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Suggest treatment for high BP - Online Doctor Chats

Date : 23-Nov-2014
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2549 Questions
Doctor:Hi
User:hi i am 3o yrs old and from last 4 yrs i have high bp
Doctor:Please proceed with your query.
Doctor:OK
User:i am taking nebistar SA regularly
Doctor:Ok
User:i have doen all possible reports all are clear no issues however still i haev high bp
Doctor:OK
User:answer that i got from doc is it may be becoz unknow reasons
Doctor:Ok
User:i am not sure what to do but i take medicin regulary
Doctor:Ok
User:100/150 is average
Doctor:Ok
User:but when i take medicine is under control
Doctor:OK
Doctor:What are the bp readings when you take medicines?
User:80-120
Doctor:Ok
Doctor:How about your lifestyle?
Doctor:Is it stressful?
User:i prefer eating home food
Doctor:Ok
User:not exactly stressful
Doctor:Ok
User:but it use to be but now not that much
Doctor:Ok
Doctor:Do you follow any routine physical exercises?
Doctor:yoga or meditation?
User:i use to be didnt got time as i have to travale a lot so didnt continue
Doctor:Ok
Doctor:Did you get any routine investigations recently?
User:yes i visit doc every 3 months
Doctor:May I know the investigations done recently and are all the reports normal?
User:i visit him for regular checkup he check BP which was normal
Doctor:Ok
Doctor:How about your liver function tests and kidney function test?
Doctor:Are you there?
User:kidney test i did around 2-3 yers back and they where normal
Doctor:Ok
User:but i haev not done liver test
Doctor:Ok
Doctor:Do you monitor your bp in home?
Doctor:and how frequently?
User:yes
User:10-15 days
Doctor:Ok
Doctor:Do you have any fear while checking your Bp that it would be high?
Doctor:or when you visit your doctor?
User:yes i am little claustrophobic and i get afraid very easily
Doctor:OK
User:yes little but i try to be as normal as possible
Doctor:Ok
Doctor:Thank you for the details
Doctor:Basically Hypertension is caused due to two things that would essential and non essential causes
User:ok
Doctor:So, it is due to stress, lifestyle changes and idiopathic
Doctor:Idiopathic means no cause found
User:ok
Doctor:The other would be due to secondary causes like tumors, renal dysfunction
Doctor:or any other metabolic causes.
Doctor:As you are young, it is very important to rule out other causes first.
Doctor:So, I advise you to go for complete body checkup to rule out any metabolic causes.
User:ok because when i did reports they where normal and doc told me there is no resons but u need to careful and take medicin to control this first and do yoga
Doctor:Yes, I understand but you did not get complete body checkup.
User:ok what are the test that you will recommend me i stay in XXXXXXX so any good place where i can visit and do all these tests
Doctor:That is why I asked you regarding investigations done by you.
Doctor:You can visit any multispeciality hospital and get a general body checkup.
User:ok
Doctor:Once that is done, the doctor would advise further checkups if required.
Doctor:One more cause I feel in you is the fear of having high BP.
Doctor:This is usually known as white coat syndrome
User:may be but how to deal with this
Doctor:commonly found in people with high bp but unable to find a cause.
Doctor:The best way to deal with this is regular meditation, yoga and do not check your BP regularly.
User:ok
Doctor:And when you for Bp monitoring by your doctor, do not think about it.
User:thanks for the help Dr Aswin :)
Doctor:You need to continue your medication as advised by your doctor for now.
User:yes i am doing
Doctor:Keep your self hydrated by drinking plenty of fluids atleast 2 to 3 ltrs/day
Doctor:monitor your fluid intake and the volume of urine passed
Doctor:Try to restrict salt intake as much as possible.
Doctor:Get the health checkup at the earliest.
User:sure i avoid salt a lot
Doctor:Ok
User:and other things i wll surly try to do
Doctor:If possible you can post the reports of check up here so that we can discuss further and how to deal with it.
User:i go to loo very frequently
Doctor:Ok.
Doctor:How many times a day?
User:5-6 times or more
Doctor:and approx how much water do you consume
User:around 2 to 2.5
Doctor:Ok
Doctor:Any burning sensation while passing urine?
User:some times
Doctor:Ok
Doctor:Might be due to infection.
User:but i feel like i am not done with it after peeing
Doctor:OK
Doctor:We need to check the cause of it by getting an USG abdomen which is included in the general health check up plan usually.
Doctor:So lets get the checkup done at the earliest.
User:ok sure i will do the test and share with you
User:thanks bye bye
Doctor:so that we can plan further treatment accordingly.
Doctor:Thanks for visiting me here. Bye for now.
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