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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fluctuating BP, Discomfort In Chest, Pepper Feeling In Throat, Full Feeling In Chest. What Could Be This?

at end of January my blood pressure was up to 184/104 and next am 180/95. I felt uncomfortable in chest and full feeling and a little nauseous . I was prescribed 25 mg Losartan. I am already taking 25 mg Hydrochlorothiazide, Vit D and Calcium. I started the Losartan 25 mg and BP is pretty stable 128/77 but there are times when it is low also about 107/66. On the occasion I have felt light headed and also have a kind of pepper feeling in mouth and throat that comes on cccasion during the day some days more than the other. Then I was given Nexium because Dr thought it was GERD. I have never had this problem before and could handle any foods etc. I have been on Nexium for 10 days and it really hasn't cured it. I am waiting for a barium swallow in a month. I have a few incidents of that full feeling in chest mostly when sleeping and was awakened by it. I have been careful in what I am eating and am concerned it may be a heart issue. This am I had not taken the Losartan andI still get the pepper feeling in throat.What could be the cause of that.
Fri, 12 Jul 2013
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General & Family Physician 's  Response
Hi, thanks for using healthcare magic

If the symptoms occur even without the losartan then it is unlikely to be related to this medication.
It is possible that the abnormal taste is related to GERD, the barium study would provide further information on this.
In addition to the nexium, you may have to consider altering your diet to reduce your use of spicy/acidic/citrus/fatty/fried foods to see if this helps improve your symptoms.

With a history of such high blood pressure, it would not be advisable to discontinue the losartan without speaking to your doctor.

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Fluctuating BP, Discomfort In Chest, Pepper Feeling In Throat, Full Feeling In Chest. What Could Be This?

Hi, thanks for using healthcare magic If the symptoms occur even without the losartan then it is unlikely to be related to this medication. It is possible that the abnormal taste is related to GERD, the barium study would provide further information on this. In addition to the nexium, you may have to consider altering your diet to reduce your use of spicy/acidic/citrus/fatty/fried foods to see if this helps improve your symptoms. With a history of such high blood pressure, it would not be advisable to discontinue the losartan without speaking to your doctor. I hope this helps