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Treatment and precautions for high BP - Online Doctor Chats

Date : 05-Mar-2014
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:Dr. XXXXXXX here
Doctor:How can I help you?
User:Hi My name is XXXXXXX
User:My cholesterol level is 370
User:bp is 130/90
Doctor:May I know your age and gender?
User:37, MALE
Doctor:When did you test the cholesterol and blood pressure?
Doctor:And may I know the reason why this test was performed?
User:on 20th of XXXXXXX
User:I have checked my bp in one of my friend's house.
User:and his machine was showing 140/100
User:it was just a coincident that I have asked to show his bp machine
User:and that way I came to know y bp is hgh
User:so I went to a doctor and he advised me to go for a check up
Doctor:What other tests was done besides blood pressure check and cholesterol check?
Doctor:Did you consult the doctor again after you did the test?
User:other reports like sugar, ecg, xray, thyroid are ok but cholesterol show around 370
Doctor:If yes, what was the advice given?
User:he gave me medicine
User:Selvas 10 for BP and rosuvas F for cholesterol. I have been taking this medicine from 21st of XXXXXXX till date.
Doctor:May I know your current height and weight?
User:5.11",, weight - 79 kg
Doctor:Has any of your close family member suffer / diet from heart attacks?
User:sorry yes
Doctor:Let me brief you.
User:my grand mother
User:my father also have a brain stroke due to high bp
Doctor:Blood pressure by itself has no serious implications. However a high blood pressure along with other risk factors can lead to various complications on the heart, kidney, eyes as well as brain.
User:so what to do now?
Doctor:The tests that your doctors performed are to see what other various risk factors you have. It's good to know most common risk factors are absent.
Doctor:Rosuvas is a good medicines that lowers cholesterol.
Doctor:You need to continue it religiously.
Doctor:In addition, you also need to alter your dietary intake.
User:doctor told me I have cholesterol problem. others ok.
Doctor:Restrict all high calorie and high fat diet.
User:yes please tell me wat kind of diet I need to take. what to avoid and what to take.
Doctor:Avoid too sweet food - fruits; restrict the amount of sugar you take in your coffee/tea/milk;
Doctor:avoid fruits juices, dressed salads, pappad, pickes.
User:I donot take tea or cofee
Doctor:Prefer to use whole grain wheat over rice.
Doctor:Avoid deep fried and oils stained food.
Doctor:In addition you also need to start exercises.
Doctor:With these life style change and medicines you can be able to lower the cholesterol values.
User:pappad is not ok to take??
Doctor:Along with these measures, it is important to avoid smoking and alcohol if any.
Doctor:Pappad intake should be restricted.
Doctor:It has high calories which can affect both sugar as well as cholesterol values.
User:please tekk me what I can take.
Doctor:Your blood pressure seems ok now.
Doctor:You can keep the pressure value recorded for next 2-3 months;
User:I don't know I will go for a chec k up today evening
User:please tell me what kind of food I can take.
Doctor:You need to add fibre rich food - fresh fruits and vegetables are rich in fibres.
User:what is dressed salad
User:that I need to avoid
Doctor:Among non vegetarian diet - seafood and skinned out chicken is to be preferred over red meat.
Doctor:By dressed salads I mean any salad that is made along with mayonnaise sauce / cream.
User:ok what kind of sea food.
Doctor:You can take plain fruits/and vegetable salads without those dressing.
User:what kind of sea food?
Doctor:besides those restrict deserts including ice cream.
Doctor:All sea food is fine.
User:What about salt in take?
Doctor:It is important that you learn what food to be avoided than what to be taken.
Doctor:A high calorie and high fat food will cause you more harm.
User:what are basic food which contains high calorie?
Doctor:You can just lower a teaspoon of salt from what you used to take before; there is no need to take saltless food.
Doctor:In general all foods that are too sweet to taste are high in calorie.
User:for example?
Doctor:You can either discuss with a dietician or search for calorie content of the individual diet you take.
User:ok please tell me one more thing
User:what to do if i have euric acid problem
Doctor:For example among fruits, chickoo, water melon are very sweet it contents excess calorie.
Doctor:if your uric acid is high, it is important to restrict proteins including non vegetarian diet.
User:is orange, XXXXXXX guava ok. actually i use to take this normally
Doctor:Besides these those that are high in purines need to be restricted.
User:purines means
User:what are basic food which have high proteins?
User:is fish also have high proteins?
Doctor:It's a form of nutrient contained in food. Liver, organ meat, wheat, butter mik, cheese, eggs, chocolates, peanuts, tomatoes, spinach, etc., have good amount of purines. You may need to restrict them.
Doctor:Yes, fish also is protein rich. However the right balance of food can be discussed with a nutritionist.
Doctor:You can discuss about balancing the protein, purine, calorie and fat consumption for proper health and to reduce uric acid + cholesterol values.
Doctor:Have you followed?
User:how much time required to get my cholesterol down to normal if i stick to ur given advise??
User:actually i donot have uric acid but just for knowledge i asked?i am suffering from high cholesterol level and high bp.
User:how much time required to get my cholesterol down to normal if i stick to ur given advise??
Doctor:It depends. Some people are able to bring down the values faster in 3-5 months; while some are not able to control them even after 8-9 months.
Doctor:You need to be very religious with diet, lifestyle and medicines.
Doctor:Keep regular follow ups with your doctor and be updated about the treatment.
Doctor:If you do not have high uric acid level; then it is not necessary that you follow a low purine diet.
Doctor:There are various other medical condition that need dietary modification
Doctor:if you are going to follow a diet plan for all those condition, you may not have anything left to eat.
User:what i understand is i need to avoid fatty food and salt.
User:high calorie food need to avoid
User:and need to do exercise regularly
Doctor:For someone who is dealing with cholesterol and blood pressure problem, a slightly lowered salt intake, low calorie and low fat diet is recommened.
Doctor:Besides that exercise, smoking and alcohol restriction is must.
Doctor:Is there any other questions?
User:i use to g for a walk every day morning for around 30 mnts.
User:is it suffice my exercise issue
User:can i save this conversation?
Doctor:It depends on what exercise you do during those 30 minutes.
User:like brisk walking and running
Doctor:A brisk walk, jog, cycling, swimming or treadmill for 30 minutes is good enoug.
Doctor:You can increase the exercise gradually based on your tolerance.
User:ok now please tell me can i save this conversation?
User:please tell ne one more last thing.
Doctor:You have an option to save this discussion.
User:what to do if i have sleeping problem at night??
Doctor:If you are unable to locate how to save it, please contact the customer support.
User:ok thank you for ur advise.
Doctor:If you have sleep issues once in a while, that shouldn't affect your health significantly.
Doctor:perhaps they are result of personal stress.
Doctor:However if you are constantly disturbed by sleep issues and that is affecting your daily activities,
Doctor:you can get this sorted by consulting a psychiatrist.
User:ok thanks a lot.
Doctor:It needs counselling sessions, various therapies before starting medicines.
Doctor:Is there any thing else?
User:no thank you!! bye
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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