Question 1

I'm really struggling to manage my high blood pressure and I'm feeling worried about the side effects I'm experiencing. Right now, I'm taking Amlopres AT 25 in the morning and plain Amlodipine 2.5 in the evening, but I just don't feel fresh and there's this persistent pain in my ankle. I did try switching to Metaprolol, but it only made my BP and heart rate go up. I also attempted using Telmesartan with Amlodipine, which controlled my BP, but then my heart rate increased. I'm feeling stuck and a bit lost about what to do next. My lipid profile is under control with cholesterol at 150 and triglycerides at 76, and my fasting blood sugar is 106. Could you suggest a better medication plan or any other advice?

Accepted Answer

Take Temsan AM for 15 days , and check BP after 15 days

Question 2

I'm experiencing heart palpitations and my heart beats faster sometimes along with chest discomfort, all this in the past six months or so. I've had an ECG, echo, and TMT and they all came back normal. My blood pressure at home is usually below 12085, but when I go to the doctor's office, it shoots up to 13090 and sometimes even 150100. Should I be worried about this difference in blood pressure readings, and could it be linked to the palpitations I'm feeling?

Accepted Answer

Since six months some time feel heart palpitation and beat faster and chest discomfort. I have done ecg echo tmt everything normal. Bp also below 12085 at home But doctor clinic always 13090 some time 150100. It sounds like you may be experiencing episodes of palpitations and chest discomfort despite normal results on your ECG, echo, and TMT tests. Your blood pressure readings are also slightly elevated at the doctor's clinic. In such cases, your symptoms may be related to anxiety or stress. I recommend trying a beta-blocker medication such as Metoprolol (dosage: 25-50mg once daily) to help with the palpitations and chest discomfort. Additionally, practicing stress-reducing techniques such as deep breathing exercises or yoga may also be beneficial.

Question 3

I'm a bit worried about my cholesterol levels after getting my test results. My total cholesterol is 179 mgdL, and my HDL is 54 mgdL, but my triglycerides are 255 mgdL. The LDL came in at 77 mgdL and VLDL was calculated at 50.9 mgdL. I've read that the TCHDL ratio is 3.3, and the LDLHDL ratio is 1.4are these numbers okay? Should I be concerned about my triglycerides and how they might affect my health? What should I do next?

Accepted Answer

The lipid profile results show that your total cholesterol, HDL cholesterol, LDL cholesterol, and triglyceride levels are within normal ranges. However, your VLDL cholesterol level is slightly elevated, which may increase your risk of heart disease. To help lower your triglyceride levels and VLDL cholesterol, you can consider taking a medication such as Atorvastatin (brand name Lipitor) at a dosage of 10-80 mg per day. It is important to also maintain a healthy diet and lifestyle to improve your lipid profile.

I've been having this weird pain, like in my heart and behind it, and it's been slowly moving to my shoulder. Now my mouth is super dry and I'm even feeling some pain near the top part of my left arm, right above my heart. What could this mean? Should I be worried about these symptoms?

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