Question 1

I'm really worried about my blood pressure lately. My 2D echo showed concentric LVH with an EF of 60 and grade 1 diastolic dysfunction. I've been on medication since September, taking one tablet in the morning and two at night. Initially, my BP seemed stable, but now in December, it's been fluctuating a lot. Previously, it was around 12082 to 12585 in the morning and 13585 to 13882 in the afternoon. But now, I'm seeing readings like 14090 in the morning and 14894 in the afternoon. I'm active, so what's causing these changes in winter? How should I take care of my BP during this season?

Accepted Answer

It is important to monitor your blood pressure regularly, especially with your medical history of Concentric LVH and diastolic dysfunction. Considering your situation, I would recommend adding or adjusting your current medication regimen to better control your blood pressure during the winter season. You can discuss with your doctor about adding a calcium channel blocker like Amlodipine 5mg in the morning and a combination of Valsartan 80mg + Hydrochlorothiazide 12.5mg in the evening. This can help in better blood pressure control throughout the day. In addition to medication, it is also important to make lifestyle modifications to help manage your blood pressure. This includes reducing salt intake, maintaining a healthy weight, regular exercise, managing stress, and avoiding smoking and excessive alcohol consumption. It is not uncommon for blood pressure to fluctuate with the change in seasons, but with the right medication and lifestyle adjustments, you can better manage your blood pressure even during the winter months. Make sure to continue monitoring your blood pressure regularly and follow up with your doctor for any further adjustments needed."

Question 2

My dad, who's 48, was diagnosed with COVID-19 a month ago but he's feeling fine now, no symptoms or anything. Recently, his blood test showed d-dimer levels at 1440 and LDH at 239. The doctor put him on anti-coagulation medicine. He doesn't have high...

Accepted Answer

1) Does high d dimer means high cholesterol? High d-dimer levels do not necessarily indicate high cholesterol. D-dimer is a marker of blood clot formation and breakdown in the body, and elevated levels can be seen in various conditions such as deep vein thrombosis, pulmonary embolism, and disseminated intravascular coagulation. It is not directly related to cholesterol levels. 2) Can he eat chicken and mutton kheema? Yes, your father can eat chicken and mutton kheema. It is important to ensure that the meat is cooked thoroughly to reduce the risk of any foodborne illnesses. Including lean proteins like poultry and lean cuts of meat can be a part of a healthy diet. 3) What to avoid and what to include in diet? It is important for your father to follow a healthy and balanced diet to support his recovery and overall health. He should avoid foods high in saturated fats, trans fats, and cholesterol. Instead, he should focus on consuming a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats. It is also important to stay hydrated and limit the intake of processed foods, sugary beverages, and excessive salt. Regular physical activity and maintaining a healthy weight are also important factors in managing overall health.

Question 3

I'm really worried about my dad's blood pressure. It's been 18090 even after I checked it twice, and then an hour later, it was 15088. He always brushes off his health issues, and I don't know how to help him keep his heart rate and blood pressure no...

Accepted Answer

High blood pressure can lead to serious health issues, so it's important to manage it properly. Here are some steps you can take to help maintain his blood pressure. Encourage him to follow a healthy diet low in sodium and high in fruits, vegetables, and whole grains. This can help lower blood pressure. You can also recommend the use of a salt substitute like LoSalt. Regular exercise is important for managing blood pressure. Encourage him to engage in at least 30 minutes of moderate exercise most days of the week. Stress management techniques such as deep breathing exercises, meditation, or yoga can help lower blood pressure. Ensure he is taking his medications regularly if prescribed by a doctor. Common medications for high blood pressure include Amlodipine 5mg and Losartan 50mg. Encourage him to limit alcohol intake and quit smoking if he does. Regular monitoring of blood pressure at home and keeping a record of readings can help track progress and identify any patterns. Remember, these are general recommendations and it's important for your father to follow up with his healthcare provider for personalized advice and treatment.

Question 4

I'm thinking about marrying a girl who's had heart valve surgery. She's 27 and on meds her cardiologist says she'll need forever. I'm worried about what this means for us, especially if we want to have kids. Could her medication cause any side effect...

Consult with a cardiologist personally with detailed medical history

Last updated on 22 Jan 2025

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Accepted Answer

Consult with a cardiologist personally with detailed medical history

Question 5

My mom had an angioplasty about 36 hours ago with two stents placed because her artery was fully blocked. Now she's in the ICU and her heart rate is pretty high, like around 152 bpm, and it's averaging about 125 bpm. Plus, she's had low blood pressur...

Accepted Answer

The low blood pressure could be a result of reduced heart function or other factors. To address the high heart rate, a beta-blocker medication like Metoprolol can be prescribed to help lower the heart rate. It is important to consult a cardiologist to assess her cardiac function in detail.

Question 6

I'm really worried because my cholesterol is high, like 252, and today I've been experiencing this pain in my left arm, shoulder joint, and even in my hands. Could this mean I'm having a heart attack?

Accepted Answer

Having high cholesterol levels can increase your risk of heart attack, especially when experiencing symptoms like pain in the left arm, shoulder joint, and hands. This could be a sign of a heart-related issue. It is important to seek medical attention immediately. In the meantime, you can take Aspirin 81mg to help reduce the risk of blood clot formation.

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Related Questions

My dad, who's 48, was diagnosed with COVID-19 a month ago but he's feeling fine now, no symptoms or anything. Recently, his blood test showed d-dimer levels at 1440 and LDH at 239. The doctor put him on anti-coagulation medicine. He doesn't have high...

I'm really worried about my dad's blood pressure. It's been 18090 even after I checked it twice, and then an hour later, it was 15088. He always brushes off his health issues, and I don't know how to help him keep his heart rate and blood pressure no...

I'm thinking about marrying a girl who's had heart valve surgery. She's 27 and on meds her cardiologist says she'll need forever. I'm worried about what this means for us, especially if we want to have kids. Could her medication cause any side effect...

My mom had an angioplasty about 36 hours ago with two stents placed because her artery was fully blocked. Now she's in the ICU and her heart rate is pretty high, like around 152 bpm, and it's averaging about 125 bpm. Plus, she's had low blood pressur...

I'm really worried because my cholesterol is high, like 252, and today I've been experiencing this pain in my left arm, shoulder joint, and even in my hands. Could this mean I'm having a heart attack?

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