apollo
  • male
  • 50 Years
  • 22/01/2025

I'm worried because my blood pressure has been 14090 for the past 20 days, and I've started having mild chest pain. I've done all the heart-related tests like ECG, echo, and TMT, and they all came back normal. Should I be taking blood pressure medicine? My doctor hasn't prescribed anything for it yet, but I'm thinking maybe I should start at least for a few days. I weigh 110 kg, and my doctor only put me on cholesterol medication since my cholesterol is high. What do you think about starting bp medicine?

Doctor 1

Answered by 1 Apollo Doctors

Your blood pressure reading of 14090 mmHg falls into the category of Stage 1 Hypertension according to most guidelines Since your heart-related tests (ECG, ECHO, TMT) are normal, and your doctor has not prescribed blood pressure (BP) medication, they may believe that your condition can initially be managed with lifestyle changes and monitoring. However, your weight (110 kg) and high cholesterol are additional risk factors for cardiovascular disease, and managing your blood pressure is crucial.

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm a bit concerned because I've been experiencing this clicking sound in my chest with every heartbeat, especially when lying down. It's actually loud enough that other people can hear it too. Could it be related to the small hole in my heart that's currently closing? I'm really not sure what's going on, and its got me kind of worried. What do you think this might be?

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I'm really worried about something. I've been dealing with diabetes for about three years now and high blood pressure for over 15 years. For that, I've been taking losium and istamate regularly. But lately, I've been experiencing a dry cough and feeling gassy. When I went to the Baptist Hospital, they said I needed to be admitted to the CCU and they ran some tests like ECG and blood tests, which came back negative. They also did a TMT and an echo. During the TMT, I felt tired after the second stage when the speed increased, and they told me I might have a heart problem, suggesting an angiogram. I decided against it and got discharged instead. I'm confused and not sure what to do next. Can you give me some advice on this?

It sounds like you are experiencing some side effects from your current medications. The dry cough and gas could be related to the medications you are taking for diabetes and high blood pressure. Since you are experiencing symptoms related to your heart, it is important to follow up with a cardiologist for further evaluation. I recommend discussing with your doctor about switching from losium to a different medication for high blood pressure to see if that helps with the cough and gas. Additionally, you may benefit from a medication adjustment for your diabetes as well. For your heart condition, it is important to follow up with a cardiologist for further evaluation and to discuss the possibility of undergoing an angiogram to assess the blood flow to your heart. In the meantime, make sure to monitor your blood pressure and blood sugar levels regularly, follow a healthy diet, and engage in regular physical activity as advised by your healthcare provider.

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Doctor 1Doctor 2

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I'm having some pain that I'm worried about. It's mostly on my left elbow, both upper and sometimes the inner part, and I also feel pain just below my left ear on the jaw. Besides that, I get this discomfort below my left chest and it usually happens when Ive got gas. I've had an ECG done back in August and everything came out normal, but I'm still concerned. The pain kind of comes and goes without any chest pressure or breathing issues. Could this be heart-related? Sometimes the pain hits my back too. My blood pressure is 127 over 79 and my total cholesterol level is 264. Do these symptoms sound like I should be worried about my heart?

Based on the symptoms you have described, such as pain in the left elbow, left jaw, below the left chest, and sometimes in the back, which worsen when you have gas, along with normal ECG results and absence of chest pressure or breathing problems, it is less likely to be cardiac-related. The pain you are experiencing may be musculoskeletal or related to gastrointestinal issues. For the pain in your left elbow and jaw, you can take over-the-counter pain relievers like acetaminophen. For gas relief, you can try simethicone-based antacids. Additionally, for high cholesterol levels, you may consider starting a statin medication like atorvastatin at a low dose. It is important to follow up with your healthcare provider for further evaluation and management of your symptoms. Remember to maintain a healthy lifestyle with regular exercise and a balanced diet to help manage your cholesterol levels.

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