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High BP,nasal bleeding and chest pain - 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 : 2005
Answered : 2408 Questions
User :   I am 41 year old smoker, I have normally very low blood pressure. The past 6 months have been very stressful. I have a family history of heart problems, most of them have high blood pressure unlike me. I am experiencing chest pains and just started getting nose bleeds. Do I need to worry or is it the stress taking its toll?                                                            
Doctor :   Hi
Doctor :   I am Dr.... here
User :   Hello
Doctor :   Let me read your query
Doctor :   Ok
Doctor :   Nose bleeds does have relation with blood pressure
Doctor :   have you got it tested recently?
User :   No but I it has always been so low they have to do it manually, The auto machines will not read it. I had a nurse tell me I was dead once.
Doctor :   Ok
Doctor :   Do you get regular check ups done?
User :   No, I am an insurance agent and I am worried they will run test that will make me uninsurable.
Doctor :   Ok
Doctor :   But since you are having a family history
Doctor :   it is necessary for you to get regular check ups done
User :   My doctor always want to run brain scans for head aches, that is true. I cant find a doctor that isnt test crazy
Doctor :   Ok
Doctor :   I do understand
Doctor :   but in terms of heart
Doctor :   regular BP
Doctor :   atleast electronic one which you can use at home
Doctor :   and EKG once in 3 months atleast
User :   every 3 months,isnt that excessive
Doctor :   With your age, risks like smoking and also positive family history
Doctor :   it is good to do it in preventive point of view
User :   With my blood pressure being low would a normal reading effect me like a high reading would others
Doctor :   No, nothing like that
Doctor :   but the difference needs to be assessed
Doctor :   higher difference does make a suspicion
User :   So I need to get my blood pressure taken and if it is high can I rule out the whole heart thing
Doctor :   It has to be compared with your previous reading
User :   How do I get my doctor to check my blood pressure with out him ordering a bunch of test
Doctor :   I am from .....
Doctor :   and do not know the process there as such
User :   I need to come to ..
Doctor :   Ok
Doctor :   But you can visit your doctor
Doctor :   and ask for your BP reading I guess
Doctor :   Isn't that practical there?
User :   Yea but they are too eager to perscribe medications and order test. Every one I know has had a sleep study twice a year. EKGs and other test... No longer about the patient its about the money
Doctor :   Ok
Doctor :   I have heard such things
Doctor :   but you can pick the right one
Doctor :   and get it done
Doctor :   the best available

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