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Suggest treatment for high BP

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Practicing since : 1966
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Hi - My sister is 36years of age . She was feeling uneasy , headache and all . We got it checked so her B.P was 130/90 . Is it high or normal ?What medicne should she take ? What precaution shud she take ? any advice ? Her weight is 66 and height is 5.2 .
Posted Sun, 23 Feb 2014 in Hypertension and Heart Disease
Answered by Dr. Anantharamakrishnan 1 hour later
Brief Answer: Re-check / Tests / Follow up Detailed Answer: Dear friend, Welcome to Health Care Magic The range for the upper figure (Systolic) is 90 to 140 mm Hg. The range for the lower figure (Diastolic) is 60 to 90 mm Hg. Check it again… on a few more occasions. Because, treatment is to prevent long term complications… and it is lifelong… Have base line investigations – ECG ECHO, Lab tests like Kidney, Lipids, Electrolytes.. Start with lifestyle modifications - reduce salt intake and saturated fats… / regular exercise like walking – 30 minutes a day at least 5 days in a week / relaxation techniques like yoga… Have regular follow up. If the pressure is still high (90 diastolic), her doctor may start on drugs… usually an ARB (Angiotensin Receptor Blocker) or ACEI (Angiotensin Converting Enzyme Inhibitor) is the first choice…. There are several classes of drugs and several drugs in each class; and the dose to be tailored to the individual.. Prognosis is very good in general… Good luck Take care Wishing all well God bless
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Follow-up: Suggest treatment for high BP 13 minutes later
so 130/90 is high or normal? She should get it checked 2-3 times more & if B.P is same then she should start medicne ? Now , If she is feeling uneasy , so can she take this medicne Prognosis or aten ? Please tell me all the test that she shud get it done ...
Answered by Dr. Anantharamakrishnan 36 minutes later
Brief Answer: Relax / No emergency / Detailed Answer: Hi Yes / Check 3 to 4 times more 130 is normal 90 is not / 90 is 'pre-hypertension' / 'high normal' / 'early' - if persisting, start medicine Pressure itself does not cause uneasiness - may be anxiety? The examining doctor is better placed to assess... Already mentioned the tests - ECG / ECHOcardiography / Blood tests for Kidney (urea, creatinine); Electrolytes (Sodium, potassium), Lipids (LDL & HDL Cholesterol, Triglyceride)... At times, USG (scan-UltraSonoGraphy) for kidneys, Stress ECG (treadmill) are done... Regards
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Follow-up: Suggest treatment for high BP 7 minutes later
But y so many tests ? Kidney function test is related to this ?
Answered by Dr. Anantharamakrishnan 11 minutes later
Brief Answer: Related for sure Detailed Answer: Hi Kidney is the commonest cause for raised pressure... Kidney is a target organ - BP may damage (Others are Brain, Heart and Eye) ECHO & ECG will show - whether the heart is affected / also form a baseline for future comparison At age less than 40, more tests are done to find any treatable cause for the condition... it is cumbersome and not cost effective, but - basic minimum given above - is the standard and state of the art. Regards
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Follow-up: Suggest treatment for high BP 19 hours later
Many thanks! What are other ways to control B.P , If not taking medicne rite now? I really dont understand that if B.P medicne is taken then why it is for the lifetime if started? if v have got it checked yesteday that B.P is high then when next shud v get it checked ? When can v decide that B.P medcne is must now !!if started than y v hv to take for lifetime ? what other modification in diet v can do to minimise the chances of high B.P? Anything tht v cn eat or do ? What to avoid? what is it that v shud have that will do wonders for B.P patient ? Also , rite now also can she excersise ? When B.P is high or shud she b on bed rest completely ? Do u suggest someother medicne for the time being other than B.P medicne ? may b stress reliever or ny other ??
Answered by Dr. Anantharamakrishnan 2 hours later
Brief Answer: Detailed answers below - Detailed Answer:  The other ways are life style modifications – diet, exercise and relaxation techniques  We are not treating the cause…which is usually genetic… therefore, we have to treat lifelong  If high, check after one week  If it is staying at 90 or going up, on three or more occasions, start medicine  Reducing salt is the prime diet modification / maintaining ideal weight is next / avoiding fats reduces other risks  There is no wonder or magic that can be done  Exercise can be done now /no problem / regular isotonic exercise – like walking or jogging  No need for completes bed rest  The medicine will be prescribed by her doctor – there are several classes and several drugs in each class  Relaxation methods can be learnt by Psychological assessment and assistance
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