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Have increasingly high BP. done X Ray and scan. What could be the cause? - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2437 Questions
User:Hi
Doctor:Hi
User:I am 27 years old
Doctor:ok
User:Hi Doctor
Doctor:How can I help you ?
User:ok
User:ya
User:during one of the check ups
User:I was diagnosed with High BP
Doctor:ok
User:my reading was 140/100
User:that day I was very stressed as well
User:so I dropped it
Doctor:ok
User:then later - a week later I again went to the doctor and checked - it was about 130/90
Doctor:ok
User:since it was also in the higher side
Doctor:yes
User:I did all the tests
Doctor:what all tests were done?
User:ECG/Chest X Ray/ Eye Test/ Lipid Profile
Doctor:Were the results normal?
User:yes
Doctor:ok, great
User:all within acceptible limits
User:now my doc has given me Met XL 25
Doctor:ok
User:I am having it for like say the last 3 months
Doctor:Has the blood pressure come down?
User:the last time I checked my pressure, it was 140/90
Doctor:Have you been taking the drug regularly?
User:not very much
User:yes I have
User:also
User:I used to drink and smoke which i have reduced considerably
User:I work out now
Doctor:great
User:and frankly I have stress but its not so great that it will give me BP
Doctor:There are several things that we need to do here
User:another point is - my Mom, Dad and almost everyone in my family have BP
User:ok
Doctor:First, you need to have a salt restricted diet
User:ok
Doctor:Which means no pickle, papad or chutney
User:ok
Doctor:also, if its possible, totally avoid salt in your food
User:ok
Doctor:second thing is you need to regularly exercise regularly
User:sure
Doctor:We'll be looking at about 50 minutes of brisk walking daily
User:that is being done now
Doctor:walk/jog/ do whatever you like
User:ok I do a mix of cardio and weights
Doctor:I want 50 minutes of cardio
User:ok
Doctor:Weights are optional
User:ok done
User:and
User:...
Doctor:Thirdly, we would need to increase the dose or switch to another drug
User::(
User:ok
Doctor:What is your weight Vivek?
Doctor:and height?
User:90
User:6 feet 2 inchees
Doctor:I think we should be looking at losing atleast 6-7 kg
User:ok
Doctor:so a diet plan would also help
User:ok
Doctor:For that, I can fix up an appointment with a dietitian for you
User:ok
Doctor:but more importantly, I want you to seek a second opinion for the treatment of your blood pressure
User:hmm
Doctor:These are prescription drugs and thus I cant start you on a drug without examining you
User:tell me something - what could be the cause ??
User:also
Doctor:We dont know the cause
Doctor:Its called essential hypertension
User:ok
Doctor:There is some abnormality in the movement of sodium and calcium in the vessel walls
Doctor:But these are only hypothesis
User:hmm I understand
Doctor:there is no confirmed theories
User:ok
User:2 more questions
Doctor:Do you want my customer care team to help you find a good physician near your place
User:yeah sure
Doctor:They'll call you for that
Doctor:Yes
Doctor:Now your questions
User:ya
User:1 is if I smoke arnd 4 cigs a day
User:will that impact me badly
User:?
Doctor:Yes
Doctor:definitely, it is one of the most harmful things you can do
User:ok
Doctor:Smoking not only causes heart disease
Doctor:but also cancers of several regions
Doctor:You should definitely try and quit
User:Question 2 : Sometimes I experience that my heart beat increases after a meal
User:say dinner or lunch
Doctor:How much water do you have in a day
User:does that have anything to do with BP
User:?
User:lots of water
User:at least 4-5 litres
Doctor:Was an ECG or treadmill test done for you?
User:ECG was done
User:and acc to my doctor, it was normal
Doctor:do you experience this after exertion or stress as well?
User:nope
Doctor:Ok
Doctor:Then I think its just a coincidence
Doctor:it is not related to your bP
User:ok
Doctor:and not something you need to worry about
User:thanks Doc
User:it was really helpful talking to you
Doctor:Is there anything else I can help you with?
User:you can suggest me a doctor
User:for a second opinion
Doctor:i dont anyone personally
Doctor:But we have user rated reviews
User:ok
Doctor:and my customer care team will call you with the details
User:sure
User:thanks a lot and you have a good day
Doctor:You too
Doctor:You're welcome
Doctor:Thanks for consulting me
Doctor:Bye for now
User:Thanks
User:Bye
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