Question 1

I'm really worried about my father. He's 65 and has been dealing with diabetes for about 7 years now. Usually, his normal blood pressure is around 11075, but today I checked and it was 17080. His pulse rate is 90 and his oxygen saturation is 98. Does this seem normal or should I be concerned about these numbers? What should I do next?

Accepted Answer

Given your symptoms, I recommend consulting an:

1. *ENT (Ear, Nose, and Throat) Specialist*: As dizziness can be related to inner ear issues, such as benign paroxysmal positional vertigo (BPPV).
2. *Neurologist*: To rule out any underlying neurological conditions that might be causing your dizziness.
3. *General Physician*: If you're unsure about which specialist to consult, start with a general physician who can evaluate your overall health and refer you to a specialist if needed.

Before consulting a doctor:

1. *Keep a symptom journal*: Track when the dizziness occurs, how long it lasts, and any triggers you notice.
2. *Monitor your blood pressure*: Ensure your blood pressure is within a healthy range.
3. *Stay hydrated*: Drink plenty of water throughout the day.

During the consultation:

1. *Share your medical history*: Inform your doctor about your previous experience with dizziness 3 years ago.
2. *Describe your symptoms*: Provide detailed information about your dizziness, including when it occurs, how long it lasts, and any triggers you've noticed.

Question 2

I've been dealing with hypertension for the last 12 years and usually take TOZAM Losartan 50mg Amlodipine 5mg in the morning. But about a month ago, I noticed some palpitations and sweating, and when I checked, my blood pressure was 95150. After getting checked at the hospital, they did an angiogram and said theres a minor artery disease with a 30% block. Now, they've put me on TOZAM and Prolomate XL 25mg Metoprolol 25mg every morning, plus Rosutor Gold Aspirin at night. I'm wondering, do I really need to be on both TOZAM and Prolomate, or is there something else I should be considering?

Accepted Answer

Yes both are required to regulate your haert function,no need to worry follow your doctors advice and maintain healthy lifestyle.

Question 3

I've been experiencing these weird palpitations for the past four months whenever I lie down, and I'm really starting to worry. I had my blood pressure, thyroid levels, ECG, and an echocardiogram checked, and everything came back normal except for the ECG showing sinus tachycardia. Also, I had Covid about ten months ago. I'm not sure what I should do next. Any advice?

Accepted Answer

Given that your BP, thyroid, ECG, and echo were normal, but you are still experiencing palpitations, particularly when lying down, it is important to further investigate potential causes. Sinus tachycardia can be due to various factors, including stress, anxiety, dehydration, or even residual effects from a previous COVID-19 infection. Since you've had COVID-19, it could also be related to post-viral syndrome, which sometimes affects the heart. You should consider consulting a cardiologist for a more detailed evaluation, which may include a 24-hour Holter monitor to track your heart rate variability over a day, especially during sleep. Additionally, ensuring adequate hydration, managing stress, and avoiding stimulants like caffeine might help reduce palpitations.

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