- male
- 18 Years
- 29/01/2025
My brother is 18 and we've discovered that he has high blood pressure readings around 14070 or sometimes 15070. We've done a bunch of tests like ECG, EKG, ultrasound, renal Doppler, TSH, echo, and urine metanephrine serum tests, and they all came back normal. The doctor mentioned something about essential hypertension and started him on amlong 2.5mg. But since that didn't help, his dose was bumped up to 5mg. I just got a BP monitor, and his readings were 13078 in the morning and 14770 in the evening. I'm seriously concerned because he's so young and is managing to exercise regularly with a healthy BMI. What could be causing this, and how can we help lower his BP?
Answered by 1 Apollo Doctors
It's good that your brother has been proactive in monitoring his blood pressure and leading a healthy lifestyle. Despite these measures, essential hypertension can sometimes be challenging to control. Since the morning blood pressure reading is within a normal range, it's important to continue monitoring at different times of the day. In cases where blood pressure remains elevated, the dosage of the medication may need to be adjusted further. I recommend discussing with the doctor about potentially increasing the dose of Amlong to 7.5mg or exploring other medication options such as Telma (Telmisartan) 40mg. Additionally, lifestyle modifications such as reducing salt intake, maintaining a healthy diet, regular exercise, and stress management techniques can also help in managing blood pressure levels. Regular follow-ups with the doctor for monitoring and adjustments are essential in managing hypertension effectively."
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
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Answered by 1 Apollo Doctors
I'm having some concerns and would love your advice. My blood pressure is at 160100 and I'm also experiencing a fever. I used to have anxiety and was on etizolam beta .25, but I stopped taking it about a year ago. A year ago, all my tests like ECG, echo, TMT, and blood work were normal. Should I consider getting these tests done again, or do you think I should go back on the meds?
Given your high blood pressure (160100) and fever, along with a history of anxiety and discontinued medication (etizolam beta 0.25), it's essential to consult your doctor immediately; they may recommend repeating some tests, such as ECG, blood work, and possibly adding new ones like a chest X-ray or inflammatory marker tests to rule out underlying conditions;
Answered by 1 Apollo Doctors
I'm experiencing something odd and could use some advice. Lately, when I wake up and start walking, it feels like my heart is racing, and I get a bit breathlessbut only the first time. If I lie back down for a bit and then walk again, I feel completely normal. Is this something I should worry about in terms of my heart? I've had an ECG and a 2D Echo, and they both came back normal. I also saw a pulmonologist, and all tests were fine. What could be causing this?
"Based on your symptoms and the normal ECG and 2D Echo results, as well as the evaluation by a pulmonologist, it is less likely that your symptoms are due to a heart issue or a pulmonary problem. It is possible that your symptoms could be related to orthostatic hypotension, which is a drop in blood pressure that occurs when standing up from a sitting or lying down position. To help alleviate these symptoms, you can try increasing your fluid and salt intake, wearing compression stockings, and standing up slowly to allow your body to adjust to the change in position. In some cases, medications like Fludrocortisone or Midodrine may be prescribed to help manage orthostatic hypotension. If your symptoms persist or worsen, it would be advisable to follow up with your healthcare provider for further evaluation and management."
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.