Question 1

How can I lower my diastolic blood pressure? My systolic blood pressure is usually normal, but my diastolic is often high. Are there any ways to bring it down naturally without medication? It's usually around 12090.

Accepted Answer

1. No its normal feeling
2. Bp is normal
No need to worry

Question 2

I'm really worried about my 37-year-old brother. He's been having this mild chest pain for a few months now, right in the heart area, and it sometimes radiates to his arms and back. We had an ECG, a TMT which showed a borderline positive at 10 Mets, and an echo doneall normal, and the coronary angiogram was normal too. The local doctor said it's non-cardiac and just gave him painkillers, but I'm not so sure. Could this be microvascular angina since the TMT was mildly positive and the angiogram came back normal? The pain just comes and goes for him, and it's really concerning. Do you have any advice on what this might be?

Accepted Answer

Based on the symptoms described and the test results provided, it is possible that your brother is experiencing microvascular angina. In such cases, medications like Ranolazine can be prescribed to help with the chest pain. The usual dosage for Ranolazine is 500mg to 1000mg twice daily. However, it is important to consult with a healthcare professional for a proper diagnosis and treatment plan.

Question 3

I've just gotten my cholesterol test results back, and I'm a bit concerned about what they mean. My Total Cholesterol is at 155 mgdl, Triglycerides at 193 mgdl, HDL at 29 mgdl, VLDL at 39 mgdl, LDL at 87 mgdl, with a TCholHDL ratio of 5.3 and an LDLHDL ratio of 3.0. Can you help me understand these numbers and suggest what steps I should take? I'm not sure if these levels are something to worry about, and I'd appreciate any advice on how to handle this.

Accepted Answer

Your cholesterol report shows a total cholesterol of 155 mgdL, which is normal, but triglycerides are elevated at 193 mgdL, indicating a potential risk for heart disease. Your HDL ("good cholesterol") is low at 29 mgdL, which is concerning, as higher HDL helps reduce heart disease risk. Your LDL ("bad cholesterol") is at a good level of 87 mgdL, and your VLDL and cholesterol ratios are slightly elevated due to the low HDL and high triglycerides. To improve your cholesterol profile, focus on a healthy diet rich in healthy fats (like omega-3s), fiber, and whole foods, while cutting back on sugary and processed foods. Exercise regularly, aim for weight management, avoid smoking, and limit alcohol. Its also important to discuss these results with your doctor, who may recommend further testing or medications, especially considering your history of heart attack. Regular follow-ups will be important to manage and track your progress.

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How can I lower my diastolic blood pressure? My systolic blood pressure is usually normal, but my diastolic is often high. Are there any ways to bring it down naturally without medication? It's usually around 12090.

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