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Sever headaches, obesity, high BP, medications - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2009
Answered : 623 Questions
Doctor :   hello
Doctor :  
how can i help u?
User :   may i know your name doc
Doctor :  
i am dr
User :   hi doctor
User :   i would like get ur opinion
Doctor :   sure
User :   i have severe headsche
Doctor :  
pls proceed
User :   also high blood pressure normal is 90 by 130
Doctor :  
ok
User :   today 2 hrs ago i felt headache went to doc who checkd my blood predsure and it was 120 by 190
Doctor :  
ok
User :   i took zestril 20 mg daily once
User :   i took one in todsy
Doctor :  
ok
User :   but due to my condition itook one just now
User :   thsts it
Doctor :  
ur diastolic bp is very high
User :   whats diastolic
Doctor :  
bp has two compenents one is systole which is upper value and diastolic which is lower value
User :   idont know how to say
User :   but lower press was 120
User :   and higher was 190
Doctor :  
ok
Doctor :  
it is 190/120
User :   just wanted to ask some precsutions, etc should iincrease dose
Doctor :   no

Doctor :  
dont increase the dose
User :   i mean max is 20mg
User :   but shoul i take it twice a day
Doctor :  
from whne are u takin this tablet?
User :   from pharmsacist
Doctor :   who prescribed this tablet?
User :   its called zestril writtrn in red color on yellow packet
User :   msde in uk
Doctor :  
i know
User :   doctor prescribed it
Doctor :  
it is lisinopril
Doctor :  
ok
Doctor :  
fromhow many days are u taking this?
User :   initislly used to tske 10 mg for long
User :   thrn doc increaed to 20m
Doctor :  
ok
Doctor :  
inspite of taking 20 mg ur bp is still the same
Doctor :  
?
User :   same
Doctor :  
ok
Doctor :  
from how many days aree u taking zestril 20 mg?
User :   since 3 monthd
User :   bef i took 10mg for 2 yesrs
Doctor :   ok
Doctor :  
hen u should increase the dosage
Doctor :  
it is available till 40mg
Doctor :  
if not change to another medication
User :   csn i take 2 tsb of 10 mg each
User :   sorru
User :   /
of 20mg each
Doctor :  
no
Doctor :  
dont do such things
Doctor :  
there will be lot of side effects
User :   ok i will take 40mg once a day in one tsb dose
Doctor :  
no no wait
User :   i thought its the same either 40 or 2x20
User :   yes
Doctor :  
i wanna ask u few questions
Doctor :  
whats ur weight
User :   ok ask
Doctor :  
?
Doctor :  
ur height?
User :   90kg
User :   age 24.5 yrs height 5.8
Doctor :  
ok
Doctor :  
u are obese
Doctor :  
weight also plays major role in bp
User :   nope
Doctor :  
next what about the diet u are taknig?
Doctor :  
for ur height ideal weight is 72 kg
Doctor :   u are 90 kgs
User :   i am taking food from the compsny mess
Doctor :  
at the max u can be 75 kg
Doctor :  
ok
User :   ok
Doctor :   doctor dint advice about salt restriction?
Doctor :  
u should have food which has no salt
User :   yes many times but diff to follow, i dont take exta but normsl
Doctor :   rather than drugs diet management is more important
Doctor :  
i can understand
Doctor :  
but still u should follow
User :   ok i will try
Doctor :   good
Doctor :  
not only try u should do it
Doctor :  
and reduce ur weight also
Doctor :  
then def ur bp will come down'
Doctor :  
regarding zestril u can take 30 mg tablet .
Doctor :  
but before taking its better u consult the doctor who is treating
User :   ok
User :   /
pls tell me which diet food is for or against
User :   i like meat
Doctor :  
ok
Doctor :  
actually meat is not good for u
User :   pls guide me basic food stuff to tske snd to avoid
Doctor :  
especially ,masala food
User :   i mesn i take white meat chicken only
Doctor :   ok

Doctor :  
still
User :   ok
Doctor :  
u should reduce masala items
Doctor :  
thats def not good for u
User :   thsts not possible
Doctor :  
u should understand one thing AAAAAAA
Doctor :  
if ur bp is high for long time it will effect ur heart,eye
Doctor :  
liver
User :   ok
Doctor :  
what not almost any organ
Doctor :  
tablets alone will not help u
Doctor :  
diet control is very important
User :   ok i will try
Doctor :  
so dont take masala items
Doctor :  
and u should reduce ur salt inkae to 10 percent
User :   ok
User :   thanks
Doctor :  
infact u shouid totally avoid salt
Doctor :  
welcome
User :   got another issue
Doctor :  
i know it difficult to follow but its my responsibilty to tell u the facts
Doctor :  
pls proceed
User :   for the past 4 weeks i have a frequent pain in my right shoulder
Doctor :  
ok
User :   it doesnt feel like a joint
User :   more of a muscle ache
Doctor :  
ok
Doctor :   are u talking any tablets?

User :   no
Doctor :  
taking*
Doctor :  
OK
User :   by the way im the brother, so no need to relate it to blood pressure..
Doctor :   it must be some muscle catch
User :   hmm probably
Doctor :  
ok
User :   so which medicine i can take
Doctor :  
u can takle tablet tyelnol
User :   i took it already but it is not helping
Doctor :  
two time per day
Doctor :  
from how many days are u taking this?
User :   a week or so
Doctor :  
which place are u from?
User :   os there any musle relaxant medicine
User :  
Doctor :  
ok
User :   i am in t .......is this have any relation with computer....
User :   because i have to use computer for 12 or more hours daily.
Doctor :   ok
Doctor :  
yes
Doctor :  
it def has this effect
User :   so
User :   is there any medicine for this porblem
Doctor :   there are medicnees but i donno which muscle relaxant is avaiable in saudi i mean brand
User :   are u there??????/
Doctor :  
i will mail u baout the medicine with in !) minutes
User :   u tell me the name i will chk it from pharmacy
Doctor :  
hello
Doctor :  
how can i help u?
User :   ok thanks
User :   where will u mail me
Doctor :  
ok
Doctor :  
tab mobizac
Doctor :  
u choeck tab mobizac and i will
User :   and how many times shud i take this and how many
User :   and for how many days shud i take this
Doctor :  
u first try it for two days
User :   and how many tablets one or two
User :   r u there
Doctor :  
only ane in the morning and one in the night
Doctor :  
r u there?
Doctor :  
r u there?
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