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?

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Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

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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.

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Answered 04/07/2025

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I've been dealing with a really high pulse rate and Im not sure why. Every time I check it with my digital sphygmomanometer, it reads between 95 to 110, and thats without any physical activity. My blood pressure usually hovers around 105 over 55. On top of that, Ive been experiencing severe abdominal pain and a constant feeling of nausea for the past few weeks. Could these symptoms be related, and what should I do about it?

Your pulse rate is slightly elevated (95-110 bpm), and your blood pressure is on the lower side (10555). Combined with your abdominal pain and nausea, this could indicate dehydration, stress, or an underlying medical condition like gastritis or an infection. I recommend seeing a doctor promptly for a detailed evaluation and necessary tests.

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I'm dealing with high blood pressure issues linked to my hypertension. Is it alright if I switch and take Metoprolol 25 mg x 2 tablets twice daily instead of Metoprolol Tartrate 50 mg twice daily?

Yes, you can take Metoprolol Succinate 25 mg (brand name: Toprol XL) twice daily as a substitute for Metoprolol Tartrate 50 mg. Just ensure to follow the prescribed dosage and frequency as directed by your healthcare provider.

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