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Uncontrolled blood pressure - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   i had an angiography friday and ive been feeling a sharp pain on my right outside thigh and numbness on both thighs on the outer side of leg. will that go away? i had it done cause for some reason i feel very faint and weak when active. i have been working out for a year 3 to 4 times a week and in june i couldn't anymore. i tried lifting weights and felt like passing out. went to the er and nothing was found ekg,blood,xrays,ultrasound.a week later i tried to exercise again and after 5 minutes of lifting i felt bad again. went to the doctor and nothing a week later went to gym and did cardio only, i noticed my heart rate stayed at 118 and when i tried to make it go higher i felt like passing out. my sugar was good my cholesterol is great, my arteries are very clean and my heart is at 70. kidneys good,liver good,thyroid good.the last time i was just walking at the store at a brisk pace i started feeling bad again. i did notice my bp was low but 5 minutes after i lay in bed it was high. 109/66 then 159/98. any ideas?
Doctor :   Hi
Doctor :   Dr here
User :   hello
Doctor :   Let me read your query
User :   ok
Doctor :   What was Angiogram rep[ot
Doctor :   * report
Doctor :   Was it normal
User :   very clean and heart is at 70. everything looks great\
Doctor :   Your age, gender please
User :   ]36 male
Doctor :   ok
Doctor :   Its normal to have BP change with posture
Doctor :   Do u have breathlessness on exertion
Doctor :   SInce when are working on cardio exercises
User :   yes but i used to work out for at least an hour for a bit more then a year
Doctor :   The pain following angiogram usually subsides within a week
User :   now i get winded, weak, and faint, with 15 minutes of exertion
User :   even just walking
Doctor :   Since your angiogram reports and EKG turned normal
Doctor :   YOU dont have to worry
Doctor :   How much outdoor activity do u involve your self
User :   but what can cause me to feel like passing out when i just walk fast
User :   i was doing alot everyday raquetball basketball gym
Doctor :   OK, great
Doctor :   Do u smoke or consume alcohol
User :   the week before i got sick i worked out very hard i dont know if i messed myself up and dont drink or smoke and havent done cocain in 10 years
Doctor :   ok
Doctor :   From the following symptoms I probably THink you are POstural hypotension
Doctor :   Was an echo done
User :   but i have noticed my bp is usually high. except when i feel weak i think it drops
Doctor :   DO have the Ejection factor value?
User :   yes echo 3 times everything good
Doctor :   Great
Doctor :   Are you a known hypertensive
User :   well ive been keeping track of my bp. and its high on the average. father has high bp
Doctor :   Do you have any giddiness when performing active movements
Doctor :   Any medications for BP
User :   i was lifting heavy weights and i feel that may have contributed to my problem
Doctor :   Do follow the instructions of your trainer
Doctor :   Or do workouts by self
User :   no giddiness, and i was on lasinopril by family doctor and cardiologist told me to stop
User :   work out myself
Doctor :   Its common for some people to have unstable BP when put some antihypertensives
Doctor :   So follow your cardiologists orders
User :   can high bp make me pass out or feel fant
Doctor :   I would rather advise to take help of a physio when working on heavy weights
Doctor :   YES
User :   can i reverse it because i really miss exercise
User :   ]is there a condition that would prevent my heart rate from pumping the blood i need when active?
Doctor :   You can but start with moderate weights and gradually increase
Doctor :   It always better to do cardio exercises before weights
User :   i want to do only cardio but even that maks me ill
Doctor :   Do you have a trainer assiting you in cardio
Doctor :   You have to be assesed before cardio exercise by the trainer, then he might help you out with some
Doctor :   You will gradually improve, As you are known hypertensive be cautious with weights
User :   last time i was going very slow. and felt sick. i used to box and run wheni was younger, and i was working out feeling great before june i was doing 6 miles on the bike easy
Doctor :   Ok
Doctor :   What medications are put for Hypertension
Doctor :   At present
User :   nothing just low sodium diet
User :   as far as my thighs. is it normal to feel slight numbness on the outer part of thighs
Doctor :   OK thats great
Doctor :   Is it following exercise?
Doctor :   OR all time
User :   is what following exercise?
Doctor :   NUMBNESS
User :   i havent exercised for 2 months because i get sick. i have it all the time since 3 days ago when i had the angiography
Doctor :   OK
Doctor :   Is it on the side where angiofram was done
User :   both sides
Doctor :   Ok
Doctor :   Were on bedrest for quite a while
User :   yeah you have to lay flat after the procedure for at least 4 hours
User :   then i fell asleep so that also.
Doctor :   Ok
Doctor :   Did you escalte this issue to you cardio
Doctor :   Is there any associated redness or swelling in the region
User :   no redness but looks a little swollen
Doctor :   OK swelling will subside within a weeks time
User :   ok great
User :   but to have it on both legs is normal?
Doctor :   When is your next follow up with cardiologist
User :   3 weeks
Doctor :   Might be they would have tried for the artery in both legs and succesful in one of them
User :   no only did my right leg.
Doctor :   As per my knowledge you might need antihypertensives
User :   whats that
Doctor :   Uncontrolled BP could also produce the symptoms you have
Doctor :   Drugs to control blood pressure
User :   could it be anxiety
Doctor :   Probably?
User :   ok well thank you for your time
Doctor :   As yopu complain the symptoms following exertion it has minimal chances for anxiety related
Doctor :   *you
User :   good bye
Doctor :   Thanks for consulting me
Doctor :   Bye for now
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