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Overweight. On controlled diet and healthy lifestyle. High BP. Any tests required? - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2549 Questions
Doctor:Dr XXXXXXX here
Doctor:How can I help you?
User:I am 37 yr old man. My weight is 98 kg & height is 180 cm. I am on a controlled diet (no salt meal in the evening, no processed food, no rice) & regular excercise for 2 months now and lost actually 5 kg in last one month. Recently checked my BP & was shocked to see it as it was quite high 150/90. I am monitoring it for las 7 days & its not coming down. What to do?
Doctor:Were your blood pressures constantly on the higher limit as 150/90mmHg?
User:no earlier it was around 130/85 or so...but never so high
Doctor:I understand that, but since you are monitoring for the last 7 days
Doctor:have those readings been 150/90 and above?
User:its constant 150/90 for last 7 days
Doctor:Do you have family history of hypertension (high BP)?
User:my mother was patient of hypertension
Doctor:Let me brief you.
Doctor:Your systolic blood pressure (upper reading) is marginally raised while the diastolic (lower reading) is at it's limit.
Doctor:This usually tends to happen as one inches towards 40 years of age.
User:but should it not be 120/80?
Doctor:Therefore though your blood pressure is higher it is not alarmingly high.
Doctor:The normal blood pressure has ranges. The upper cut off limit for any person in 140/90mmHg.
User:do i need medication ?
User:or some medical tests?
Doctor:With this information, I would suggest you the following measures:
Doctor:1. Continue your current life style - dieting and exercises.
Doctor:2. It will also be better to add a small dose of antihypertensive drugs like amlodepine or an ACE inhibitor to keep check on the blood pressures.
Doctor:You can get one of the medications from your physician when you consult them.
User:how long it will be required ?
Doctor:3. Blood pressure worsen with anxiety and stress. So do not be worried and stay relaxed.
Doctor:At this point, the duration of treatment cannot be predicted. Presuming your blood pressures have only been higher recently, there are chances that medications could be stopped after a few months.
Doctor:However since the readings were persistently high for a week, I would prefer you to keep the low dose medications for a long time.
Doctor:This will make sure you do not end up with a much higher readings in the future.
Doctor:You can discuss about these with your physician and start off the medications.
Doctor:Lastly, there is no immediate need to start antihypertensives.
User:do i require any medical test/s?
Doctor:Keep up your life style and whenever you plan to visit your doctor, you could get this done.
Doctor:For blood pressure per se, you do not need any testing, however it would be better to get a complete cardiac check up - that includes blood sugar check, cholesterol check, ECG and echocardiogram done once
Doctor:if it hasn't been done yet, or if the last check was a long time ago.
Doctor:Nothing serious, just a regular screening to make sure you have an healthy heart ahead.
Doctor:Have you followed?
Doctor:Do you have any other query? there any harm in continuing with cardiac exercise like jogging ?
Doctor:Presuming you do not feel breathless while doing them, please continue those exercise.
Doctor:It has a positive and healthy influence on your pressure and heart.
Doctor:Have you followed?
User:thanks. that was really assuring.
Doctor:Do you have any other query?
Doctor:You are welcome.
User:no. Have a good day doc.
Doctor:Wish you the same.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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