- male
- 65 Years
- 29/01/2025
I've been taking cilametxl 50mg, moxvas 0.3mg, and minipress XL 5mg every morning and night, but I've noticed that my blood pressure drops temporarily and then spikes to around 17598 or 18595 by 4 p.m. and is high again early in the morning around 6 a.m. Why does this happen, and what can I do to manage these fluctuations better?
Answered by 1 Apollo Doctors
Its important to work closely with your doctor to adjust your treatment plan, as fluctuating high blood pressure can be a serious concern over time. Regular check-ups, monitoring, and lifestyle changes will also help manage your blood pressure more effectively. Make sure to follow your doctors advice closely to achieve better blood pressure control.
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
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I'm experiencing some discomfort after meals. Whenever I eat a heavy meal, I get this left-sided chest pain, and I notice my resting heart rate shoots up to around 100, even though it's usually about 70. It gets worse with any kind of light activity like walking or climbing stairs but seems to settle down after a few hours. I did have some heart tests, like an ECG, echo, and TMT about six months ago, and they all came back normal. My blood tests are fine toono anemia, high blood pressure, or sugar issues. Should I be considering any other tests or looking into something else? Its starting to worry me.
It sounds like you may be experiencing symptoms of gastroesophageal reflux disease (GERD) or acid reflux. The chest pain after eating heavy meals, along with the increased heart rate and chest discomfort with light activity, are common symptoms of GERD. Since your heart tests were normal, it is less likely to be related to a cardiac issue. I recommend trying over-the-counter antacids like Tums or Rolaids to see if they help alleviate your symptoms. You can also try avoiding heavy meals, eating smaller meals more frequently, and avoiding lying down immediately after eating. Additionally, you may benefit from medications like omeprazole (Prilosec) or ranitidine (Zantac) to reduce stomach acid production. If your symptoms persist despite these measures, you may consider undergoing an upper endoscopy to further evaluate the cause of your symptoms. This procedure can help identify any inflammation or damage in the esophagus or stomach. Overall, it is important to follow up with your healthcare provider for further evaluation and management of your symptoms.
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I'm a bit worried about changing my medication. I used to take Prolomet, and my doctor just switched me to Telma 40 in the morning and Prolomet 25 at night. I'm supposed to stop Prolomet completely after a week and just keep taking Telma. Could this sudden change or stopping Prolomet in the morning cause any issues or symptoms?
Changing from Prolomet to Telma 40 in the morning and Prolomet 25 at night, followed by stopping Prolomet and continuing with Telma alone, should not cause any issues if done under the supervision of a doctor. Telma (Telmisartan) is an angiotensin II receptor blocker that helps in lowering blood pressure. It is important to follow your doctor's instructions regarding the dosage and timing. The transition from one medication to another is commonly done to optimize treatment and minimize side effects. If you experience any unusual symptoms during this transition, such as dizziness, weakness, or changes in heart rate, please consult your doctor for further evaluation.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.