Question 1

My brother is 18 and we've discovered that he has high blood pressure readings around 14070 or sometimes 15070. We've done a bunch of tests like ECG, EKG, ultrasound, renal Doppler, TSH, echo, and urine metanephrine serum tests, and they all came back normal. The doctor mentioned something about essential hypertension and started him on amlong 2.5mg. But since that didn't help, his dose was bumped up to 5mg. I just got a BP monitor, and his readings were 13078 in the morning and 14770 in the evening. I'm seriously concerned because he's so young and is managing to exercise regularly with a healthy BMI. What could be causing this, and how can we help lower his BP?

Accepted Answer

It's good that your brother has been proactive in monitoring his blood pressure and leading a healthy lifestyle. Despite these measures, essential hypertension can sometimes be challenging to control. Since the morning blood pressure reading is within a normal range, it's important to continue monitoring at different times of the day. In cases where blood pressure remains elevated, the dosage of the medication may need to be adjusted further. I recommend discussing with the doctor about potentially increasing the dose of Amlong to 7.5mg or exploring other medication options such as Telma (Telmisartan) 40mg. Additionally, lifestyle modifications such as reducing salt intake, maintaining a healthy diet, regular exercise, and stress management techniques can also help in managing blood pressure levels. Regular follow-ups with the doctor for monitoring and adjustments are essential in managing hypertension effectively."

Question 2

I've been having this mild chest pain on my left side and sometimes feel pain in my hand too, along with back pain. It's been going on for a while and I've already done two ECGs in the past couple of months; both came back normal. My family doctor thinks it might be because I sit for long hours as an IT professional, but the pain hasn't really gone away. Sometimes my chest still hurts a bit on the left side. What should I do about this?

Accepted Answer

Based on your symptoms and normal ECG reports, it is possible that your chest pain, left hand pain, and back pain may be related to musculoskeletal issues due to prolonged sitting in front of a laptop. To help alleviate your symptoms, you can try the following: 1. Take breaks and stretch regularly while working on your laptop. 2. Maintain a good posture while sitting. 3. Use ergonomic equipment such as a supportive chair and keyboard. 4. Consider physical therapy or exercises to strengthen your back and improve posture. 5. Over-the-counter pain relievers like acetaminophen can help with mild pain. 6. If the symptoms persist or worsen, consult with a healthcare professional for further evaluation and management. In the meantime, focus on improving your posture and taking regular breaks to prevent strain on your muscles and joints.

Question 3

I've had an angioplasty with a drug-eluting stent placed back in March, and I'm currently on medication. I'm really wondering if it's okay for me to have alcohol socially. I used to enjoy whiskey about twice a week before all of this. Can you give me some advice on whether that's still safe?

Accepted Answer

After angioplasty with a drug-eluting stent, moderate social alcohol consumption is generally allowed, but consult your cardiologist first; if permitted, limit whiskey consumption to 1-2 units (30-60ml) per occasion, 1-2 times a week, and prioritize medications, healthy diet, regular exercise, and stress management for optimal heart health.

Since all the reports are normal ,advised a psychiatric opinion for diagnosis of anxiety and other conditions..

More Cardiology Health Queries

I've had an angioplasty with a drug-eluting stent placed back in March, and I'm currently on medication. I'm really wondering if it's okay for me to have alcohol socially. I used to enjoy whiskey about twice a week before all of this. Can you give me some advice on whether that's still safe?

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