Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

187 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have high BP, cholesterol and low thyroid. Feel heart rate increases at night. Took Benicar and Zoloft. Suggest

Answered by
Dr.
Dr. Vasudha Jayant Athavale

General & Family Physician

Practicing since :1970

Answered : 7036 Questions

default
Posted on Wed, 20 Nov 2013 in Hypertension and Heart Disease
Question: I am 6'3" 380 LB Caucasian. Med History: High BP, HIGH Cholesterol, Low Thyroid, Low Testosterone, History of Migraines, Anxiety. Have a slightly enlarged aorta. Lately, I have had cotton mouth so bad. Thirsty. At night when I lay down my heart pounds and my rate increases. Tonight it was so bad I took an extra Benicar and an extra Zoloft. Peeing a lot through the night too. Suggestions?
doctor
Answered by Dr. Vasudha Jayant Athavale 2 hours later
Brief Answer:
Consult your cardiologist

Detailed Answer:
Hi XXXXX,
Thanks for the query.
You are facing multiple problems, cotton mouth being an addition-which seems to trouble you much. So also pounding heart. I will try to advice how about managing these.
* Pounding heart- This is a symptom of the dilatation of aorta you have. The dilatation of aorta causes dilatation of adjoining heart, the lower left ventricle. In an effort to pump sufficient blood in aorta heart has to contract vigorously. & this gives rise to pounding heart.
This symptom increases as days pass & so needs immediate attention. It could be volume overload, side affect of medication or interactions between multiple medications. Please consult a cardiologist. A dose revision or after Echocardiogram, the line of treatment can be decided. It can be either through medicines or surgery.

Other general measures that you might already know should be strictly followed.
Having a better life style with low calorie, nutritious diet, exercises, sufficient exercises, Respiratory exercises ( Pranayamam), & meditation for a positive attitude are helpful for an overall management.
* Cotton mouth. It is dryness of mouth due to less/no salivary gland secreations.The dryness of mouth, thirst, are the symptoms you have.
- Excessive urination in night is because of excessive intake of water or medications acting adversely. The hormone ADH in the kidneys is not sufficiently enough to absorb water in the distal tube and CD.
- However excessive thirst & urination can also be symptoms of Diabetes. Please get blood sugar checked to exclude it.
* To control your trouble some symptoms please try following things.
-Please consult your physician & ask for change in dose/ type of medicine for high blood pressure. ( Benicar you are taking has a rare side effect of drying mouth.)
-Use artificial saliva spray, dry mouth patches, gels or lozenges (whatever suits you & is advised by your doctor) - instead of consuming excessive water
in night.
- Use a vaporizer in room at night, this will increase moisture in room & keep mouth, throat moist.
- Avoid breathing though mouth.
Hope this has satisfied you. I will be happy to help you in case you have another query.
Thanks.





Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication ,   ,   ,  
Treatment/Therapy
Medical Topics

Recent questions on  High blood pressure

doctor1 MD

I am a 23 year old man with high blood pressure and a high heart rate. I have for the last two years been suffering from frequent urination and very loose stool. I usually have to go once in 45 mins. I recently have lost the sensation of having to urinate alltogether. It is really scaring me. I have infrequent abdominal pain in front of my left hip and lower back pain too. I am 6 feet tall and weigh 350lbs. I have had my blood tested for diabetes and it came back with great blood sugar. I have also had my prostate looked at and it looks fine. My kidneys were checked and they were fine too. The doctors in a hospital and my personal doctor basically said we don t know whats wrong with you . This is very scary and uncomfortable. I can t work anymore because of this and it s gotten so bad that I can t even leave my own home sometimes because I have to go to the bathroom so much... When I go, it s also a good amount of each, not just a dribble. I don t know what else to do but I really would like some help... I don t know where to turn or what to do anymore.

doctor1 MD

Hi. My father is the patient. he s 80 yrs old and had a stroke 5 months ago-he was diagnosed with an ischaemic stroke. Comorbidities are: hypertension, diabetes mellitus and prostate cancer. he s currently discharged from the hospital. he s been having very high blood pressures at night like 194/90 and during the day, especially when we sit him down, it falls so low like 90/70 for about a month now. he also started having seizures some weeks ago, about once a week and now, for the past two days, he s been vomitting. his urine is also highly concentrated and sometimes in a day, urine output is less than 100mls. his appetite has also declined and he s lethargic with lots of hiccups. can you please tell me what is happening?                                                   

doctor1 MD

Hello, I have high blood pressure, and am a 21-year-old female. I have been prescribed a low-dose high blood pressure medication, and haven t had any complications with it. However, lately, I have been feeling like my chest is heavy and have had a hard time sleeping for quite some time. I wake up in the middle of the night gasping for air, and no matter how much sleep I get, I m exhausted when I wake up. I am starting to think it s Sleep Apnea, but am wondering if there are any other heart-associated links? There is S.A in my family - my father has it. Ideas?

doctor1 MD

Hello. I am a 49 year old female with good cholesterol levels and I am not overweight. I ve had some high blood pressure on and off - controlled with vitamins. Have not taken it in a while. Over the weekend it came up 159/110 several times with other readings in the 140 s/90s. Do I need to get meds as in tonight or can it wait until a doctor visit next week? Thanks.

doctor1 MD

Hi Doctor, I have started taking Losar 50 since last 5 days for Blood Pressure. Is it a very strong medicine or is it normal one to take since I have started having high blood pressure only recently. And shd i continue it life long or shd I stop...

doctor1 MD

I am sick and shaking my right foot is numb and chest hurts vomiting feeling overwhelmed and about to black out scared. I wake up with panick attacks. My blood pressure is 151 over 94 before it was 184 over 100 taking the blood pressure medicine....

doctor1 MD

Hello Doctor, I don't feel good. Feel a little bit dizzy, What's wrong with me? What can I do? XXXX