Question 1

I'm really worried about my mom. She had a fever of 100.5 last week and hasn't had blood pressure issues before, but her BP was around 100160. We've had some family stress lately, so I'm thinking that might be affecting her health. The doctor did some tests like lipid, fasting sugar, uric acid, and creatinine, and they all came back normal. However, her BP has consistently been 100150 when we've checked recently. The doctor suggested starting her on Olmecip. I'm wondering, is there a way to manage her blood pressure without having to use medication? Any advice would be really appreciated.

Accepted Answer

Lifestyle changes such as regular exercise, a healthy diet low in sodium, maintaining a healthy weight, reducing stress, and avoiding tobacco and alcohol can help in controlling blood pressure. However, in some cases, medication may be necessary. In your mother's case, since her blood pressure readings have been consistently high, the doctor prescribed Olmecip. This medication is an angiotensin II receptor blocker that helps to relax blood vessels, lowering blood pressure. The usual starting dose of Olmecip is 20mg once daily. It is important to follow the doctor's advice and monitor blood pressure regularly.

Question 2

I'm really concerned about my mom's health. She's had a history of cardiac attacks and has been on various medications since her last one. Right now, she takes Arkamin in the morning and night, and Ecosprin 75 in the afternoon. She also uses Nexpro 40 and Ganaton 50mg for acidity. The problem is that her blood pressure is consistently around 160-170100 throughout the day, even with medication. There are times it might drop to 13070, but it doesn't last. We've had all these tests done, like Thyrocare X, ECG, and ECO, and everything comes back normal.

What's puzzling and worrying is that she's very sensitive to light and sound, her heartbeat increases when exposed to these, especially in the evening. Plus, she feels like her heart skips a beat when there's noise. She's been eating really light and avoiding spicy food, following her angiography back in 2013 where the doctor recommended sticking to medication. I'm really trying to understand why these symptoms are persisting now and what steps we should take next. Any insights?

Accepted Answer

It seems like your mother is experiencing uncontrolled high blood pressure despite taking Arkamin and Ecosprin. Given her symptoms of sensitivity to light and sound, along with the fluctuating blood pressure readings, it is important to address this issue promptly. Considering her history of cardiac issues, it is crucial to optimize her blood pressure control. I would recommend adding a medication like Telma 40mg once daily to help lower her blood pressure more effectively. Additionally, since she is experiencing acidity, she can continue taking Nexpro 40 for that. In order to address her sensitivity to light and sound, it may be beneficial to consult with an ophthalmologist and an ENT specialist to rule out any underlying issues. It is also important to continue monitoring her blood pressure regularly and make lifestyle modifications such as reducing stress, maintaining a healthy diet, and engaging in regular physical activity. Overall, the addition of Telma 40mg to her current medication regimen may help better control her blood pressure and alleviate some of her symptoms. Regular follow-up with her healthcare provider is essential to monitor her progress.

Question 3

I've been noticing this strange sensation in my chest, like a pressure drop or a quick loss of breath with a tingle that spreads. It's been happening a lot over the past year. Heart issues run in my family and my grandpa even has a pacemaker. Should I be concerned about these symptoms? What do you think this might be?

Accepted Answer

It sounds like you may be experiencing symptoms of a heart condition, especially given your family history. The symptoms you described, such as chest pressure, shortness of breath, and tingling, could be related to a heart issue. I recommend you consult a cardiologist for further evaluation and testing. In the meantime, you can take Aspirin 81mg once daily to help prevent blood clots and improve blood flow to the heart.

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