Question 1

I'm a bit puzzled about my blood pressure readings. I got a TMT, ECG, and blood tests for my heart, and everything came back normal. But sometimes when I check my BP, the first reading is 15090, and then right after, it drops to 13090. It's happened a couple of times. Why could this be happening?

Accepted Answer

Sometimes, blood pressure readings can vary due to factors such as stress, anxiety, or even the environment in which the measurement is taken. This is known as white coat hypertension. To help manage this issue, you can try practicing relaxation techniques before getting your blood pressure checked. Additionally, you may consider taking medication like Amlodipine 5mg to help regulate your blood pressure. It is important to monitor your blood pressure regularly and follow up with your healthcare provider for further evaluation and management.

Question 2

I've been dealing with some concerns about my blood pressure. I'm a 17-year-old guy, in pretty good shape with a BMI of 24.7, and I've noticed my blood pressure readings are often around 14060 or 13060. When I'm calm, the systolic number goes down to...

Accepted Answer

1. Your diastolic blood pressure not returning to normal despite your efforts could be due to a combination of factors, including anxiety and possibly other underlying health conditions. It's great that you are managing your anxiety with homeopathy, but it's essential to monitor your blood pressure regularly and consult with a healthcare professional for further evaluation and management. In terms of medication, you can consider starting with a low dose of a calcium channel blocker like Amlodipine 2.5mg to help lower your diastolic blood pressure. 2. The fluctuation in your blood pressure readings, with systolic going up and diastolic going down, can be attributed to various factors such as stress, anxiety, and even the time of day when you measure your blood pressure. It's not uncommon for individuals to experience variations in their blood pressure readings, especially in response to different stimuli. However, persistent high diastolic blood pressure warrants attention and monitoring. 3. While anxiety may be a significant contributing factor to your elevated blood pressure readings, it's essential to rule out any other underlying medical conditions that could be impacting your diastolic blood pressure. Considering your age and overall fitness level, it's crucial to continue with your healthy lifestyle habits, including regular exercise and a balanced diet. Additionally, incorporating stress-reducing activities such as mindfulness or yoga may further help in managing your anxiety and potentially improving your blood pressure levels. Regular follow-ups with a healthcare provider will be beneficial in monitoring your blood pressure and adjusting your treatment plan as needed.

Question 3

I'm really worried about my dad. He's 74 and had angioplasty six months ago, but now he's got another arterial block that's 70% blocked. The surgery's being delayed because his creatinine level is 3.2, which I believe is quite high, right? Also, he w...

Accepted Answer

Given the patient's history of angioplasty, a 70% arterial blockage, elevated creatinine level of 3.2, and low platelet count of 58,000, the current chest pain is concerning and requires immediate medical attention. The discontinuation of Brilinta due to low platelet counts increases the risk of clot formation. The patient should be evaluated urgently by a cardiologist and a nephrologist to manage both the cardiac and renal issues. Alternative anti-platelet strategies may be needed, and continuous cardiac monitoring, possibly including a coronary angiogram, should be performed. A multidisciplinary approach involving cardiologists, nephrologists, and hematologists is essential to address the complexities of his condition

Question 4

I've been on Tazloc Beta 25 for about 3 years now, and I've noticed something odd with my liver function tests. I've had them done three times during this period, and each time my total bilirubin levels have been between 1.33 and 1.45. Before I start...

Accepted Answer

The medication Tazloc Beta 25 contains Telmisartan and Metoprolol, which are commonly used to treat high blood pressure. While these medications are generally well-tolerated, they can rarely cause liver enzyme abnormalities in some individuals. Since your total bilirubin levels have been elevated since starting the medication, it is possible that Tazloc Beta 25 may be contributing to this change in your LFT results. I recommend discussing this with your healthcare provider to evaluate the need for further investigation or potential adjustment of your medication.

Question 5

I'm really puzzled about my situation. I've been getting a stress positive result on my TMT test for the last five years, even though my angiogram came back normal and I don't have any heart issues. I'm just wondering what steps I can take or medicin...

Accepted Answer

Albumin++ in your urine routine test indicates proteinuria, a sign of kidney damage or disease.

_Causes_

1. Kidney damage (nephropathy)
2. Diabetic nephropathy
3. Hypertension
4. Kidney stones
5. Urinary tract infection

_Treatment_

1. _Consult a nephrologist_: Schedule an appointment with a kidney specialist.
2. _Underlying cause treatment_: Address the underlying condition causing proteinuria.
3. _Medications_:
    - ACE inhibitors or ARBs to reduce proteinuria and blood pressure.
    - Diuretics to manage edema and blood pressure.
4. _Lifestyle modifications_:
    - Monitor and control blood pressure.
    - Manage blood sugar levels (if diabetic).
    - Reduce protein intake.
    - Increase fluid intake.
    - Exercise regularly.
    - Quit smoking.

_Follow-up tests_

1. Repeat urine tests to monitor proteinuria.
2. Blood tests to evaluate kidney function (eGFR, creatinine).
3. Imaging tests (ultrasound, CT scan) to assess kidney damage.

Question 6

I've been really anxious since hearing about a friend's sudden heart attack while they were sleeping. That same night, I felt my heart racing, and I couldn't sleep because I was so worried it might happen to me too. The day after, I went to the docto...

Accepted Answer

It is understandable to feel anxious after hearing about someone's sudden death from a heart attack. However, based on your description and the tests done by your doctor, it seems that there is no immediate concern regarding your heart health. The ECG and blood tests did not show any problems, which is a good sign. The symptoms you are experiencing, such as rapid heartbeats, fear, difficulty sleeping, heart pain, and shoulder pain that comes and goes, could be related to anxiety and stress. It is common for anxiety to manifest physically, including chest discomfort and shoulder pain. To help alleviate your symptoms, you can try relaxation techniques, deep breathing exercises, and mindfulness practices. In some cases, your doctor may prescribe medications such as **anxiolytics** to help manage your anxiety symptoms. Additionally, engaging in regular physical activity, maintaining a healthy diet, and getting enough sleep can also contribute to your overall well-being. If your symptoms persist or worsen, it is important to follow up with your doctor for further evaluation and management.

I'm a bit puzzled about my blood pressure readings. I got a TMT, ECG, and blood tests for my heart, and everything came back normal. But sometimes when I check my BP, the first reading is 15090, and then right after, it drops to 13090. It's happened a couple of times. Why could this be happening?

I'm a bit puzzled about my blood pressure readings. I got a TMT, ECG, and blood tests for my heart, and everything came back normal. But sometimes when I check my BP, the first reading is 15090, and then right after, it drops to 13090. It's happened a couple of times. Why could this be happening?

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Related Questions

I've been dealing with some concerns about my blood pressure. I'm a 17-year-old guy, in pretty good shape with a BMI of 24.7, and I've noticed my blood pressure readings are often around 14060 or 13060. When I'm calm, the systolic number goes down to...

I'm really worried about my dad. He's 74 and had angioplasty six months ago, but now he's got another arterial block that's 70% blocked. The surgery's being delayed because his creatinine level is 3.2, which I believe is quite high, right? Also, he w...

I've been on Tazloc Beta 25 for about 3 years now, and I've noticed something odd with my liver function tests. I've had them done three times during this period, and each time my total bilirubin levels have been between 1.33 and 1.45. Before I start...

I'm really puzzled about my situation. I've been getting a stress positive result on my TMT test for the last five years, even though my angiogram came back normal and I don't have any heart issues. I'm just wondering what steps I can take or medicin...

I've been really anxious since hearing about a friend's sudden heart attack while they were sleeping. That same night, I felt my heart racing, and I couldn't sleep because I was so worried it might happen to me too. The day after, I went to the docto...

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