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Hypertension and excessive drowsiness - 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 : 594 Questions
Doctor :   Hi.
Doctor :   How can I help you?
User :   hi doctor
User :   this is xxxxxx
User :   here
Doctor :   Ok
Doctor :   Please go ahead with your query.
User :   its quite sometime since i have been experiencing some kind of drowsy ness
Doctor :   Ok.
Doctor :   Since when is the problem present?
User :   i mean i had the same problem sometime back ie., last nov and dec
Doctor :   Ok.
User :   in between it stopped and again am getting the same kind of problem
Doctor :   Ok.
Doctor :   Is there any recent weight gain?
User :   for now its lasts for about a month
User :   i checked my bp
Doctor :   Ok.
User :   and its 169/90
User :   from a longtime
Doctor :   Ok.
User :   ino there's no weight gain
Doctor :   OK.
Doctor :   Is there any excess feeling of cold?
User :   when am walking even then i feel my legs going here and there
Doctor :   Ok.
User :   i mean i am unable to walk properly
Doctor :   Ok.
User :   sometimes
Doctor :   For Administrative and health purposes, Please provide these details -Age: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   i feel cold
User :   am 29yrs
User :   unmarried
User :   xxxxxx
User :   65
User :   5"
Doctor :   Do you have any other health problems?
User :   no
Doctor :   Are your periods regular?
User :   yes
Doctor :   Have you tested your Thyroid status recently?
User :   not recently but sometime back
User :   about an year back
Doctor :   Ok.
Doctor :   When was this?
User :   during last mar or apr i dnt remember
Doctor :   Ok
Doctor :   Last march is 2007?
User :   i had been to a dr
User :   he gave me some tabs
User :   yes last march
User :   is it because of hypertension
Doctor :   Is there any headache?
User :   no headache
Doctor :   Are you a hypertensive?
User :   i dnt have any other problem
User :   how will i know
User :   if am hypertensive
User :   ?
Doctor :   Were you diagnosed with hypertension?
Doctor :   last year
Doctor :   that is what I meant to ask?
User :   no
Doctor :   Ok.
Doctor :   When was the last Thyroid profile done? In 2007 or 2008?
User :   2007 mar
Doctor :   Ok.
Doctor :   I suggest that you get your THYROID PROFILE tested once again at a reputed centre like xxxxxx
Doctor :   You can find out the nearest location at WWW.WWWW.WW
Doctor :   I also suggest that you get atleast 7-8 hours of uninterrupted sleep at night.
Doctor :   That way you would be feeling less sleepy during the day.
User :   i actually thought that my sleep was one of the reasons and slept for 8 hrs continuously ysterday
User :   today
User :   but i have a bad drowsyness again
Doctor :   Also regular exercise everyday, keeps you active throughout the day and gives adequate sleep at night.
Doctor :   Are you on any medications as of now?
User :   ok
User :   no
Doctor :   YYYY@YYYY Mobile : 91-0000 please confirm your details
User :   can you tell me wat tests i have to get done
User :   yes that my id
Doctor :   Ok.
User :   and cell no
Doctor :   Get the Thyroid profile DONE
User :   ok
User :   and hypertension
User :   ?
Doctor :   You can get that tested by a general physician near your place and get it confirmed.
Doctor :   Hypertension does not cause
Doctor :   increased sleep.
User :   is that bp
User :   i mean blood pressure checked
Doctor :   Yes
User :   i just gave u the bp checked about 3days back it was 169/90
User :   is this normal or more
Doctor :   Then that is abnormal
Doctor :   the BP is high
User :   ohh
User :   ok
Doctor :   Where did you get this checked
Doctor :   at the doctor
User :   near my house xxxxxx
Doctor :   or at a electronic machine>
User :   yes
Doctor :   Ok
User :   not electronic machine
User :   but the bp checking with that mercury inside
User :   i dnt know wat is it called
User :   but dat doctor said my bp is not more
Doctor :   No.
User :   and gave me some medicines which i had for 2dayd
Doctor :   The normal BP is 120/75mm Hg
User :   ok
Doctor :   Anything more than that is considered hypertension
User :   ok
User :   now tell me wat will i do
User :   iam even unable to concentrate on my day today work
User :   this starts from morning the moment i wake up
User :   and continues throught out the day till i go to sleep
User :   iam actually getting worried
Doctor :   Are you talking about the sleepiness?
Doctor :   Or the BP?
User :   no this drowsiness
User :   bp offcourse
Doctor :   Ok
User :   suggest me wat can i do
User :   pleasse
Doctor :   You should be started on antihypertensives which should be continuously used
Doctor :   These drugs are prescription based
User :   oh is that a tablet
User :   ok
Doctor :   we cannot give them here without your own safety
User :   ok
User :   so i will have to visit a physician
Doctor :   Yes
User :   and wat will i have to get tested
Doctor :   Also use the medicines given by him regularly
User :   i mean the tests done
Doctor :   and exercise regularly as that reduces BP significantly
User :   given by the last doctor
Doctor :   No
User :   ok
Doctor :   you need a recheck up
User :   ok
User :   wat are the tests to be done
User :   dr
User :   ok
Doctor :   Please fill the feedback form say done when done
User :   thanks so much doctor
Doctor :   Get the tests done in THYROCARE
Doctor :   as the results are reliable
User :   sure doctor
Doctor :   You can find out the nearest location at WWW.WWWW.WW
Doctor :   Have you filled the feedback form which I have sent?
User :   do u also know some good physician
User :   no i havent got it
User :   yet
Doctor :   now?
Doctor :   Have you filled the feedback form which I have sent?
User :   yes
User :   i have already sent
Doctor :   oK
Doctor :   Is there any thing else that I could help you with?
User :   can u suggest me a good physician please
Doctor :   You can use the search a doctor/hospital feature on our homepage to find a doctor in your area.
User :   who is reliable
Doctor :   Any physician is reliable as it is a simple case of hypertension
User :   ok
Doctor :   I also suggest to get your Blood Urea and Serum Creatinine tested
User :   but in my case few doctors say i have bp
User :   and few say i dnt
Doctor :   Yes
User :   so dont really understand as to who is reliable
Doctor :   The early morning reading is confirmatory
User :   ok
User :   i shall get all these done
Doctor :   Thats ok, just visit any physician in the morning
Doctor :   Ok
User :   sure
Doctor :   Please inform us of the results
User :   can i also have ur name please
Doctor :   Dr. xxxxxx
User :   sure i shall do that
User :   thanks somuch dr
Doctor :   You are welcome
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service.
User :   also another query i had
Doctor :   Ok
User :   about my mother
User :   i had earlier spoken to one of the dr's from healthcare magic
User :   my mom is on dialysis for the past 2 months from now
Doctor :   ok
Doctor :   If you can explain the condition briefly, it would be helpful
User :   yes sure
Doctor :   Ok
User :   when tested dr said that her both the kidneys have reduced i mean its only 20% its working
User :   and also that she has problem with her liver also
Doctor :   Ok.
User :   then they shifted her on dialysis
Doctor :   Ok.
User :   for 2 mnths now
User :   last month while she was on dialysis her bp went low
Doctor :   Ok.
User :   and they lifted her feet
User :   up
User :   so that the bp becomes normal
User :   and from dat day till date
Doctor :   Ok.
User :   shes unable to move her leg
Doctor :   That increases the venous return to the heart
Doctor :   Ok,
User :   when we took xray they said it is severe ostrio arthritis
User :   i checked with other doctors also
User :   dr xxxxxxat xxxxxx
Doctor :   ok
User :   even he advised knee transplant
User :   wherein they are not giving me any assurity of my mom being alive even
User :   or she getting back to normal as earlier
Doctor :   Ok.
User :   they say chances are very less she's about 65-68 yrs
User :   old
User :   right now she's at home and its very difficult to even move her leg
Doctor :   Ok.
User :   her dialysis is done thrice a week
Doctor :   Considering her present condition, surgery looks impossible as she may not be able to tolerate the procedure
User :   can u please explain me why
User :   if u dont mind
Doctor :   That is because there will be anaesthesia complications
User :   ok
Doctor :   a person with compromised kidney and liver function wont be able to metabolise most of her anaesthesia drugs
User :   then wat is the next remedy for her pain
Doctor :   Only conservative measures like massages
Doctor :   simple pain killers
User :   can i provide her with some ayurvedic medicines
Doctor :   I am aware of an oil called xxxxxx
User :   is there a side effect for the same
Doctor :   It has been known to work in few
Doctor :   There are no side effects
Doctor :   as it is only applied on the surface
Doctor :   after applying the oil
User :   ok
Doctor :   apply hot compresses
User :   ok
User :   dr i have also visited mobility india
User :   they provide external braces
User :   will this by anyways help my mom
User :   for the time being
User :   she's day by day getting into depression
Doctor :   Ok
Doctor :   Yes
User :   we are only four in a family and the family is run by me
Doctor :   Ok
Doctor :   the external braces for the knee?
User :   so please suggest me wat can i do for her to be in better condition
User :   yes
Doctor :   It is better to go for any conservative method available
Doctor :   as long as it does not involve surgery
User :   no even external braces is only a kind of externally fixed sticks
Doctor :   yes
User :   i mean for polio people they advise the same
Doctor :   yes but is she unable to move her limb completely?
User :   yes dr
User :   shes doesnt allow us to even touch her feet
User :   its only on the knee the pain is severe
Doctor :   then try the hot compresses and the oil or any topical pain killer gel like Volini
User :   where will i get xxxxxx
User :   i have already started with somany gels
Doctor :   Any medical shop which sells ayurvedic drugs
User :   ok
Doctor :   try to get her physiotherapy
Doctor :   alternate heat and cold also help
User :   in how many days
User :   can i get her physiotherapy done
User :   dr also wanted to check with u
Doctor :   once the pain subsides gradually with rest and the massages then you can start
User :   everytime i have to take her in ambulance for dialysis as she's unable to move
Doctor :   also the massage should be very gentle
User :   ok
Doctor :   Is there any thing else that I could help you with?
User :   is there any other way where i can get the dialysis done at home
User :   i have heard of dialysis on wheels
Doctor :   Yes, Dialysis machine can be got at home but there are more chances of infection and contamination and the cost is also very expensive
User :   ok
User :   so u suggest me to take her on ambulance only
User :   till she's improved
Doctor :   I suggest you discuss this with your nephrologist also as she is an arthritic patient
Doctor :   If he asks you to go ahead
Doctor :   with the home unit then you can try
User :   sure dr
Doctor :   he would advise this if he is satisfied
Doctor :   with her improvement
Doctor :   and considering other factors
Doctor :   he would be the best to advice
User :   dr xxxxxxi shall surely get in touch with you after getting even my reports
Doctor :   Is there any thing else that I could help you with?
Doctor :   Sure
User :   thanks so much for your valuable time and patience
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service.
Doctor :   You are welocme
Doctor :   welcome
User :   sure i shall advise my friends regarding your online services
Doctor :   bye for now
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