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

I'm Gajendra, and I'm 30. Lately, I've been having trouble with high blood pressure and a fast pulse. What should I do about this?

Doctor 1

Answered by 1 Apollo Doctors

For high blood pressure and elevated pulse, you can start by making lifestyle changes such as reducing salt intake, maintaining a healthy weight, exercising regularly, and managing stress. Additionally, you can take medication to help control your blood pressure. I recommend taking "Losartan" at a starting dosage of 50mg once daily. However, it is important to consult with a healthcare professional for proper monitoring and adjustment of your treatment plan.

Dr. Kareemulla Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been noticing this weird thing where I can feel my pulse in my fingertips if I press them firmly on something hard. It's not all the time, and it doesn't hurt, but when I grip something and accidentally focus on it, I feel my heartbeatit's like a straight-up pulse. I've talked to a cardiologist and two neurologists about this. One suggested a color Doppler test without fully hearing me out, and the other said not to worry. It's just confusing because, like with a pulse oximeter reading from the finger, I wonder if this is normal. I've done all the heart tests, and they came back clear, but once my blood pressure shot up to 160118 due to stress from an injury. No other issues now, but it's still annoying, and I've consulted two GPs as well. Is this pulse sensation normal, or should I be concerned?

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I'm lying down and my heart rate is around 54, but when I stand up it's 86. Is it normal for the heart rate to be under 60? My echo and TMT tests came back normal, but when I get up from bed, I feel dizzy. Should I be worried or is this something that happens often?

A heart rate of 54 beats per minute when lying down can be normal, especially if you are physically fit or athletic, as lower heart rates are common in these individuals. However, the dizziness you experience when standing up could indicate a condition known as orthostatic hypotension, where your blood pressure drops upon standing, leading to dizziness. It is good that your echocardiogram (echo) and treadmill test (TMT) are normal, but I recommend discussing these symptoms with your healthcare provider. They may suggest additional tests, such as measuring your blood pressure and heart rate changes with position changes, to diagnose and manage the underlying cause of your dizziness.

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I'm really worried about my husband. He's in the paramilitary and has been dealing with blood pressure issues for a while. He's been taking LOSAR H tablets every day, like for years. But now, his blood pressure seems to be dropping and has recently dipped below 110. He's stationed in a very high-risk area and has to do intense physical work. I'm really concerned. What should we do about this situation?

It is important to monitor his blood pressure regularly, especially since it has dropped below 110. In this situation, it is advisable to consult with a doctor to adjust the dosage of LOSAR H or consider switching to a different medication. Since he is in a high-stress environment and engaged in intensive physical work, it is crucial to ensure that his blood pressure remains within a safe range to prevent any complications. I recommend seeking medical advice promptly to address this issue and make necessary adjustments to his medication.

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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.