Question 1

I've been having some concerns lately, so a few weeks ago, I had breathlessness and noticed my blood pressure was up at 140106. Went to get an ECG and Echo done  the ECG showed some mild variations, and the Echo showed mild LVH. That same day, my BP was 150100, so they kept me under observation for about 4 hours and sent me home with a prescription for a 5mg BP medicine for a month. But here's the thingI didn't take the meds because I'm worried about getting dependent on them. I've been checking my BP regularly and it's mostly between 12887 and 13090, though I did have one reading of 13890. Do you think it's okay for me to keep skipping the medicine and just try focusing on lifestyle changes? Am I making a mistake here by not taking it? Would love some advice on this.

Accepted Answer

Based on your medical history of having mild variations in ECG, mild LVH on Echo report, and elevated blood pressure readings, it is important to follow your doctor's advice regarding medication. Skipping blood pressure medication can increase the risk of complications such as heart disease, stroke, or kidney problems, especially since your blood pressure was previously elevated at 150100. I recommend that you do not skip your medication and continue taking it as prescribed by your doctor. In addition to medication, incorporating lifestyle changes such as maintaining a healthy diet low in sodium, regular exercise, stress management, and avoiding smoking and excessive alcohol consumption can also help in managing your blood pressure. If you have concerns about forming a habit of taking medication, you can discuss this with your doctor to address any fears or doubts you may have. It is important to prioritize your health and follow the treatment plan recommended by your healthcare provider.

Question 2

I'm a bit concerned about my heart rate. It's usually around 96, but it goes up to 120 when I walk. I don't have any other symptoms and I've had a thyroid test, ECG, and echo done, all of which came back normal. The only thing on the ECG was sinus tachycardia. I did have mild Covid last April. Should I be worried about this, or will my heart rate settle down on its own over time?

Accepted Answer

Sinus tachycardia is a common condition where the heart rate is elevated but the heart rhythm is normal. Since your thyroid, ECG, and echo results are normal, and considering your history of mild COVID-19 last year, your elevated heart rate may be due to post-viral effects. In most cases, sinus tachycardia resolves on its own as the body recovers from the viral illness. To help manage your heart rate, you can try to reduce stress, stay hydrated, and ensure you are getting adequate rest. If your symptoms persist or worsen, you can consider taking a beta-blocker medication like Metoprolol at a low dose of 25mg once daily to help control your heart rate. However, it is important to consult with your doctor before starting any new medication. Monitoring your heart rate regularly and following up with your healthcare provider for further evaluation is recommended.

Question 3

I'm wondering if you can help me out. I was stretching my neck and suddenly felt a squeezing sensation in my upper chest. Now, I'm noticing a bit of pain in my chest whenever I stretch or do activities that involve my chest. My breathing seems fine, though. Should I be concerned about this chest pain, or is it something that might go away on its own? Looking forward to your advice.

Accepted Answer

pectorolis minor strain intercostal muscle strain - take tab zerdol MR for 3 days

I've been noticing that my blood pressure readings are often between 12895 to 13095, and my diastolic rarely goes below 95. Should I be concerned about this? If it is a problem, what steps can I take to lower my diastolic pressure?

continue same treatment , salt restricted diet ,, DASH diet with fruits,legumes and green leafy vegetables are advised ..Also aerobic exercises daily advised to the patient..

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