I'm Mukesh and I've been dealing with some health issues for the last three years. My doctor told me my blood pressure is high, but my ECG is normal. My cerum creatinine is 0.91, and cholesterol levels reported in February 2017 are at t.col130, HDL 44.1, triglycerides 113.9, LDL 63.12, and VLDL 22.78. The chest X-ray came back normal too. I've been taking Tenolol 50 and Anxit 0.25 as prescribed, but I'm still having the same issues and sometimes I have trouble breathing. Could you help me understand what's going wrong and if there's anything else I should be doing?

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Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

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Mukesh, given your history of high blood pressure and normal test results including ECG, cholesterol levels, and chest X-ray, it's important to manage your hypertension and associated symptoms effectively. Tenolol (a beta-blocker) and Anxit (an anxiety medication) are useful, but if your symptoms persist, further evaluation is needed. Breathing problems can be related to anxiety, uncontrolled blood pressure, or other underlying conditions. I recommend following up with your healthcare provider to reassess your treatment plan. They may adjust your medications, explore other causes for your symptoms, and possibly refer you to a specialist if needed.

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Answered 04/07/2025

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Understanding Your Medical History
- Your high blood pressure needs management despite a normal ECG and chest X-ray, which are reassuring for heart and lung health.
- Serum creatinine of 0.91 indicates normal kidney function.
- Cholesterol levels are within a healthy range, supporting cardiovascular health.
Your Current Medications
- Tenolol 50: A beta-blocker used to manage high blood pressure.
- Anxit 0.25: An anxiolytic for anxiety relief.
- Ensure consistent medication adherence for effectiveness.
Persistent Symptoms and Breathing Difficulty
- Persistent symptoms may indicate the need for medication adjustment or additional treatment.
- Breathing trouble can be serious; seek immediate medical attention if it worsens.
Recommendations and Next Steps
- Consult your healthcare provider for a reassessment.
- Consider additional tests or specialist referrals, such as to a cardiologist or pulmonologist.
- Implement lifestyle changes: balanced diet, regular exercise, and stress management.
- Monitor symptoms closely and seek urgent care if breathing issues escalate.

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