Question 1

I've been dealing with moderate hypertension since I got diagnosed with a BP of 168122 on December 18th, and I've been put on Telma 40. But for the past three days, I've been having this awful headache and pain in my cheek, only on the left side of my face. My blood pressure is still at 150115 even though I've been taking the medicine for these three days. Should I be concerned about this, and what should I do next?

Accepted Answer

Given your recent diagnosis of moderate hypertension and the current blood pressure readings of 150115 despite taking Telma 40 (telmisartan), it is essential to address this promptly. Your persistent headache and left-sided cheek pain might indicate uncontrolled hypertension, which can lead to severe complications if not managed appropriately.
Firstly, I recommend you seek immediate medical attention to evaluate your symptoms. Your healthcare provider might need to adjust your blood pressure medication or add additional antihypertensive agents to better control your blood pressure. They may also want to investigate the cause of your headache and cheek pain to rule out other potential issues, such as sinusitis or trigeminal neuralgia.
In the meantime, continue taking your medication as prescribed and avoid any activities that could elevate your blood pressure further. Please contact your healthcare provider as soon as possible to discuss these symptoms.

Question 2

I'm really worried about some ongoing chest pain I've been experiencing. After a rod hit me in the chest back in November 2015, I had a brief issue with my breathing, which seemed to get better. But then, by February 2016, I started having severe chest pain. I got checked at CMH Narayana Hrudayalaya to see if it was related to my heart, but everything came out fine. This pain keeps coming back, and it's like a muscle pull behind my rib cage. Could this be a problem with my heart or even my lungs?

Accepted Answer

do MRI and 2D echo

Question 3

I'm a 51-year-old male and I've just been diagnosed with Mitral valve prolapse. My doctor mentioned that it's not something dangerous and there's nothing to worry about for now. But, I'm curious about what can cause this condition so I can take precautions. What should I know to prevent any potential issues down the line?

Accepted Answer

MVP is often a condition people are born with, caused by abnormalities in the tissue that makes up the valve and its supporting structures. While the exact cause isn't always clear, several factors can contribute to its development: genetics (it can run in families), connective tissue disorders like Marfan syndrome, and age-related changes to the heart. As for precautions, while you can't prevent MVP itself, you can help maintain good heart health by: managing blood pressure, eating a heart-healthy diet, getting regular exercise (as approved by your doctor), maintaining a healthy weight, not smoking, and keeping up with regular medical check-ups. Your doctor is right that many people with MVP never develop serious problems, but it's still good to monitor it. The most important thing is to attend your follow-up appointments and alert your doctor if you notice any new symptoms like shortness of breath, chest pain, or irregular heartbeats.

Yes get LIPID profile,diabetic profile ,ecg,2d echo done and visit cardiologist for appropriate management

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