Question 1

I was recently told by my general physician to start a 10-day course of Telma 40 mg because my blood pressure was quite high at 170110. I've been checking my BP in the evenings for the next few days, and it's usually between 100150 and 115155. After taking the medication for six days, my BP has come down to around 13090, and for the last couple of days, it's stabilized around 12080 in the evening. I've also cut back on salty and oily foods and started walking about 4 to 5 km, plus doing 20 minutes of Pranayam. I'm a bit concerned and curious about what else I can do. I have a BMI of 26.5. Any advice?

Accepted Answer

continue same tretment

Question 2

I've been noticing that my blood pressure seems to jump around quite a bit. Sometimes it's around 11575, other times it gets up to 12684, and the highest I've seen is 160101. I'm not on any medications for it right now. Is it normal for blood pressure to fluctuate like this, and what might be causing these changes?

Accepted Answer

Fluctuating blood pressure, ranging from 11575 to as high as 160101, can be influenced by factors such as stress, diet, physical activity, and underlying medical conditions. To manage this, adopt a heart-healthy diet, reduce salt intake, engage in regular physical activity, manage stress, and avoid excessive alcohol and caffeine. Regularly monitor your blood pressure, noting any patterns or triggers, and keep a log of your readings. Consult your healthcare provider to rule out underlying conditions and determine if medication is necessary. Discuss these fluctuations with your doctor to develop an appropriate management plan.

Question 3

I recently went through a treadmill test (TMT) around mid-April, and just a few days after, I found out I had COVID. I got better by the end of April, but ever since, I've noticed that my heart races, especially when I'm doing things like climbing stairs. I went to a cardiologist, and both my ECG and echo tests looked fine, and he mentioned it might be anxiety. But, while my heartbeat is mostly normal now when I'm resting, I do notice a slight chest pain when I walk for more than 20-25 minutes. I'm curious, should I consider doing another TMT? And I'm really wondering, could having COVID possibly lead to plaque build-up in my arteries, even if the first TMT showed everything was fine? Any advice would be great.

Accepted Answer

It is unlikely that COVID infection would cause plaque in the arteries directly. However, COVID-19 can lead to inflammation in the body which may indirectly affect the heart and blood vessels. Since your previous TMT was fine, it may not be necessary to repeat it unless your symptoms worsen or persist. The chest pain you are experiencing while walking could be due to various reasons, including muscular pain or anxiety-related issues. To alleviate your symptoms, you can try medications like Ranitidine for acid reflux and Paracetamol for chest pain. If the symptoms persist, it is advisable to consult with your doctor for further evaluation and management.

I'm 24 and I spend a lot of time sitting because of my job. My pulse rate seems to bounce between 92 and 110. Is it normal for it to be that high at my age? I'm a bit worried if it's something I should be concerned about.

ecg and echo advised to the pt..

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