP
Doctor :   In addition, obstructive sleep apnea and snoring are linked to HBP in men in general.
User :   1st thing to reduce weight
Doctor :   yes
Doctor :   taht will be done automatically
Doctor :   when you take up regular exercises
Doctor :   try aerobics too
Doctor :   Thanks for consulting....
Doctor :   Bye for now...
Doctor :   wishing you a speedy recovery...
Doctor :   take care...
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