apollo
  • male
  • 60 Years
  • 22/01/2025

I've been having a blood pressure reading of 15090 for the past few days, and I'm taking diltiazem 60 mg three times a day. Im a bit worried and wondering what I should do next. Any advice?

Doctor 1

Answered by 1 Apollo Doctors

Your blood pressure of 15090 is still elevated despite taking Diltiazem 60mg three times a day. I would recommend adding an additional medication to better control your blood pressure. You can consider adding Amlodipine 5mg once daily to further lower your blood pressure. However, it is important to consult with your healthcare provider before making any changes to your medication regimen.

Dr. Anshul Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've noticed my BP readings have gone up, with today's being 14060. Is this considered high? Can I get it back to normal? Six months ago, my readings were around 13080 to 13090. Last night, I was under a lot of stress and didn't sleep well. I also skipped meals and generally don't have a very healthy lifestylestaying up late, waking up late, and not exercising much. I don't smoke, though. Any advice would be appreciated.

Sleep better and establish a consistent sleep routine. Eat on time, focus on a low-sodium, well-balanced diet. Exercise regularly. Manage stress through techniques like deep breathing, meditation, or exercise. Monitor your BP regularly and seek advice from a healthcare provider if needed.

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Doctor 1Doctor 2

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I recently bought an oximeter and noticed something that puzzled me. When I checked my levels while resting, it showed 95 bpm, 99 SpO2, and 7 PI. But after a little exercise, it went up to 130 bpm, 99 SpO2, and the PI dropped to 2. Ive experienced palpitations and panic attacks before, so my heart rate sometimes spikes to 180 during exercise. I had medical tests done a few months ago, which were all normal. What I'm confused about is why my PI drops so low with higher bpm? Can you shed some light on this?

The Perfusion Index (PI) is a measure of the strength of your pulse and the blood flow to your finger. A low PI% can indicate poor circulation or weak pulse strength. In your case, the decrease in PI% after exercising may be due to increased heart rate and blood flow redistribution to other parts of the body, leading to a weaker pulse signal at the oximeter sensor. This is common during physical activity when the body prioritizes blood flow to muscles and organs. To address this concern, you can try to ensure a good sensor placement on your finger, stay well-hydrated, and avoid excessive movement during oximetry readings. If you continue to have concerns about your PI% readings, it would be advisable to consult with your healthcare provider for further evaluation and guidance

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Doctor 1Doctor 2

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I'm really concerned about my mom's health. She's had a history of cardiac attacks and has been on various medications since her last one. Right now, she takes Arkamin in the morning and night, and Ecosprin 75 in the afternoon. She also uses Nexpro 40 and Ganaton 50mg for acidity. The problem is that her blood pressure is consistently around 160-170100 throughout the day, even with medication. There are times it might drop to 13070, but it doesn't last. We've had all these tests done, like Thyrocare X, ECG, and ECO, and everything comes back normal. What's puzzling and worrying is that she's very sensitive to light and sound, her heartbeat increases when exposed to these, especially in the evening. Plus, she feels like her heart skips a beat when there's noise. She's been eating really light and avoiding spicy food, following her angiography back in 2013 where the doctor recommended sticking to medication. I'm really trying to understand why these symptoms are persisting now and what steps we should take next. Any insights?

It seems like your mother is experiencing uncontrolled high blood pressure despite taking Arkamin and Ecosprin. Given her symptoms of sensitivity to light and sound, along with the fluctuating blood pressure readings, it is important to address this issue promptly. Considering her history of cardiac issues, it is crucial to optimize her blood pressure control. I would recommend adding a medication like Telma 40mg once daily to help lower her blood pressure more effectively. Additionally, since she is experiencing acidity, she can continue taking Nexpro 40 for that. In order to address her sensitivity to light and sound, it may be beneficial to consult with an ophthalmologist and an ENT specialist to rule out any underlying issues. It is also important to continue monitoring her blood pressure regularly and make lifestyle modifications such as reducing stress, maintaining a healthy diet, and engaging in regular physical activity. Overall, the addition of Telma 40mg to her current medication regimen may help better control her blood pressure and alleviate some of her symptoms. Regular follow-up with her healthcare provider is essential to monitor her progress.

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