Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
121 Doctors are Online

Diet advice for a high BP patient - 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 : 1777 Questions
User :   Hello Doctor
User :   My name is XXXXXXXX and my age is 28
Doctor :   Hi
Doctor :   Iam.Dr.XXX
Doctor :   May i help you?
User :   Since 3days, i've found my BP seems to be high and went to doctor and he gave XM-beta
Doctor :   ok
User :   and for 2nd opinion, i went to another doctor and said lostat-H is enough
User :   so, i was taking this since 2days
Doctor :   since when you are using medicines?
User :   2days
Doctor :   ok
User :   was Lostat-H is advisable to take?
Doctor :   do you have haedache?
User :   no, sometimes, i feel gidiness
Doctor :   lostat-h is good
User :   i take this lostat-H every morning
Doctor :   as it is long acting
Doctor :   do you take excess salty diet?
Doctor :   do you have any family history of bp?
User :   yes, sometimes and last week, i ate lot of chocklates
User :   yes, family history of BP
Doctor :   ok
Doctor :   since you have recently started
Doctor :   the medicine
Doctor :   it will take some time to get bp in control
Doctor :   also you need to be mindful
User :   2day, i travelled back to my native and checked BP without taking tablet... its 133/82
Doctor :   of your diet and stress
Doctor :   ok
Doctor :   thats not too high
Doctor :   also the bp changes every time during a day
User :   does this medicine cause side effects?
Doctor :   after food intake
User :   How long this medicine (lostat-H) take effect in a day?
Doctor :   lostat-h has losartan
User :   ok
Doctor :   drug
Doctor :   that is long acting dru
Doctor :   drug
Doctor :   and did you check your blood sugar
User :   yes, empty stomach 123
Doctor :   ok
Doctor :   try to get it below 100 or 110
Doctor :   do take more of fresh fruits and vegatables
User :   like
Doctor :   and avoid spicy and oily foods
User :   i take apple
Doctor :   do you smoke or take alcohol?
Doctor :   ok good
User :   nope
Doctor :   continue that
Doctor :   try taking more veg salads or soups in the night
Doctor :   use only sunflower or safflower oil
User :   wht sort of veg salad can be taken?
Doctor :   a mix of carrots
Doctor :   cucumber,onion
Doctor :   cabbage
User :   ok
Doctor :   and drink 10-15 glasses of water a day
User :   At night time, when i suddenly wake up, my body feels like cold and shivering
User :   is that due to tablet?
Doctor :   try to go for a daily morning exercise of atleast 30 min
Doctor :   ok
Doctor :   it can come due to low bp
User :   morning exersice - walking for 30min
Doctor :   so what you need to do now is check your bp at least 3 times for a week
User :   in that case what should i do?
Doctor :   good
Doctor :   and also if your bp is consistently low for a week
Doctor :   you will have to adjust the drug dose
Doctor :   what was the bp at the time you started medicines
Doctor :   was it so high to start ,drugs?
User :   165
Doctor :   ok
Doctor :   its high
User :   150
Doctor :   but did you recheck atleast 3 times
Doctor :   after that
Doctor :   to verify
User :   yes, its around 130
Doctor :   since as i told some times bp will be high like after
Doctor :   emotuional upsets exercises etc
Doctor :   ok
Doctor :   130 is ok
User :   fine. can i stop this tablet if my bp under control?
Doctor :   so try checking at least thrice a week
User :   does this tablet has side effects?
Doctor :   yes sure
Doctor :   not that much side effects
Doctor :   but those with asthma cannot use beta blocker drugs
Doctor :   whom did you meet for the medicines?
User :   I went to doctor for consultation
Doctor :   was it a physician
User :   cardialogist
Doctor :   ok good
Doctor :   so he would have advised well
Doctor :   so when didi he ask for follow up visit
User :   he just said to avoid oily foods and take this medicines, as my family history has CAD
Doctor :   ok
Doctor :   you need to be mindful of the lifestyle
Doctor :   what job you do /
User :   XXX
Doctor :   ok
Doctor :   good
Doctor :   so do some regular exercises
Doctor :   and be diet conscious
Doctor :   that will help you a lot
User :   ok, after i take lostat-H, evening or afternoon- i feel little bit gidiness
User :   is this because of impact of this tablet?
User :   i mean suddenly it will come nd go
Doctor :   yes for some it will be there
Doctor :   but this drug is comparatively safe
Doctor :   than others
Doctor :   and also costly
User :   yes.
User :   whn i feel such type, wht i can do myself?
Doctor :   There are two types of hypertension: essential, which accounts for 90% to 95% of cases, and secondary
Doctor :   you may lie down and rest
Doctor :   and if possible get a bp checked
Doctor :   you may use a home bp checkup apparatus
User :   yes
Doctor :   electronic ones
Doctor :   but it is not that reliable
Doctor :   are you overweight?
Doctor :   did you check cholesterol /
User :   nope, am 68 with 5.5'' height
User :   nope
Doctor :   ok
Doctor :   you may reduce the weight further
Doctor :   to 62-65 kg
Doctor :   also do a lipid profile test
Doctor :   with early morning fasting
Doctor :   so that you will have a better idea of the cholesterol status
User :   ok
User :   I'll do that
Doctor :   as per your BMI standards you are at the extreme
Doctor :   of normal
Doctor :   so your BMI should be like 20-22
Doctor :   it will have great impact on your blood pressure
User :   ok
Doctor :   Engage in regular physical activity, such as brisk walking, at least 30 minutes per day most days of the week. This can decrease systolic blood pressure by 4-9 points.
Doctor :   Reduce dietary sodium to less than 2,400 milligrams or about 1 teaspoon a day
User :   Ok
Doctor :   Follow DASH (Dietary Approaches to Stop Hypertension) eating plan
User :   can i've food without salt?
User :   is that ok?
Doctor :   a diet rich in fruits, vegetables, and low-fat dairy products. Reduce saturated and total fat. This can be expected to drop systolic blood pressure by 8-14 points.
Doctor :   ok
Doctor :   but for taste you may
User :   ok, Walnet and badam is advisable?
Doctor :   only lifestyle changes is needed for you
Doctor :   badam is ok
User :   How many badam piece,i can have per day?
Doctor :   1-2
Doctor :   but do check your blood cholesterol before that
User :   Ok
User :   walnet is not advisable?
Doctor :   Young men with hypertension often have what's called "metabolic syndrome," which is known to contribute to heart disease and diabetes.
Doctor :   It includes a cluster of risk factors found in an individual and include excess body fat (especially around the waist and chest), high cholesterol, and insulin resistance.
User :   Ok
Doctor :   Studies have also shown that early vertex baldness can be associated with HBP
Doctor :   In addition, obstructive sleep apnea and snoring are linked to HBP in men in general.
User :   1st thing to reduce weight
Doctor :   yes
Doctor :   taht will be done automatically
Doctor :   when you take up regular exercises
Doctor :   try aerobics too
Doctor :   Thanks for consulting....
Doctor :   Bye for now...
Doctor :   wishing you a speedy recovery...
Doctor :   take care...
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor