Question 1

I've been checking my blood pressure with a monitor, and every time the cuff gets tighter, I start feeling some chest pressure. It's not super strong, but I definitely notice it, and it happens every time I check. My blood pressure was 12588. I'm also worried because I get chest pains sometimes. What could be causing this?

Accepted Answer

The sensation of chest pressure when the blood pressure cuff is tightened could be due to increased pressure on the chest wall. However, since you also mentioned that you experience chest pains sometimes, it is important to monitor this closely. With a blood pressure reading of 12588, it is within the prehypertension range. To help manage your blood pressure and chest discomfort, you can take a low dose of Amlodipine (brand name: Norvasc) 5mg once daily. Additionally, it is advisable to follow up with your healthcare provider for further evaluation and management.

Question 2

I'm really worried about my dad's health. He's been dealing with high blood pressure for a while and has been on medication. Lately, his blood pressure has been spiking a lot, so we got an ECG and echo done, which showed mild concentration LVH. He's been taking the meds shown in the report, and he's also been having trouble sleeping, so there are meds for that too. Even with all this, he still has some sleeping issues. Do you think he might need surgery, or can this situation be stabilized with just meds? What would you suggest as the next step?

Accepted Answer

To help stabilize his blood pressure and improve his sleep, the ideal next step would be to optimize his current medication regimen. In addition to his current medications, adding a medication like Amlodipine 5mg once daily for blood pressure control and prescribing a sleep aid like Zolpidem 5mg at bedtime for his sleep issues can be considered. Surgery is not typically indicated for mild LVH and can usually be managed with medications and lifestyle modifications. It's important for your father to continue monitoring his blood pressure regularly, follow a healthy diet, engage in regular physical activity, and manage stress effectively. Regular follow-up with his healthcare provider is essential to adjust his treatment plan as needed.

Question 3

I've been having this left upper chest pain along with a sensation of irritation or discomfort near the right side of my throat and towards the end of my molar teeth for the last 3-4 days. It's really worrying me. About 2 months ago, I had some heart tests done, but everything came back normal. I do have a BP of 14090 though and was taking TELMA H for two months. I quit smoking 6 months ago and used to smoke around 23 cigarettes a day. What could be causing these symptoms, and what should I do?

Accepted Answer

GERD take pantop 40mg for 3days

I'm a bit puzzled because my ECG is coming back normal, but I'm still feeling pain in my left arm and shoulder. Last Tuesday, my blood pressure was at 160, and now it's around 11064. Can you help me figure out what's going on?

it should be normal

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