Question 1

I'm a bit confused about my blood pressure readings. When I'm lying down, my BP usually stays under 12080. But when I sit up, it changes to somewhere between 13095 and 140100. I'm currently taking Telma, and I'm just wondering if these lying-down readings are reliable or if I should focus on the sitting-up ones. Do you think I need to change my dose, or does it seem like my blood pressure is under control based on the lying-down numbers?

Accepted Answer

It is important to monitor your blood pressure in different positions to get a comprehensive view of your overall blood pressure control. In your case, it seems like your blood pressure is well controlled when lying down but slightly elevated when sitting up. This could indicate that your current dose of Telma may not be fully controlling your blood pressure in all positions. I would recommend discussing this with your healthcare provider to consider adjusting your Telma dosage or exploring other treatment options to ensure that your blood pressure remains within a healthy range in all positions.

Question 2

I'm curious about why my blood pressure spikes to 180100 during times of aggression, while it's usually around 11080 or 12080 when I'm calm. I don't have diabetes or thyroid issues, and my echo, ECG, and TMT results are normal. My lipid profile shows LDL at 60, HDL at 37, and total cholesterol at 110. Is there any underlying pathological condition that could be causing these blood pressure fluctuations?

Accepted Answer

Aggression or stress can indeed cause a temporary spike in blood pressure. Since your heart tests and lipid profile are normal, the elevated blood pressure may be due to situational factors. However, it is important to monitor your blood pressure regularly and consider lifestyle modifications. In case of persistent high blood pressure, your doctor may prescribe medications like Amlodipine 5mg or Losartan 50mg to help keep it under control.

Question 3

I've been dealing with this left side chest pain for more than a year now and it's really worrying me. I've seen a couple of doctors and even a psychiatrist, and they all say my heart is fine. I've had a full body checkup, and apart from low vitamin D and some past hyperthyroid issues, everything looks normal. My thyroid levels are okay now, and the antibody tests came back fine. They say I have panic attack anxiety and hypochondriasis. I mean, all my tests like ECGs, TMT, chest X-ray, ultrasound, and endoscopy are normal, and even my cholesterol levels are fine. Still, I can't shake off this weird feeling, like I'm scared of having a heart attack because of the chest pain. I can run long distances without any problems. Oh, and I should mention that I smoke 2 to 3 cigarettes a day, and I used to drink heavily, but I've quit that. I'm just trying to figure out if this is just anxiety playing tricks on me or if there's something actually wrong with my heart. Any advice?

Accepted Answer

It sounds like you have been thoroughly evaluated for your left side chest pain and all the tests have come back normal, indicating that there is nothing wrong with your heart. Given your history of panic attacks, anxiety, and hypochondriasis, along with the normal cardiac tests, it is likely that your symptoms are related to anxiety rather than a cardiac issue. To help manage your anxiety and chest pain symptoms, you can consider taking an anxiolytic medication such as lorazepam (Ativan) as needed for acute episodes of anxiety. Additionally, you may benefit from a selective serotonin reuptake inhibitor (SSRI) such as sertraline (Zoloft) or escitalopram (Lexapro) for long-term management of anxiety. It is important to continue practicing healthy habits such as quitting smoking completely, maintaining a balanced diet, exercising regularly, and managing stress through relaxation techniques or therapy. If you continue to experience chest pain or anxiety symptoms, it would be advisable to follow up with a mental health professional for further evaluation and management. Remember, it is essential to prioritize your mental health and well-being in addition to physical health.

What should we eat when BP is high?

You may consume your staple foods except prefer low salt diet, avoid coffeine and alcohol, avoid delimeat, eat Citrus fruits.

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