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 Mukesh and I've been dealing with some health issues for the last three years. My doctor told me my blood pressure is high, but my ECG is normal. My cerum creatinine is 0.91, and cholesterol levels reported in February 2017 are at t.col130, HDL 44.1, triglycerides 113.9, LDL 63.12, and VLDL 22.78. The chest X-ray came back normal too. I've been taking Tenolol 50 and Anxit 0.25 as prescribed, but I'm still having the same issues and sometimes I have trouble breathing. Could you help me understand what's going wrong and if there's anything else I should be doing?

Accepted Answer

Mukesh, given your history of high blood pressure and normal test results including ECG, cholesterol levels, and chest X-ray, it's important to manage your hypertension and associated symptoms effectively. Tenolol (a beta-blocker) and Anxit (an anxiety medication) are useful, but if your symptoms persist, further evaluation is needed. Breathing problems can be related to anxiety, uncontrolled blood pressure, or other underlying conditions. I recommend following up with your healthcare provider to reassess your treatment plan. They may adjust your medications, explore other causes for your symptoms, and possibly refer you to a specialist if needed.

Question 3

I've been experiencing this really weird thing where I suddenly get dizzy and faint after using the bathroom. I woke up this last time with a hurt nose, and it's actually the third time it's happened over the past five years. The first two times, I had a fever, so I figured that was the cause, but this time I'm not sick. I've seen a bunch of doctors, but no one seems to figure it out. They keep asking if I have issues with my BP or if I'm feeling hot. I dont have any of these problems normally, so Im really puzzled. Could there be something else going on that were missing?

Accepted Answer

This episode of dizziness and fainting could be related to a condition called vasovagal syncope, which can be triggered by various factors such as urination. To help prevent these episodes, you can try increasing your fluid and salt intake to maintain blood pressure. Additionally, you can use medications like Fludrocortisone (brand name Florinef) at a dose of 0.1-0.2 mg per day to help increase blood volume and prevent episodes of fainting. It is important to discuss this with your doctor to see if this medication is suitable for you.

I've been having a hard time breathing when I'm lying down on either side. Could this be related to my lungs or heart? I'm feeling a bit worried. Can you give me some insight into what might be going on?

it might be due to either lung or heart cause, do chest xray it can rule out lung cause

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