apollo
  • Male
  • 36 Years
  • 22/01/2025

I'm a bit concerned because my systolic blood pressure has been hovering around 130, but I've noticed that my diastolic is consistently above 90 or even 95. I'm really worried about why my diastolic BP is always on the higher side. Could you tell me what kind of tests or investigations might be needed for this?

Doctor 1

Answered by 1 Apollo Doctors

Visit Physician for evaluation and appropriate management

Dr. Kareemulla Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been struggling with this issue for about two years now, and I'm really hoping for some insight. I'm a 27-year-old I.T. professional and this all started with sudden bouts of dizziness and sweating. I've gone through all the usual tests, like MRI and blood work, and the only thing that came up was a low B12 level at 83. Over time, I've begun feeling detached, and my doctor mentioned it might be anxiety. The problem hasnt gone away though, and now I sometimes experience fluttering, dizziness, and vomiting. It feels like I might faint, but I never actually do. I've had TMT and ECG tests twice, and both were normal. I worry it could be some kind of arrhythmia, but during these episodes, my heart rate seems stable with no major changes. It's confusing because these episodes don't seem linked to stress and only last a few seconds. I'm really anxious about this and just looking for a professional perspective on what's happening.

It sounds like you are experiencing symptoms of panic attacks, which can be very distressing. The dizziness, sweating, fluttering sensation, vomiting, and feeling like you might pass out are all common symptoms of panic attacks. Since your heart rate remains normal during these episodes and your cardiac tests (TMT, ECG) have come back normal, it is less likely to be related to arrhythmia. One possible treatment option for your symptoms could be to take an anti-anxiety medication such as **Xanax (Alprazolam)**. The usual starting dose for adults is 0.25 mg to 0.5 mg taken three times a day. However, it is important to consult with a doctor before starting any medication. In addition to medication, therapy such as cognitive-behavioral therapy (CBT) can also be very effective in managing panic attacks. It can help you understand and cope with the triggers of your anxiety. It is important to follow up with your doctor regularly to monitor your symptoms and response to treatment. If you continue to experience these episodes despite treatment, further evaluation may be needed.

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Doctor 1Doctor 2

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I recently had a TMT test and got a negative result, but a couple of PVCs showed up during the test. Should I be worried about this? Is there any treatment or something I should consider?

Premature Ventricular Contractions (PVCs) are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). Occasional PVCs are typically harmless, especially if you have no underlying heart disease. However, if you are experiencing frequent PVCs or have a history of heart disease, it is important to consult with a cardiologist for further evaluation. In terms of treatment, if PVCs are causing symptoms or are frequent, your doctor may prescribe antiarrhythmic medications such as **Metoprolol** at a specific dosage to help reduce the occurrence of PVCs and manage any associated symptoms. Additionally, lifestyle changes such as reducing caffeine and alcohol intake, managing stress, and getting regular exercise may also help in managing PVCs. Remember, it is important to follow up with your healthcare provider for a personalized treatment plan based on your individual health needs.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm wondering if a blood pressure reading of 9354 is considered low? I've been feeling some weakness and dizziness at times, and I'm not sure if it's related. How would one diagnose low blood pressure?

Visit your doctor for evaluation and appropriate management

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.