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Lowering cholesterol and BP - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   I checked up for my cholestrol and finding are as below
Doctor :   ok
Doctor :   pls go on
User :   total cholestrol - 226
User :   hdl - 31
User :   ldl - 140
Doctor :   your cholesterol is high
Doctor :   it should be under 200
Doctor :   HDL is the good cholesterol- and the desired minimum is 40
User :   s. triglyceride - 277
Doctor :   LDL is the bad cholesterol and the best level is to have it below 100
User :   vldl - 55
Doctor :   how old are you?
User :   i am 53
Doctor :   what work do you do?
Doctor :   Do you have any other health problems?
User :   i am voluntierily retired person and doing investment in share
Doctor :   ok
Doctor :   Do you have any other health problems?
User :   i am having bp and thyrod problem
Doctor :   ok
Doctor :   when you say thyroid problem- do you have Hyper[esxcess] or hypo[ deficiency] thyroidism
User :   i am taking obeta 25 for bp
User :   and for thyroid one tab of eltroxin
Doctor :   ok
Doctor :   how many years have you been taking these medicines?
User :   for cholestrol one tab of atorlip-f
Doctor :   ok
Doctor :   Did you get your blood sugar checked as well?
User :   bp tab for last 15 years
Doctor :   ok
User :   sugar is normal
Doctor :   thats good
User :   thyrod tab for last one year
Doctor :   ok
Doctor :   Do you smoke/ drink alcohol/ Any other habits?
User :   and cholestrol i was taking atorvastatin plain for 2-3 montha two times previously
Doctor :   ok
User :   i don't drink and don't smoke
Doctor :   yes- atorlip is a very good medication
Doctor :   What kind of diet do you usually have? do you
Doctor :   eat non veg/veg?
User :   now for 4 days i am om atorlip-f
User :   i am non veg but not eating freqently
Doctor :   When did you get your blood test done- before starting on atorlip or after?
User :   i have checked for cholestrol on 13.1.2008
Doctor :   ok
Doctor :   did you check your cholesterol before you started Atorlip 2-3 months back?
User :   but on taking atorlip- f i feel heet in my palm and toes and head feels tense
Doctor :   DId you get your LIver function tests/ kidney function tests done as well?
Doctor :   before starting Atorlip- f?
User :   no
Doctor :   Do you know what your normal BP level usually is- during your check up?
User :   normaly it is 90/140
Doctor :   Does anyone in your family have a history of Heart disease/ other problems?
User :   yes my mother has similar problems
Doctor :   which place are you from Suresh?
User :   i am basically from kota, rajasthan, but presently staying in banglore with my son
Doctor :   From what you have told me there are a few things that you should be doing/ adding to your regular routine.
Doctor :   ok
Doctor :   Do you get regular exercise?
Doctor :   Regular exercise is very important for you
User :   i go for half an hour walk daily
Doctor :   Thats very good
Doctor :   You have to understand that the combination of hypertension, hypothyroidism and high cholesterol is very bad
Doctor :   It increase your risk of heart disease
User :   should i continue atorlip -f
Doctor :   if you are having problems- no
Doctor :   did you have problems with plain Atorlip?
User :   no i did not have problem with plain atorvastatin
Doctor :   ok
Doctor :   Be very careful with your diet and eat plenty of fruits- they contain pottasium which will help reduce your BP.
Doctor :   eat plenty of salads/ green leafy veg as well
User :   ok
Doctor :   Your BP 140/90 mm of hg is not optimum and you should work to reduce it further
User :   ok
Doctor :   Which doctor/ specialist are you seeing now?
User :   i consulted outdoor of sri jayadeva institute
Doctor :   ok
Doctor :   Pls leet him know of the problems you are having with atorlip/f
Doctor :   Fenofibrate does cause problems in some people
Doctor :   Whren you go for your next check up- you need to get a more complete check
Doctor :   with your LFT- lver function tests
Doctor :   especially because you have had High BP for 15 years
Doctor :   *liver function tests
Doctor :   ok
Doctor :   also get your kidney function tests
Doctor :   done
User :   ok
Doctor :   Could you tell me how you got to know of our site?
Doctor :   I hope you found this chat helpful.
User :   i today read in economic times and thought it could be helpfull to me and everybody
Doctor :   Is there anything else I can help you with?
User :   thank you doctor for you kind advice and i very grateful to u
Doctor :   you are welcome
Thanks for consulting Healthcare Magic. Have a nice day. bye
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