I'm a bit concerned about this Zedex P syrup I got for my kid. It seems really thick and syrupyalmost too viscous. Could you give me a rundown on what it should look like physically?

Dr Kareemulla Shaik

General Practitioner

• MBBS
• 0+ Yrs

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Uncontrolled High Blood Pressure and Laboratory Results

Concerns and Recommendations

1. Uncontrolled hypertension: Despite taking Telmisartan 40mg, your blood pressure remains elevated (190110). This requires immediate attention to prevent cardiovascular complications.
2. Kidney function: Your creatinine level (1.8) is slightly elevated, indicating potential kidney impairment. The high potassium level in your urine and proteinuria (2484) also suggest kidney damage.
3. Albumin levels: Your albumin level (3.3) is within the normal range, which is a positive sign.
4. Vitamin B12 deficiency: Your vitamin B12 level (82) is below the normal range (200-900 pgmL), which may contribute to fatigue, weakness, and neurological symptoms.

Recommendations

1. Consult a cardiologist or nephrologist: Schedule an appointment with a specialist to reassess your hypertension management and kidney function.
2. Adjust medication regimen: Your doctor may consider adding or adjusting medications to better control your blood pressure and protect your kidneys.
3. Lifestyle modifications: Implement lifestyle changes, such as:
   • Reducing sodium intake
   • Increasing potassium-rich foods
   • Engaging in regular physical activity
   • Maintaining a healthy weight
   • Getting adequate sleep
4. Vitamin B12 supplementation: Discuss vitamin B12 supplementation with your doctor to address the deficiency.

Answered 04/07/2025