Question 1

I've noticed my blood pressure has been rising, it's at 140100 now. My lipid profile, thyroid, ECG, and sugar levels are all normal. I'm worried about the increasing BP though. Should I consider starting medication, or would it be better to try changing my lifestyle first? What do you suggest?

Accepted Answer

Based on your blood pressure readings, even though your other health parameters are normal, it is important to address the high blood pressure. I recommend starting medication to help lower your blood pressure. In addition to medication, it is also beneficial to make lifestyle changes such as reducing salt intake, increasing physical activity, maintaining a healthy weight, and managing stress. These lifestyle modifications can further help in controlling your blood pressure.

Question 2

I'm 86 and I've been having some issues. I've been getting occasional angina pain and my doctor told me to take Imdur isosorbide mononitrate, 30mg every day. But since I started, I've been feeling dizzy when I stand up or get out of bed, so I'm guess...

Accepted Answer

Don't stop Imdur abruptly. Consult your cardiologist  to adjust dosage or switch to alternative medications. Possible solutions:

Medical Adjustments

1. Reduce dosage: Gradually decrease Imdur to 20-10mg daily.
2. Alternative medications: Consider nitrate-free options like beta blockers or calcium channel blockers.
3. Combination therapy: Add medications to stabilize blood pressure (e.g., fludrocortisones).

Lifestyle Changes

1. Increase fluid intake.
2. Elevate head while standing.
3. Slow rising from bed.
4. Avoid sudden movements.

Monitoring

1. Regular blood pressure checks.
2. Electrocardiogram (ECG) monitoring.
3. Follow-up appointments.

Question 3

So I had my Echo test this afternoon, and it says my pulmonary arteries look normal but mentions I have mild PHT. Can you help me understand what this means? Should I be concerned?

Accepted Answer

Mild pulmonary hypertension (PHT) means that there is increased blood pressure in the pulmonary arteries. To manage mild PHT, your doctor may prescribe medications such as Sildenafil (Revatio) at a dose of 20 mg three times a day. It is important to follow up with your doctor regularly to monitor your condition.

Question 4

I've been noticing my heart beating really noticeably when I'm lying down. My ECG came out normal, and the doctor mentioned it's palpitations and gave me some medication for it. Any idea how long it might take before the palpitations go away?

Accepted Answer

The duration for palpitations to improve can vary depending on the individual and the specific medication prescribed. However, in general, you may start to notice an improvement in your palpitations within a few days to a couple of weeks after starting the medication. It is important to take the medication as prescribed by your doctor and follow up with them for any necessary adjustments.

Question 5

I'm really worried about my three-year-old nephew who had open heart surgery on Tuesday for a block and a hole in his heart. He's been on a ventilator since then. Today, the doctors mentioned there is some bleeding, and now he's having seizures. They...

Accepted Answer

The bleeding and seizures your nephew is experiencing after open heart surgery could be due to various reasons, including the stress of the surgery, the use of blood thinners during the procedure, or underlying medical conditions. Epilectam injection is likely being prescribed to help control the seizures. It contains the active ingredient Levetiracetam. The usual dosage for children is based on their weight, typically around 20 mg per kg, given twice a day. It is important to follow the dosage instructions provided by the healthcare team at PGIMER Chandigarh. If you have any concerns or questions about your nephew's condition or treatment, please discuss them with the medical team caring for him at the hospital.

Question 6

I'm 28 and recently got a job at a refinery. During my medical checkup, they found something called Left Anterior Hemi Block in my ECG. I'm a bit concerned since my health history has always been good. Everything else like my BP, sugar levels, eyes, ...

Accepted Answer

Left Anterior Hemiblock (LAH) is a conductive abnormality in the heart's electrical system, which often does not cause symptoms and is not necessarily dangerous.
It can be more significant in the presence of other heart conditions, but in many cases, it's a mild and isolated finding.
It's essential to consult a cardiologist for further evaluation and to ensure that no underlying heart disease is contributing to the condition.

I've noticed my blood pressure has been rising, it's at 140100 now. My lipid profile, thyroid, ECG, and sugar levels are all normal. I'm worried about the increasing BP though. Should I consider starting medication, or would it be better to try changing my lifestyle first? What do you suggest?

I've noticed my blood pressure has been rising, it's at 140100 now. My lipid profile, thyroid, ECG, and sugar levels are all normal. I'm worried about the increasing BP though. Should I consider starting medication, or would it be better to try changing my lifestyle first? What do you suggest?

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Related Questions

I'm 86 and I've been having some issues. I've been getting occasional angina pain and my doctor told me to take Imdur isosorbide mononitrate, 30mg every day. But since I started, I've been feeling dizzy when I stand up or get out of bed, so I'm guess...

So I had my Echo test this afternoon, and it says my pulmonary arteries look normal but mentions I have mild PHT. Can you help me understand what this means? Should I be concerned?

I've been noticing my heart beating really noticeably when I'm lying down. My ECG came out normal, and the doctor mentioned it's palpitations and gave me some medication for it. Any idea how long it might take before the palpitations go away?

I'm really worried about my three-year-old nephew who had open heart surgery on Tuesday for a block and a hole in his heart. He's been on a ventilator since then. Today, the doctors mentioned there is some bleeding, and now he's having seizures. They...

I'm 28 and recently got a job at a refinery. During my medical checkup, they found something called Left Anterior Hemi Block in my ECG. I'm a bit concerned since my health history has always been good. Everything else like my BP, sugar levels, eyes, ...

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