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Shortness of breath while walking, history of high BP. How to control? - Online Doctor Chats

Date : 09-Jun-2013
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1544 Questions
Doctor:Please go ahead with your query
User:Sir i am having a high blood pressure history from last 10 years, and taking medicine Losar H
Doctor:Was it controlled? when was it last check and what is the reading?
User:Just now days i am having problem and feel heavyness in breath
User:while walking around 200 meteres or ,more
Doctor:Can you answer the above questions I posted/
User:yes sir, the blood pressure is 90/140, i got checked last week
Doctor:What is your age and occupation?
Doctor:Are you sure that you take the medicine regularly and daily without fail?
User:i am 41 years, and Sales MAnager in Company
User:yes sir,
Doctor:Did the shortness of breath start suddenly one bad day and progressed till now?
Doctor:I mean worsened to the current state?
User:yes, actually from last 6 months i am unable to continue my morning walk, now when i get so, i get this problem
User:I have also got checked my cholestrol, may i tell you the report
Doctor:Do you monitor your blood pressure with a home BP machine and note it in a diary?
User:no sir,
Doctor:Do you have wheezing and cough?
Doctor:Do you have swelling at the foot?
User:no sir,
Doctor:Do you have the breathlessness from the start of the walk or it starts at 200mts and continues?
Doctor:What is your height and weight? Can you put your cholesterol test results as well?
User:but sligh high weigh, its 96, my hight is 5' 11"
Doctor:Ok you are weighing 20 kg higher than your ideal weight
User:i am bringing report
Doctor:Did you increase in the weight recently?
User:no, it increses gradually
Doctor:Do you have any other problems apart from breathlessness
Doctor:on exertion
Doctor:How is your sleep, hunger and bowel movements?
User:yaa, just feeling heaviness in the chest area, slight shoulder pain,
User:Sleep is good but feels hungry allot,
Doctor:When was your last consult to the doctor, what was his opinion about the current problem?
User:he has written the tests, sugar is 90 mg/dl normal
User:Cholestrol - 193
User:Tryglycerides - 197, Higher
User:HDL - 27, Lower
Doctor:Was ECG done?
User:LDL - 126, Higher
User:No sir,
Doctor:Do you have sweating as well when you walk?
Doctor:I think the problem is Obesity
User:sir, suggest me the best option, and what changes required in my life style
Doctor:Anyway I suggest a TMT (stress test)
User:no sir, as you are comfortable
Doctor:YOu need this test only.
Doctor:Next you should XXXXXXX the same Cardiologist to review the dose of the medication that you take
Doctor:The target blood pressure should be 120/80
Doctor:He may need to add more medicine to keep under control
Doctor:You need a consult from Dietitian
Doctor:Third and most important thing is you need time for yourself
Doctor:COncentrate and note down the activities that you do so that you can do a weekly review what healthier changes can be brought about from the next week
Doctor:Activities include exercise, yoga and meditation, extra curricular activities which will destress you
Doctor:Are you able to follow?
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Doctor:I have to close the window as you are not responding
Doctor:Please login or post your query on Ask A Doctor Service page for quicker reply.
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