Question 1

I'm really worried about my dad's blood pressure. It was high at 160110 before, but after he started taking Metocard XL 25 and Triolmesar 20 for about a month, it's dropped to 8772, measured with a digital Omron monitor. Do you think he should keep taking his current medication or adjust the dose? Also, he's diabetic and taking Glyciphage SR 500 and Tenlimac 20. Plus, he's being treated for prostate issues with Maxvoid 8. Could all these medications be affecting his blood pressure too much? What would be the best course of action?

Accepted Answer

Given the significant drop in blood pressure from 160110 to 8772, it is important to reassess the medication regimen. In this case, it is advisable to consult with your father's healthcare provider to adjust the dosage or possibly consider discontinuing one of the antihypertensive medications. Lowering the dose of Metocard XL 25 or Triolmesar 20 may be necessary to prevent hypotension, especially considering his current blood pressure readings. Regular monitoring and coordination with his healthcare provider are essential to ensure optimal management of his hypertension while taking into account his diabetes and prostate issues.

Question 2

I'm really worried about my dad. He's 70 and went through a pretty tough time with his aorta bursting back in January. The doctors did Bentall Surgery, and it seemed like things were getting better, but then he got a mild case of COVID on February 4t...

Accepted Answer

In this case, the persistent low-grade fever in the evening could be due to various factors, including post-operative recovery, underlying infection, or inflammatory response. Since your father recently underwent Bentall Surgery and is also recovering from mild COVID-19 infection, it is essential to monitor his symptoms closely. To address the fever, the doctors may consider prescribing antipyretic medications such as Acetaminophen (Tylenol) at a dose of 650mg to 1000mg every 4-6 hours as needed to help reduce the fever and provide comfort. Additionally, if there are signs of ongoing infection, antibiotics such as Amoxicillin-Clavulanate (Augmentin) at an appropriate dose may be considered based on the specific infection and sensitivity. It is crucial to continue following up with the medical team to assess the underlying cause of the fever, monitor his overall condition, and adjust the treatment plan accordingly. Regular communication with the healthcare providers will help in managing his recovery effectively.

Question 3

I've had an echo, ECG, TMT, and blood tests, and everything turned out normal, but I'm still feeling chest pain, sometimes pain in my left hand, and dizziness. Should I do these tests again, or could this all be anxiety-related? I've been through man...

Accepted Answer

It's good that your echo, ECG, TMT, and blood tests have come back normal. Chest pain, left hand pain, and dizziness can sometimes be related to anxiety, but it's important to rule out any other underlying medical conditions. Since you have already done multiple tests before, I recommend consulting with a cardiologist to discuss your symptoms and previous test results. They may suggest further evaluation or prescribe medications like Ativan (lorazepam) for anxiety if needed.

Question 4

I've been dealing with high blood pressure and tachycardia since 2012 and it's been pretty frustrating. I've done all sorts of tests and nothing seems to be working out. It's especially annoying with the tachycardia because whenever I start on medica...

Accepted Answer

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

Question 5

I've recently had an echo done, and it showed grade 1 diastolic dysfunction. I'm a bit concerned and wondering if this is something serious. Should I see a cardiologist about it, or is it a common finding that's usually not a big deal?

Accepted Answer

It is important to follow up with a cardiologist for further evaluation and management. Treatment may include lifestyle modifications and medications such as ACE inhibitors like Enalapril (5-20mg once daily) or ARBs like Losartan (25-100mg once daily) to help improve heart function and symptoms. Regular follow-up with a cardiologist is recommended to monitor your condition.

Question 6

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 seeme...

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."

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I'm really worried about my dad. He's 70 and went through a pretty tough time with his aorta bursting back in January. The doctors did Bentall Surgery, and it seemed like things were getting better, but then he got a mild case of COVID on February 4t...

I've had an echo, ECG, TMT, and blood tests, and everything turned out normal, but I'm still feeling chest pain, sometimes pain in my left hand, and dizziness. Should I do these tests again, or could this all be anxiety-related? I've been through man...

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I've recently had an echo done, and it showed grade 1 diastolic dysfunction. I'm a bit concerned and wondering if this is something serious. Should I see a cardiologist about it, or is it a common finding that's usually not a big deal?

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 seeme...

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