Question 1

I'm really concerned about my blood pressure shooting up to 14090 all of a sudden. I've had high BP since I was 33, and now I'm 38. My weight is around 110 kg and I'm 5 feet 7 inches tall, so I know I'm quite obese. I stress out easily and can get pretty angry. There's been times I've broken stuff at home when my family doesnt listen to me. I had my heart checked by a cardiologist 1.5 years ago with an Echo and a TMT, and everything seemed fine, but my BP still spikes. I was initially prescribed Telma 40 mg, and now Im on Stamlo 5 mg daily. My heart rate jumps to 130 if I walk fast for just a kilometer. Is this normal? I'm also an asthma patient, and I find myself taking deep breaths a lot. Why do these sudden BP spikes and high heart rates happen to me?

Accepted Answer

Based on your description, it seems like you are experiencing episodes of sudden high blood pressure due to various factors such as obesity, stress, and possibly uncontrolled anger. The combination of these factors can contribute to spikes in blood pressure. It's good that you have been evaluated by a Cardiologist and have undergone tests to rule out any underlying heart issues. To help manage your blood pressure, you are currently taking Stamlo 5mg, which is a brand name for Amlodipine. This medication helps to relax the blood vessels, allowing blood to flow more easily and lowering blood pressure. In addition to this, it is important to make lifestyle changes such as maintaining a healthy weight, reducing stress through relaxation techniques or counseling, and addressing anger management. Regarding your heart rate reaching 130 beats per minute during physical activity, it can be considered normal for some individuals, especially if you are not used to regular exercise. However, since you are also an Asthma patient, it is important to monitor your heart rate during physical activity and consult with your healthcare provider if you experience any concerning symptoms. Overall, it is essential to continue taking your medication as prescribed, make necessary lifestyle modifications, and keep track of your blood pressure regularly. If you have any further concerns or if your symptoms persist, please consult with your healthcare provider for a personalized treatment plan.

Question 2

I'm feeling pretty anxious because my ECG report showed T wave inversion, but the TMT test came back normal. I've attached both reports. Since finding out about the T wave inversion, I've started experiencing some chest pressure and slight pain, whic...

Accepted Answer

T wave inversion on ECG can sometimes be a normal variant, especially if the TMT test is normal. However, since you are experiencing chest pressure and slight pain, it is important to further evaluate the cause. In this case, considering your symptoms, it would be advisable to start medication to relieve chest pressure and pain. you can take Tablet Ranitidine 150mg twice a day to reduce any acid-related symptoms that may be causing chest discomfort. It is also important to manage stress through relaxation techniques and regular exercise. If the symptoms persist or worsen, further evaluation by a cardiologist may be necessary.

Question 3

I've been having some trouble with my blood pressure readings. My right arm was at 14296, while the left was 12487. Is this something I should be worried about? On top of that, I've been dealing with feelings of depression and constant negative thoug...

Accepted Answer

Regarding your blood pressure difference between your right and left arms, it is important to monitor this discrepancy and follow up with your healthcare provider. It could indicate underlying vascular issues that need to be addressed. As for your feelings of depression and negative thoughts, it is crucial to seek support from a mental health professional for proper evaluation and management. For your gastric issues including LAX CARDIA EROSIVE ESOPHAGITIS and ANTRAL EROSIVE GASTROPATHY, the medications you have been taking may need adjustment. You can try taking a proton pump inhibitor like Esomeprazole (brand name Nexium) along with a prokinetic agent like Metoclopramide (brand name Reglan) for better control of your symptoms. To manage your upper back pain due to prolonged sitting, you can try over-the-counter pain relievers like Ibuprofen (brand name Advil) for pain and inflammation. Additionally, incorporating regular stretching exercises and maintaining a good posture at work can help alleviate the discomfort. It is important to follow up with your healthcare provider for a comprehensive evaluation and personalized treatment plan tailored to your specific health needs.