Question 1

My brother is 18 and we've discovered that he has high blood pressure readings around 14070 or sometimes 15070. We've done a bunch of tests like ECG, EKG, ultrasound, renal Doppler, TSH, echo, and urine metanephrine serum tests, and they all came back normal. The doctor mentioned something about essential hypertension and started him on amlong 2.5mg. But since that didn't help, his dose was bumped up to 5mg. I just got a BP monitor, and his readings were 13078 in the morning and 14770 in the evening. I'm seriously concerned because he's so young and is managing to exercise regularly with a healthy BMI. What could be causing this, and how can we help lower his BP?

Accepted Answer

It's good that your brother has been proactive in monitoring his blood pressure and leading a healthy lifestyle. Despite these measures, essential hypertension can sometimes be challenging to control. Since the morning blood pressure reading is within a normal range, it's important to continue monitoring at different times of the day. In cases where blood pressure remains elevated, the dosage of the medication may need to be adjusted further. I recommend discussing with the doctor about potentially increasing the dose of Amlong to 7.5mg or exploring other medication options such as Telma (Telmisartan) 40mg. Additionally, lifestyle modifications such as reducing salt intake, maintaining a healthy diet, regular exercise, and stress management techniques can also help in managing blood pressure levels. Regular follow-ups with the doctor for monitoring and adjustments are essential in managing hypertension effectively."

Question 2

I'm a bit worried because I have diabetes and this morning I felt a slight pain on the left side of my chest. I went to the hospital, and they did an ECG. The report said "Borderline," but it was unconfirmed. The doctor told me it's not a huge problem but that I need to watch my diet and keep tabs on my heart health. I'm a little confused and can't help but worry about what all this means. Could you help me understand? Ive been losing sleep over this.

Accepted Answer

Salt restricted diet,DASH diet for hypertension...reduced fats ,oils,butter and ghee reduction advised...

Question 3

I'm experiencing this sharp, pin-like pain in my chest and back. It was really bad in January, but now it's not as intense, just feels like pins. I had my ECG done and everything came back normal. Can you tell me what precautions I should take?

Accepted Answer

Given your symptoms of pin-like pain in the chest and back, and a normal ECG, consider consulting a cardiologist to rule out conditions like pericarditis, costochondritis, or gastroesophageal reflux disease (GERD); in the meantime, avoid heavy lifting, maintain a healthy weight, manage stress, and avoid triggers like spicy or fatty foods that can exacerbate symptoms.

ECHO report is normal

More Cardiology Health Queries

I'm experiencing this sharp, pin-like pain in my chest and back. It was really bad in January, but now it's not as intense, just feels like pins. I had my ECG done and everything came back normal. Can you tell me what precautions I should take?

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