Hi,thanks for query.Please speak to your doctor.What ever the case may be you need keep your blood pressure under control in tune of 140/90.Take low salt diet,do regular exercise to reduce weight.You should also check your other blood tests for kidney,lipid profile etc.before starting of medicine.bye.
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Hi, I am 23 years of age and was told 6 years ago after a routine appointment at the GP s that i had a raised systolic blood pressure. I had nothing done about it at that point. 2 years ago i went back to the GP again for an appointment regarding something else and they found my blood pressure had raised a lot to around 140-160/85-105. I had tests and scans to check my kidneys and heart as well as seeing a cardiologist and these all came back as borderline for treatment and she would see me again within a year. This was 2 years ago and i hadn t been to see the cardiologist as they haven t sent for me! So a few weeks ago i went back to the GP to see if they could chase it up - which they have and i have an appointment for the end of this month - however my GP has given me some medication called Almodipine and told me to start that at 2.5 mg for a few days then up it to 5 mg. I however think my high readings are just because i am having my blood pressure taken, even at home it is elevated but not as much as at the surgery. My issue is that 1) I am only 23 and do i want to be taking medication for life that i actually may not need because it is just high when taken? 2) What if i do take it and i don t need it because it isn t actually high? 3) Why give me it now when i am seeing a cardiologist in 3 weeks? Also i wanted to know how long it takes the medication to cause an effect? Is it the build up or on that day of taking the tablet it will work? Here are some of the home readings i have been getting iver the past few days - Also there is such a variation in readingS, why could this be? Day 1 - 7.30 p.m - 136/103 8 p.m - 139/92 Day 2 - 7.30 a.m - 139/93 12.15 p.m - 148/100 1 p.m - 152/82 8.55 p.m - 139/97 9.35 p.m - 132/85 Day 3 - 8 a.m - 136/88 8.20 a.m - 122/89 2 p.m - 134/77 3.30 p.m - 142/78 4.30 p.m - 139/85 As you can see it seems to have lowered towards day 3 but it ranges so much! The diastolic pressure seems to be more or less always elevated - Does the almodipine medication i have effect both numbers? I do understand that it is a calcium channel blocker which works by relaxing the arteries so lowering BP. I hope you can help ease my mind slightly! Thankyou!
Please read the below case history & awnser the questions at the end Mr. Gurcharan Singh / Male DOB: 24.12.1936 Initially Strong Athletic Built / Non Vegetarian / Tea totaller / Strong Willed 1980: His BP raised to 170/250 and effected all vital organs, resulting swelling in brain, heart enlargement & renal failure (RCF). One of his heart beat got missed in readings of ECGs. He was treated in PGI, Chandigarh (India) and was put on to medicines. 1993: He was taken to local cardiologist due to sudden excess nose bleeding & said cardio physician put him on to some medicines for keeping the BP low. 2001: He felt angina pain in the chest. Was again taken to PGI, Chandigarh (India) for angiography & then was shifted to Escorts Heart Hosp., Delhi (India) & Heart Bye Pass surgery was performed there (CABG done (LIMA to LAD)). 2002: Dr. K.S. Chug (Ex – HOD, Nephrology (PGI-Chandigarh) was consulted. He pointed out that though his BP is stable (80/140) but Urea, Cratenine was on higher side (Createnine – 4.5 & Urea – 132) and put him on additional medicines for the same. Below said is the complete medicine list that was recommended: 1. Tab Dytor 20 mg, once daily 2. Tab Amlopres 5 mg, once daily 3. Shelcal 500 mg, twice a day 4. Alfacip 0.25 mg, once daily 5. Heamup (Iron), once daily 6. Clavix 75 mg, once daily 7. Simcard 10 mg, once daily 8. Razo-D (SOS, if vomit sensation persists) 2005: He again had a severe nose bleeding & nose coterie procedure was done in Silver Oak Hosp., Mohali (India) by an ENT surgeon. 2007: Fistula was made on his left wrist due to Ctatenine – 7.5 & Urea - 220. Consulted dietician again and started recommended dietary precautions & strict medicine routine. Feb’ 2010: - Started taking Homeopathy medicines along with allopathic medicines (primarily as: BERBERIS VULGARIS & ECHINACEA ANGUSTIFOLIA) from a qualified Homeo Physician - Started checking parameters (Urea & Cratenine) on monthly basis & after 2 – 3 months of homeopathy medicines, slight reverse trend in the said parameters was observed for the first time in last 2 years. BP is observed stable on the whole. - Fistula was never used for dialysis but it started budging out like a water filled balloon so we approached local surgeon for closing said fistula & he did the same for us. - Swelling in the feet, itching on back side of neck, less appetite, laziness (feeling sleepy/drowsy in whole of the day time), red/blood coloured patches on his hands & arms, etc. were discussed with homoeopathic physician on weekly basis and with his medicines the same got partially managed. - Body immunity level seems low as frequently catching cough, cold, etc. increased. - Hernia problem also there from quite long but aggravates rarely and got subsided of its own after some time (5 – 6 hrs.) Oct’ 2010: - Mucus (chocolate/brown coloured) vomiting - Severe giddiness/dizziness Was immediately taken to Local Hosp. & was observed in ICU for 24 hrs., CT Scan/MRI done and everything was found normal. Then it was guessed that it may happen due to intake of vegetable with high urea/pesticide spray or aftereffects of Iron capsule (was regularly taking Iron capsule from last 5 -6 years) Jan’ 2011 – Jun’2011: - Cratnine toggled between 6 to 7 - Urea toggled between 180 to 195 Jul’ 2011: Cratnine reached 7.8 Oct’ 2011: - Cratnine crossed 8 - Continuous low appetite / itching on back of neck increased / vomit sensation quite frequently / drowsiness increased during day time / feeling chest pain once to twice a day - Got him admitted in local hospital : • Angiography done: CART done on 15.11.2011 s/o triple vessel disease, patent graft and cardiologist advised that his angina to be controlled with medicines itself as major blood vessels are in OK shape & only a small blood flow interruption in one of the minor veins so no need for putting stunt. • Found that suffering from chronic kidney disease stage V , chronic AF/CVR, unstable angina, hypertension, BPH, coronary artery disease P/S CABG in 2001 (LIMA to LAD). Having frail body & weighing 50.4 Kg. • Started hemo-dialysis ( done on 15 oct, 17 oct & 25 oct) Now it is recommended by the nephrologist that Mr. Gurcharan Singh being a heart patient should opt for Peritoneal Dialysis & surgery to be performed to tackle his hernia, making fresh fistula again & putting catheter in his kidneys. Presently he is on below said medicines: 1. Tab Pantocid-D, twice a day (empty stomach) 2. Tab Urimax-D 0.4 mg, once a day 3. Tab Clavix 75 mg, once a day 4. Tab Flavedon MR, Twice a day 5. Tab Monit GTN 6.4 mg, twice a day 6. Tab Modlip-ASP (10+75 mg), once a day 7. Tab Dytor 40 mg, once a day 8. Tab Shelcal 500 mg, twice a day 9. Tab Alpha-Cip 0.25 mg, once a day 10. Tab Nikoran 5 mg, twice a day 11. Tab Amtas 5 mg, twice a day Our Queries: 1. What type of dialysis is best for him & why? 2. Generally, till how long he can comfortably continue with present heart & kidneys situation. 3. He has been given his first hepatitis shot on 15th Oct’11 & said injection course shall be continued till Apr’12. How to protect him from any type of infections till then? 4. If peritoneal dialysis is recommended, then: - it should be done manually (3 times a day) or with machine (Baxter brand is available here). - What all precautions needed to be taken for making the possibility of infection as ZERO. - Dietary routine (extensive list of items: ‘To be taken with qty.’ & “Not to be taken”) 5. Other precautions (living routine / medicine / diet / which path tests with what frequency) 6. His HB is low as 8.0 so if we will go for HB increasing injections then how to control his BP?
I just took my BP and it is 108/62. I have had high blood pressure for years and am on Avalide HTZ once a day. I had an AFIB attack 2 weeks ago and the cardiologist put me on Eloquis 5mg twice a day. My BP seems to be quite lower than what my normal (on my BP medication) is at 120/79. Should I be concerned?
Hi, I was feeling bubble in right side of lower stomach.So,I went for complete checkup(CBP,lipid profile,thryoide,Kidely test,urine test and full stomach abdoman. reports says- fatty kidney grade-2,high coloestrol(Border line), hab1c = 8.5 %, fast blood suger - 119,post lunch was 240. when I have consulted physiscan,they have given - one tablet related to kidney boostup for 1 month,gluconorm Sr for 1 month and STORFIB 145 for 3 month.they ask me to change lifestyle(diet and excersie) After 3 month, again i went checkup for boold sugar test and lipid profile.There was no much change in lipid profile result .So,they again ask me to contimue STOFIB 145 for 3 month.Now, again I went for FBS/PLBS,lipid profile,this time, colostrol level is OK,HAB1C - 5.75 %,still,they ask me to contiue storfib 145 for next 3 month. I am 35 years old,wight was initally 70 kg and now it is 67 kg.hieght is 5 5 . I am not sure,if i am daibetic or not,or pre diabetic or why colestrol is to high..I am feeling no other issue,in general.I am doing 3-4 day gym(running and cycling) for 30-45 minute per week. I am wondering if I did mistake for taking Gluconorm SR for one month? Please adbvise....
Hi, Can you please check my blood, ecg and usg reports and let me know on which areas should I take care? Also, any suggestions on any specific diet to control the problem areas and medications if any?
My Father has been gone through the medical health check-up.I need your input over the attached reports.My father is taking medicine triglynase1 before lunch for the last one month.Before that for the last one year my father was taking medicine...
I am a 47 year old woman. I have been eating about a cup of raw rice daily for the past 5 years now. I have a craving for it and eat it when nobody is looking. Recently when tested for heamoglobin content, I found that I have only 9.7. I suffer from irritable bowel syndrome too. I tested for lipid profile. Triglyceride levels are 204. My teeth also appear as though they have been worn down. Still I am not able to stop the habit. Please help
Hi, i am 48 years old man, have recently conduct a lipid profile test. Cholesterol is 182, HDL is 41, LDL is 121 and Triglycerides is 98. I feel high blood pressure and noise trough my ears also. What is your advise for me to reduce the blood pressure.
Hi. Male, 56 yrs. My normal heart rate at rest is usually 90/min. I have just completed 11 months of chemotherapy for Hodgkin's lymphoma and I am in recession. However, now my heart rate is 110 at rest and the lipid profile is Serum Cholesterol 198 (HDL 48, LDL 119.2, VLDL 30.8), Serum Triglycerides 154. My BP is generally 120/80 and I take a daily slow-release aspirin 75 mg tab daily. Please advise on best way to lower lipid levels. Thanks. SN