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I Have Been Having Headaches And Chest Pains And Nosebleeds

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Posted on Thu, 31 Oct 2019
Question: I have been having headaches and chest pains and nosebleeds and high pressure and no blood pressure pills I have XXXXXXX help just in case
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Follow up: Dr. Ilir Sharka (0 minute later)
I have been having headaches and chest pains and nosebleeds and high pressure and no blood pressure pills I have XXXXXXX help just in case
doctor
Answered by Dr. Ilir Sharka (21 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

Regarding your concern, I would explain that nose bleeding, headaches and chest pain are common symptoms related to uncontrolled high blood pressure.

For this reason, the main thing to do is try to maintain your blood pressure under control.

In this regard, I would recommend you to closely monitor your blood pressure frequently during the day in the next days. If your blood pressure values are persistently high (above 125/85mmHg), I would recommend consulting with your attending physician for a physical exam and some tests:

- complete blood count, PCR, ESR
- thyroid hormone levels for possible imbalance
- fasting glucose
- kidney and liver function tests
- blood electrolytes, etc.. , in order to investigate for possible causes underlying high blood pressure.

Starting anti-hypertensive therapy may be needed.

In the meantime, I would recommend avoiding straining physical activity and caffeine intake. Lemon juice and garlic can help reduce naturally your blood pressure values.

Hope to have been helpful!

Wishing all the best,

Dr. Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

Regarding your concern, I would explain that nose bleeding, headaches and chest pain are common symptoms related to uncontrolled high blood pressure.

For this reason, the main thing to do is try to maintain your blood pressure under control.

In this regard, I would recommend you to closely monitor your blood pressure frequently during the day in the next days. If your blood pressure values are persistently high (above 125/85mmHg), I would recommend consulting with your attending physician for a physical exam and some tests:

- complete blood count, PCR, ESR
- thyroid hormone levels for possible imbalance
- fasting glucose
- kidney and liver function tests
- blood electrolytes, etc.. , in order to investigate for possible causes underlying high blood pressure.

Starting anti-hypertensive therapy may be needed.

In the meantime, I would recommend avoiding straining physical activity and caffeine intake. Lemon juice and garlic can help reduce naturally your blood pressure values.

Hope to have been helpful!

Wishing all the best,

Dr. Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (13 minutes later)
my blood pressure is 178/123 and its not moving anywhere but up
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Follow up: Dr. Ilir Sharka (0 minute later)
my blood pressure is 178/123 and its not moving anywhere but up
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Follow up: Dr. Ilir Sharka (5 minutes later)
I also have a micro hemorrhage
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Follow up: Dr. Ilir Sharka (0 minute later)
I also have a micro hemorrhage
doctor
Answered by Dr. Ilir Sharka (6 minutes later)
Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again, dear Dorothy!

Your blood pressure values are really high and need prompt therapeutic intervention.

Any fast acting anti-hypertensives, like sublingual Nifedipine or Capropril would help in this regard.

Otherwise, I recommend to ask immediate medical assistance to the nearest ER service at your living area.

Let me know in case of any further question.

Regards,

D. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
Opinion as follows:

Detailed Answer:
Hello again, dear Dorothy!

Your blood pressure values are really high and need prompt therapeutic intervention.

Any fast acting anti-hypertensives, like sublingual Nifedipine or Capropril would help in this regard.

Otherwise, I recommend to ask immediate medical assistance to the nearest ER service at your living area.

Let me know in case of any further question.

Regards,

D. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (20 minutes later)
I have been to alot of emergency rooms and they can't help me out with this situation also I have trouble breathing when laying down and walking
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Follow up: Dr. Ilir Sharka (0 minute later)
I have been to alot of emergency rooms and they can't help me out with this situation also I have trouble breathing when laying down and walking
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Follow up: Dr. Ilir Sharka (0 minute later)
I don't have a physician
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Follow up: Dr. Ilir Sharka (0 minute later)
I don't have a physician
doctor
Answered by Dr. Ilir Sharka (6 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

I understand your situation and would recommend starting a calcium channel blocker (amlodipine 10mg daily)and an ACEI (ramipril 10mg daily in the morning), but I am not sure if you can take these drugs without medical prescription.

If you will be able to take those drugs, it is important to closely monitor your blood pressure values in the next days, in order to make further adjustments to the doses if needed.

Hope to have been helpful!

Wishing all the best,

Dr. Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

I understand your situation and would recommend starting a calcium channel blocker (amlodipine 10mg daily)and an ACEI (ramipril 10mg daily in the morning), but I am not sure if you can take these drugs without medical prescription.

If you will be able to take those drugs, it is important to closely monitor your blood pressure values in the next days, in order to make further adjustments to the doses if needed.

Hope to have been helpful!

Wishing all the best,

Dr. Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (10 hours later)
I'm not feeling well right now I have a really bad headache and my blood pressure is high but I am going to go a walk in clinic
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Follow up: Dr. Ilir Sharka (0 minute later)
I'm not feeling well right now I have a really bad headache and my blood pressure is high but I am going to go a walk in clinic
doctor
Answered by Dr. Ilir Sharka (4 hours later)
Brief Answer:
Let me know in case of further questions.

Detailed Answer:
Hello again!

Yes, this is the right thing to do. I am sure that the doctor will help lower your blood pressure values fast and thus help improve your headache.

Hope you will find this answer helpful!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
Let me know in case of further questions.

Detailed Answer:
Hello again!

Yes, this is the right thing to do. I am sure that the doctor will help lower your blood pressure values fast and thus help improve your headache.

Hope you will find this answer helpful!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (3 hours later)
I am not going to get rid of the headache I noticed the headaches starting and thought I needed coffee but that was wrong. I left it go and now I'm paying for it
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Follow up: Dr. Ilir Sharka (0 minute later)
I am not going to get rid of the headache I noticed the headaches starting and thought I needed coffee but that was wrong. I left it go and now I'm paying for it
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Follow up: Dr. Ilir Sharka (2 minutes later)
There was a time I fell asleep and then I woke up to take the Amtrak train and then I was cold and shaky the whole day
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Follow up: Dr. Ilir Sharka (0 minute later)
There was a time I fell asleep and then I woke up to take the Amtrak train and then I was cold and shaky the whole day
doctor
Answered by Dr. Ilir Sharka (4 hours later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

If the headache is related to high blood pressure or anxiety, coffee is not going to help, instead it will worsen the situation.

I would recommend taking acetaminophen 500mg and trying to relax.
A close monitoring of your blood pressure values is necessary too.

Let me know about everything!

Wishing all the best,

Dr.Iliri


Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

If the headache is related to high blood pressure or anxiety, coffee is not going to help, instead it will worsen the situation.

I would recommend taking acetaminophen 500mg and trying to relax.
A close monitoring of your blood pressure values is necessary too.

Let me know about everything!

Wishing all the best,

Dr.Iliri


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ilir Sharka (2 hours later)
I'm relaxed but blood pressure and the headache is worse
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Follow up: Dr. Ilir Sharka (0 minute later)
I'm relaxed but blood pressure and the headache is worse
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Follow up: Dr. Ilir Sharka (2 minutes later)
Are the paramedics supposed to be giving nitro and baby aspirin at the same time?
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Follow up: Dr. Ilir Sharka (0 minute later)
Are the paramedics supposed to be giving nitro and baby aspirin at the same time?
doctor
Answered by Dr. Ilir Sharka (3 hours later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

The main thing to do in this situation is to try to lower high blood pressure values.

Aspirin is not necessary for such a situation as it may increase the risk of bleeding.

Nitro is usually given to calm chest pain in coronary artery disease patients, but it is not the main drug used to lower blood pressure values in the ER.

Captopril sublingual, nifedipine sublingual or any other IV drugs (antihypertensive drugs) would help lower your blood pressure values.

I hope you will find this answer helpful!

Let me know about everything!

Wishing all the best,

Dr.Iliri


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

The main thing to do in this situation is to try to lower high blood pressure values.

Aspirin is not necessary for such a situation as it may increase the risk of bleeding.

Nitro is usually given to calm chest pain in coronary artery disease patients, but it is not the main drug used to lower blood pressure values in the ER.

Captopril sublingual, nifedipine sublingual or any other IV drugs (antihypertensive drugs) would help lower your blood pressure values.

I hope you will find this answer helpful!

Let me know about everything!

Wishing all the best,

Dr.Iliri

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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I Have Been Having Headaches And Chest Pains And Nosebleeds

I have been having headaches and chest pains and nosebleeds and high pressure and no blood pressure pills I have XXXXXXX help just in case