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Hypertension and cholesterol - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 667 Questions
User :   My BP is 90-100/140-150 , IAM 50 YEARS OLD, NO SYMPTONS OF HIGH BP AT ALL.
Doctor :   Hi
Doctor :   How can I help you
Doctor :  
Dr Arun here
User :   MY BP IS 90-100/ 140-150. IS IT HIGH ?--
Doctor :  
Yes it is high
User :   Should I go for medicatin ?
User :   It is not always, normal reading is 90/100
Doctor :  
Let me ask you few details
User :   pl go ahead
Doctor :  
What is your age, height & weight?
User :   50
User :   ht.5.8, wt.80
Doctor :   How many times was the BP measured?
User :   I go for regular walk - 30 mnts
Doctor :   It takes more than 3 high readings to declare you Hypertensive
User :   I did take 4 to 5 times, last time it was 100/150 in the morning
User :   I have no high bp symptons at all.
Doctor :  
Were 3 readings more than 140?
User :   No
User :   its bet 140 -145
Doctor :  
Most people have high BP when measured but have no symptoms
User :   I understand
User :   Do you think I can control this without medication?
Doctor :  
So we can declare you hypertensive based on your info
Doctor :   Recent studies say that a person shoiuld be started on medication by 140 / 90
Doctor :  
mm Hg
Doctor :  
Previously doctors ask the patients to go on lifestyle modifications
User :   what is mm HG ?
Doctor :  
User :   ok
Doctor :  
140/90 mm Hg
User :   ok
Doctor :  
Now the right trend and way is to follow the lifestyle modifications and also medications
User :   does it have any side effects ?
Doctor :  
The lifestyle modifications are very important as the medications in fact take the first plkce
User :   ok
Doctor :  
Every set of medications will come with their own side effects
User :   so what do you suggest ? should I see my family Doc ?
Doctor :  
hence the doctors prescribe the class of anti hypertensives suiting to your age, lifestyle and minimal side effects and best to control your BP
Doctor :  
Doctor :  
You should your family Doctor for medicine
Doctor :  
YOu should see a Dietitian for Diet chart
User :   I am careful on my diet
Doctor :  
Weight reduction with your regular medication and exercise is the key here
User :   would you suggest any medicine
Doctor :  
You have to take 1600 Kcal diet, with 25 gm fat and high fibre
Doctor :  
I do not suggest antihypertensives here on chat
User :   Side effect if what nature
User :   1600Kcal/ day ?l
Doctor :   Postural hypotension, cholesterol derangements, electrolyte abnormalities, sexual problems
Doctor :  
all the classes would not have the same
Doctor :  
they differ
Doctor :   Yes
User :   I think i should starrt with a mild dosage
Doctor :  
Our dietitians can help you with the diet chart for each day and also with the proper exercise
User :   My cholesterol level is normal
Doctor :  
which suits to your cuisine
Doctor :  
May I know the cholesterol numbers?
User :   Go ahead iam ith you
User :   202, 50,
Doctor :  
What is 50?
User :   I dont remember well, LDL
Doctor :  
202 has just crossed normal
Doctor :  
User :   triglyc - is below the normal level
User :   Yes
Doctor :  
HDL is fine
Doctor :  
Are you diabetic?
User :   sugar fasting is 132
Doctor :  
That is high?
User :   what is normal
Doctor :  
less than 100
Doctor :  
More than 126 suggests that one is diabetic
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