I'm really concerned about my 17-year-old brother. His blood pressure reading came back as 154 over 90, but his other test results were all normal. What could this mean? Should he start taking medication for it? I'm just trying to figure out what the best course of action is.

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Dr Dr Khaleel Ur Rahim

General Practitioner

MBBS
1+ Yrs

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for a 17-year-old with a blood pressure reading of 15490, the high blood pressure could be due to various factors such as stress, poor diet, lack of exercise, or genetics. It is important to monitor his blood pressure regularly to see if it remains high. In some cases, lifestyle changes such as improving diet and exercise may be enough to lower blood pressure. However, if his blood pressure remains high, medication may be necessary to prevent complications. I recommend starting with lifestyle changes and monitoring his blood pressure closely. If medication is needed, he may be prescribed a medication like Amlodipine 5mg once daily.

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Answered 04/07/2025

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I'm feeling a bit worried because I've been experiencing chest pain again. A few months ago, I had a TMT and it was negative, and my echo was normal. I don't have a history of any major diseases and I dont smoke or drink alcohol. But today, the pain came back, and I've been having some breathlessness because of my asthma. Could the asthma be causing this chest pain or should I be concerned about something else?

Given that your TMT and echo were normal three months ago, and you have a history of asthma, your chest pain and breathlessness might be related to asthma exacerbation rather than a cardiac issue. Asthma can cause chest tightness and breathlessness, especially during physical activity. It is important to manage your asthma effectively with your prescribed medications and follow your asthma action plan. If the chest pain persists or worsens, consult your healthcare provider to rule out any other potential causes and ensure your asthma is well-controlled.

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