apollo
  • Male
  • 23 Years
  • 29/01/2025

I'm experiencing some issues and I'm pretty worried. I've been diagnosed with hypertension and I'm also noticing my hands are trembling quite a bit. Can you tell me what steps I should take or any advice on how to manage these? I would really appreciate your help.

Doctor 1

Answered by 1 Apollo Doctors

For hypertension and hand tremors, you can start by taking Atenolol 25mg once daily for hypertension. Additionally, you can take Propranolol 10mg twice daily for hand tremors. It is important to monitor your blood pressure regularly and follow up with your doctor for any adjustments in your treatment plan.

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really worried about my health lately. I've been dealing with diabetes and high blood pressure for a year now. Last October, I went through some tests like an echo, and everything seemed normal except for some grade 1 diastolic dysfunction. The TMT was negative, and my ECG looked okay. But I'm still having chest pain and pain in my left hand every week, and my heart sometimes races to 150160 bpm, with blood pressure at 180110. I even feel like passing out once a month. I've got pain in my chest, left hand, and jaw too. The doctor said last year that it wasn't a cardiac issue, but I can't shake off these symptoms. Without my blood pressure meds, my blood pressure spikes to 170110 and my heartbeat to 130. I'm currently on metoprolol, talmisartan, and vildapride. Its been seven months since those tests; should I go for another echo or TMT? Ive attached my last years reports and recent ECG too. What do you think?

Based on your history and symptoms, it would be advisable to undergo a repeat echocardiogram and stress test (TMT) to assess your heart function and rule out any cardiac issues. Considering your persistent symptoms and the changes in your blood pressure and heart rate, it is crucial to ensure that your current medications are effectively controlling your conditions. In addition to your current medications (metoprolol 50mg twice a day, telmisartan 40mg twice a day, and vildagliptin-metformin 50500mg twice a day), your healthcare provider may need to adjust the dosages or consider adding other medications to better manage your blood pressure and heart rate. Please follow up with your healthcare provider for a thorough evaluation, including a repeat echocardiogram and stress test, to determine the underlying cause of your symptoms and to optimize your treatment plan. Regular monitoring and follow-up are essential in managing your diabetes, hypertension, and cardiac symptoms.

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I've been having this weird pain, like in my heart and behind it, and it's been slowly moving to my shoulder. Now my mouth is super dry and I'm even feeling some pain near the top part of my left arm, right above my heart. What could this mean? Should I be worried about these symptoms?

It sounds like you may be experiencing symptoms of a heart attack. It is important to seek immediate medical attention. In the meantime, you can take a tablet of aspirin (325mg) to help thin the blood and reduce the risk of further complications. Call emergency services or go to the nearest hospital as soon as possible for proper evaluation and treatment.

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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.