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Suggestion to recheck the blood pressure - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   Good afternoon.
Doctor :   How can I help you?
User :   Hi Doctor
User :   good afternoon
Doctor :   please proceed with your questions
User :   Sir is it possiable to review my chat of 26.03.2011, so that I want ask about on that questions please
Doctor :   give me two mins
User :   please sir
Doctor :   yes
User :   Can i continue Dr
Doctor :   yes ,sure
User :   To day morning also I had giddiness and tired and I am seen Sugar level was 150(early morning in emty stomech)
Doctor :   ok
User :   Also I seen the BP it was 105/65, 102/59, 102/61 I have taking the BP cheching in my CITIZEN and all the three time it was more or less in the same reange
Doctor :   ok
User :   Dr. do you think this is low
Doctor :   yes, this going towards low bp
Doctor :   and hence i feel your having dizziness
Doctor :   the sugar of 150 is not low at fasting , so I fel sugar is not the reason
Doctor :   but the blood pressure is not very low also
Doctor :   it is fine , if there are no symtoms
Doctor :   may i know what is your usual blood pressure
User :   it will be always 140/80 or 130/80
Doctor :   ok
User :   Morning I have not taken the my BP tab
Doctor :   ok , then it is expected
Doctor :   never miss a Bp tablet or sugar tab
Doctor :   as they will cause fluctuations
Doctor :   and lead to giddiness , sweating , etc
Doctor :   i suggest you to drink lot of water
Doctor :   and keep yourself hydrated
Doctor :   fluids are best advised in low blood pressure
Doctor :   and they will help in preventing gidiness
User :   If I take the Tab in this situation is it not a problem Dr
Doctor :   no , i feel the giddiness happened as you missed the dose
Doctor :   you can take the tab from tomorrow
Doctor :   in the meantime check your Bp again tonight
Doctor :   and make sure you never skip meals
Doctor :   an overnight fasting may also be a reason
Doctor :   if this continues tomorrow also , you need a review about the drugs with your doctor
Doctor :   some dose changes have to be made
User :   Normally I will not miss the tab or food
Doctor :   ok
User :   Is low BP will cause the swelling also Dr, since my both the legs were swellen
Doctor :   no , low blood pressure will not cause swelling as such , swelling normally happens due to high bp and sugar , et
Doctor :   did you get the blood and urine tests done ?
User :   yes Dr can mention the value
Doctor :   sure
User :   I may take three to five mints to type is it alright Dr
Doctor :   yes , no problem
User :   Thank you Dr
User :   Blood Test:- FBS 150, PPBS 209, SGPT 35UL, SGOT25U/L
Doctor :   ok
User :   T Bilirublin0.99% D Billirublin 0.36%
User :   Blood Urea 0.36
Doctor :   ok
User :   HBAIC 8.6%
User :   Mean MBG 228
Doctor :   HbAic is a bit high
User :   HB %14.1
Doctor :   we expect a value less than 7
Doctor :   to say sugar is under god control from past 3 months
User :   TLC 6000 C/C
Doctor :   ok
User :   Yes Dr. After change of tab and Diet I started loosing weight
Doctor :   ok
Doctor :   that is good
User :   One month back I was around 79 and now 77.6
Doctor :   as long as you maintain normal weight for your height
Doctor :   and dont become underweight , weight loss is encouraged in diabetics and high Bp
Doctor :   your hemoglobin is also fine , so there is no anemia
Doctor :   i suggest you avoid eating fatty food
User :   But my morning giddiness and tiredness is creating lot of anxeity to me
Doctor :   and concentrate more on green leafy vegetables
Doctor :   dont be anxious
User :   It is not allowing to walk regularly
Doctor :   record your Bp again and as i said eat well , if you feel same gidiness again
Doctor :   inform your doctor tomo itself
User :   Yes Dr
Doctor :   he may need to change the dose of your blood pressure or sugar medicines
Doctor :   if they alter the dose gidiness will come down
Doctor :   if not , you may need to do further tests
Doctor :   like ECG , 2d echo and tread mill test for the heart
User :   before consultation with the Dr, with this giddiness can I continue to take my tab? is it not creating any other complication Dr
Doctor :   no , i sugest you call up your doctor and confirm with this , as I may not be able to suggest on this part
Doctor :   you take the Bp readings and inform the doctor
User :   Yes Dr and thank you very much
Doctor :   since we need to monitor the dose
Doctor :   we do not advise to stop it completely or skip a dose
Doctor :   it has to be done carefully and only by the doctor who is treating you
Doctor :   i hope you followed my suggestions
User :   Yes Dr sure
Doctor :   i hope i answered all your questions.
Doctor :   are there any more questions for me to help you with ?
User :   Dr. I am only tried to understand with my Morning BP reading if I continue to take TAB is there any serious impact
Doctor :   yes , there may be some impact, but if you stop it suddenly also it is dangerous
Doctor :   and again call the doctor with the readings
Doctor :   if it is due to medicines the doctor will change the dose
Doctor :   sudden stoppage of the tab may cause more problems
Doctor :   it has to be done only after advise
Doctor :   what time are you taking Telmasartan
Doctor :   is it at night /
User :   Both the times
Doctor :   ok , please consult the physician treating you for this
Doctor :   he will be the right person to give you the right dose keeping in mind the sugar and blood pressure readings
User :   Okay Dr thank you very much
Doctor :   pleasure here
Doctor :   if you feel giddy , drink lot of fluids
Doctor :   thanks for consulting me
Doctor :   Good day , take care
User :   Thanks Bye Bue now Dr
Doctor :   Bye take care
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