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Suggestions to improve low blood pressure - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 631 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   My daughter who is 35 years is having blood pressure in general 57/95
Doctor :   Ok

Doctor :  
What is her height and weight?
User :   is it o.k.
User :   she is 46kgs
User :   height is 5'6"
Doctor :  
Ok
Doctor :  
She is underweight
Doctor :  
And that is one of the reason her BP is low
User :   yes I had a diet chart through chat on this site
Doctor :  
Ok
Doctor :  
I remember
Doctor :   Let her follow that
Doctor :  
and she should improve.
User :   Can we take this blood preasue as normal for her
Doctor :   Is she able to take B protin now?
Doctor :   Yes

Doctor :  
No worries
User :   she has started taking it in small quantities
Doctor :  
Thats fine
User :   how much quantity she should take. On the supply pack it is written as 30 gms
Doctor :   Yes
Doctor :  
But let her do it at her own comfort level
Doctor :  
Need not pressurise on that
Doctor :  
Pressure leads to repulsion
Doctor :  
So let her take it in whatever quantities she is ok with
User :   So as per you we need not worry w.r.t her BP
Doctor :   Absolutely
Doctor :  
It is habitual even in some people who are well built
User :   Doctor can I ask you about a new born baby in our house
Doctor :  
Sure
User :   hi doctor
Doctor :  
Yes you can continue
User :   my son was born exactly 7 days back
Doctor :  
Ok
User :   with a cesarian operation
Doctor :  
Ok
User :   he was test for any jaundics at the time of birth
Doctor :  
Ok
Doctor :  
It is common in Neonates
Doctor :  
occurs as a result of hemolysis of the red blood cells
User :   His t3 and t4 was 80 and 7.7 respectively
User :   sorry
User :   this TSH was 7.7 and T3-80.59 and T4 was 6.29
Doctor :  
Ok
User :   now when we saw more yellowish stool and urine we were worried
Doctor :   Ok
User :   and we saw colour of eyes was also turning yelloe
User :   turning yellow
Doctor :  
Have you suffered from thyroid problem?
User :   so we went for bilubin test today
Doctor :  
Ok
User :   my wife had it during pregency
User :   othwise she is normal
Doctor :  
Ok
User :   but during pregnancy her TSH level went up
Doctor :   What was it hypothyroidism/hyperthyroidism?
User :   so she was adviced for medicine 25 mg a day
Doctor :  
Ok
User :   that brought level of TSH to 5
Doctor :  
Then it is hypothyroidism
Doctor :  
Ok
User :   i dot know medical term
User :   now today we went to fortis
User :   for checkup
Doctor :   Ok
User :   doctor after visual inspection said , baby seems to be ok
User :   nothing to worry
Doctor :   That is fine

Doctor :  
Such things are observed
User :   but he had suggested for bilrubin test
Doctor :  
if the mother is on treatment for thryoid
User :   now i just got results
Doctor :  
So you need not worry about that
User :   but results are indicating that Total bilrubin has gone up
User :   it is 17.2
User :   direct is 0.4
User :   and indirect is 16.8
Doctor :  
It occurs during first week of life
User :   ok
User :   but is it not a higher level
Doctor :   It is
Doctor :  
But with the thyroid and neonatal jaundice is clubbed
Doctor :  
and will require regular follow up
User :   we start taking him in the sun light morning for 30-45 min
User :   will it help
Doctor :   Yes

Doctor :  
That is phototherapy
Doctor :  
It does help
User :   ok
Doctor :  
Specalized phototherapy is done at hospital
User :   any other test do you suggest
User :   ok
Doctor :  
Talk to your Pediatrician/Neonatologist about that
Doctor :  
Not required
User :   i will talk to him tomorrow ..
Doctor :  
Yes, that would be better
User :   but there is two contradectory views
Doctor :  
Like
User :   one doctor from Kailash hospital( where he was born a week back) is suggesting nothing to worry, he is saying total bilrubin less then 20 in first wk is ok normal
Doctor :  
Yes
Doctor :  
thats true
User :   while when i shared this with doctor in Fortis he is saying , it is really high , need to meet him tomorrow
Doctor :   It is high
Doctor :  
But as I mentioned
Doctor :  
in neonates, you need not worry
User :   infact internet literature is also indicating that level >25 is dangous
Doctor :   Yes
Doctor :  
Slightly high
User :   but literature is also indicating contradactory treatment
Doctor :  
No need to worry about such
User :   internet suggest go for breast milk
Doctor :  
Upto 15 is normal
Doctor :  
Breast milk is always indicated
User :   and at the same time suggest that jaundics will be lower in formula milk while more in breast milk fed baby
Doctor :  
Dont worry at such myths
Doctor :  
Have trust more on the doctor
User :   ok
Doctor :  
rather than just internet info
User :   this is first baby and we are very much concern
Doctor :  
No need to worry
Doctor :  
It will subside
Doctor :  
Not very high
User :   so should mother avoid or take any perticular thing in food , as you are also suggesting that breast milk is the best
Doctor :  
She should avoid medications out of prescription
Doctor :   And take good diet
User :   what all will help to fight against jaundices
Doctor :  
It will recover sponatneously
Doctor :  
No specific foods for it
Doctor :  
Just go on with the treatments and follow ups
Doctor :  
That will do the trick
User :   but has more unination also help can we give water to baby or a combination of formula and mothers milk?
Doctor :   Go as per doctor's advice
User :   ok
Doctor :  
Mother's milk is of first priority
User :   ok
Doctor :  
That is the Universal truth
Doctor :  
Only if it is insufficient
Doctor :  
then other foods are considered
User :   ok
User :   thanks
Doctor :  
Please fill the feedback form say done when done.
User :   ok
User :   thanks
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   ok
Doctor :  
I would like to update your mobile number
Doctor :  
For better referency
User :   0000
User :   good nite and take care
Doctor :  
You need to update in your account
User :   ok
User :   we will do thanks
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