Question 1

I'm 36, and my blood pressure is pretty high at 142 over 94. I'm worried that if I start taking blood pressure meds, it might lead to erectile dysfunction or affect my sex life somehow. I'm getting married in four months, so this is really on my mind, especially since I haven't had morning erections for the past five months. I already walk about 2 km every day, but can I manage this with lifestyle changes alone? What's the best way forward?

Accepted Answer

Starting blood pressure medication is important to manage your blood pressure and reduce the risk of complications. Some blood pressure medications, such as beta-blockers and diuretics, may have side effects like erectile dysfunction. However, there are other options like calcium channel blockers or ACE inhibitors that are less likely to cause this issue. Lifestyle changes such as maintaining a healthy diet, regular exercise, limiting alcohol intake, and managing stress can also help control blood pressure and improve erectile function. I recommend discussing with your doctor about starting a blood pressure medication that is less likely to cause erectile dysfunction, such as a calcium channel blocker like Amlodipine 5mg once daily. Additionally, continue with your daily walks and consider incorporating other healthy habits to improve your overall health and sexual function.

Question 2

I've been worried about getting the COVID vaccine because of some heart issues. My father had an angiogram back in 2012, and though he's not on any medication now, I've occasionally felt mild heart pain that seems to go away after a bit. I'm really unsure about whether it's safe for me to get the vaccine given these concerns. Can you offer any advice on this? Is there a risk involved?

Accepted Answer

It is important to consult with a cardiologist before taking any decision regarding the Covid vaccination. However, based on the information provided, it is generally safe for individuals with a history of angiogram to receive the Covid vaccine. The benefits of vaccination in preventing severe illness and complications from Covid-19 outweigh the potential risks. It is recommended to take the vaccine to protect yourself from the virus. You can consider taking the vaccine like Covishield or Covaxin with the standard dosage schedule.

Question 3

I'm a bit worried about my blood pressure. It was normally around 11080, but every time I visit the doctor, it spikes to 14084. My doctor mentioned that it might be due to anxiety and prescribed torsemide for 20 days. He said I could stop taking it after that. Are there any side effects I should be aware of with this medication? And does this mean I'm developing high blood pressure, even though it doesnt usually go over 140?

Accepted Answer

Torsemide is a diuretic medication that helps reduce fluid retention in the body, which can help lower blood pressure. It is commonly used to treat conditions such as high blood pressure and edema. When taken as prescribed, torsemide is generally well-tolerated. However, like any medication, it can cause side effects in some individuals. Common side effects may include dizziness, headache, muscle cramps, and increased urination. Since your doctor has prescribed torsemide for a specific duration of 20 days and then advised you to withdraw the tablet, it is important to follow their instructions carefully. Abruptly stopping diuretic medications can sometimes lead to rebound fluid retention and worsening of symptoms. It is important to monitor your blood pressure regularly and report any significant changes or concerns to your doctor. If your blood pressure does not exceed 14090 and you do not have any symptoms of high blood pressure, it is unlikely that you will develop hypertension. However, it is important to maintain a healthy lifestyle, including regular exercise, a balanced diet, and stress management, to help keep your blood pressure under control. If you have any further questions or concerns, please consult with your doctor for personalized advice.

I'm a bit worried because my LDL is 145 and HDL is 50. It looks like my cholesterol levels are high. I don't really have any bad habits, don't eat a lot, and maintain a moderate weight. What's going on with my cholesterol?

Visit your Physician for appropriate management

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