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High BP, vertigo - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1775 Questions
User :   Hi, I am a patient of high blood pressure. It all started like this. I was sufferring from positional vertigo. Vertigo in certain positions of head. I got checked for BP few months back. It was 124/82 one time in emergency. Again after 3 weeks, it was 120/80 in some diff hospital. Next day, a diff doc checked it and it was 145/98. He put me on medication, Ciplar La BD. Then after starting medicaiton, after 4 days since the morning it was feeling heaviness in chest and was having fearful thoughts for almost the whole day. Went to emergency at night, bp was 160/100. After 10 mins wait, it was 150/100. I was given an injection and it came to 120/80 in 20 mins. I was asked to go many tests. 2 ECGs earlier in emergency were normal. Next day, ECG showed probable LVH, right atrial abnormality and some anterior injury. I went echo the same day, it showed everythng normal. Some systolic ejection fraction was 54% which should be 56%. Went to cardiologist and he said everythng is ok with heart. Had renal ultrasounds, showed i have single kidney. Had blood tests for sugar, cholestrol, serume , lipid profile etc and all were normal. In urine routine, protein came high 100mg/dl. Doc said its kidney infection and gave antibiotic for 1 week BD. After that, I had 24 hour protein test it was normal. Since then I had 4 routine urine tests all were normal. Last one was 2.5 mnths back. Doc said i may be having BP from single kidney, and put me on Ciplar LA+Telma OD. My bp started showing low 100/60, sometimes < 100/60. I went to a different doc, he put me on Amtas 5mg, OD. BP continued normal and reduced my dosage to 2.5mg, OD. Since then my BP stays around 120-80,130-90. Sometimes, it shows readings < 120/80 and sometimes readings > 140/90 till 145/95 max. High end readings happen i guess usually when I am feeling anxious, feeling like ghabrahat.
Around one month back, I had sore throat,
User :   cold, cough and mild fever
Doctor :   hello
User :   hi
Doctor :   i am
User :   hi
Doctor :   please proceed with your query
Doctor :   give me a min
User :   i have written my history in my earlier messgs.. please go thru that.
Doctor :   i will go thru what you have written
User :   I have two questions right now.
User :   1. Am I having kidney infection?
User :   my last urine r/e was normal 2.5 mnths back and since last 4-5 months. I make sure to drink atleast 3 litre water.
User :   many times 4L as earlier doc told me to drink plenty to avoid infection in future.
User :   but i am having this sore throat and cough since last 4-5 weeks as i told earlier.
Doctor :   ok
User :   in my last urine r/e, it showed few epithelial cells and few calcium oxalate crystals. but doc said thats okay.
User :   i thnk calcium oxalate might be coz of amtas 5 BD i was taking at that time.
Doctor :   well go one by one
Doctor :   what is your present complaint now ?
User :   just sore throat and cough since last 4-5 weeks
Doctor :   ok
User :   can i be having kidney infection?
Doctor :   well since you are taking medications for your blood pressure and its controlled so thats a good thing
Doctor :   and you have no other symptoms to indicate a kidney infection
User :   ok
User :   so i can assume its simple cough ?
Doctor :   for your throat let me advise you few things that you can do
User :   when i drink 2-3 glasses of water at at time, i need to go urinate frequently for 2-3 times. I guess thats normal
User :   yeah, please
User :   i am having dry cough as almost negligible cough comes up
User :   and sometimes i feel like having dirt in my throat
User :   my 2nd q was. what range should my bp be in?
User :   as i told that sometimes my bp shoots up to 144/93
Doctor :   If your throat is sore and raw, swallow a teaspoon of honey every few hours. Not only does honey coat the throat and soothe it, but honey is a powerful natural antibiotic.

User :   when i am anxious
User :   or when i had heavy meal
Doctor :   add a few drops of eucalyptus oil in your warm bath water and sink into it. The eucalyptus will act as a vaporizer, and the warm bath will be soothing and help you relax.

User :   sometimes i get readings
User :   hmm
Doctor :   minor fluctuation are ok
Doctor :   nothing to worry about
Doctor :   these findings are normal
User :   so if it goes upto max 150/95, it should be ok ?
User :   i measure my bp daily twice
User :   morning and evening
Doctor :   may i konw your age please ?
User :   my age is 25
Doctor :   gargle with salt water (½ tsp. mixed with 4 oz warm water)

Doctor :   your BP is falling in normal range
User :   ok..
Doctor :   you are already drinking lots of water
Doctor :   which is really good
User :   actually if when i see my bp in high range, like 138-145, i get anxious manytimes
User :   but i guess as u told me that its ok.. i think i can go let of that worry
Doctor :   yes and be positive
Doctor :   that will help you beat the stress
User :   ok
Doctor :   you are of young age, don't get anxious
User :   actually i had this kinda fear that high bp like 150 can damage organs, kidney, heart etc
User :   this makes me worry and leads to anxiousness
User :   and also to frequent measurement. so when i see my bp like 140/90, i again take measurement after half hour just to make sure and feel good as usually it drops to
User :   but i guess i should go let of that
User :   i XXXXXXXX i should
Doctor :   you need not worry just live healthy life style...exercise and have positive outlook
Doctor :   no point in checking your BP every min
Doctor :   check it 3 times a week
User :   yeah , i should
User :   only problem that when i take measurement after long gaps, it leads to anxiousness when i measure like i have when i visit doc to take my bp which makes it come to 140+ and then i calm down and take another reading to feel good.
User :   i am trying to let go of that anxiousness and calm down
User :   i have figured out that my fear is that if it stays 140+/90 for a week it will be bad for me.
Doctor :   try to meditate or do yoga
Doctor :   and get rid of your fears
Doctor :   you will do fine
User :   i think if i get comfortable with readings like 140+, i will be fine
User :   and those usually happen when i m anxious.. like a cycle
User :   its more kind of a mental block
User :   and when i m calm, readings usually are
User :   or even decently calm
Doctor :   so you konw the key... you can take care of your self its a good thing . be calm
User :   hmm.. right
Doctor :   is there anything else i can help you with
Doctor :   do make sire you follow the advice i gave you for your throat
User :   yeah, one more thng
Doctor :   and you will be fine in no time
Doctor :   sure tell me
User :   my positional vertigo got cured within one week by itself
User :   that was 2-3 mnths back
Doctor :   ok
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