Question 1

I'm a bit worried about my blood pressure. It was normally around 11080, but every time I visit the doctor, it spikes to 14084. My doctor mentioned that it might be due to anxiety and prescribed torsemide for 20 days. He said I could stop taking it after that. Are there any side effects I should be aware of with this medication? And does this mean I'm developing high blood pressure, even though it doesnt usually go over 140?

Accepted Answer

Torsemide is a diuretic medication that helps reduce fluid retention in the body, which can help lower blood pressure. It is commonly used to treat conditions such as high blood pressure and edema. When taken as prescribed, torsemide is generally well-tolerated. However, like any medication, it can cause side effects in some individuals. Common side effects may include dizziness, headache, muscle cramps, and increased urination. Since your doctor has prescribed torsemide for a specific duration of 20 days and then advised you to withdraw the tablet, it is important to follow their instructions carefully. Abruptly stopping diuretic medications can sometimes lead to rebound fluid retention and worsening of symptoms. It is important to monitor your blood pressure regularly and report any significant changes or concerns to your doctor. If your blood pressure does not exceed 14090 and you do not have any symptoms of high blood pressure, it is unlikely that you will develop hypertension. However, it is important to maintain a healthy lifestyle, including regular exercise, a balanced diet, and stress management, to help keep your blood pressure under control. If you have any further questions or concerns, please consult with your doctor for personalized advice.

Question 2

I'm a bit concerned about the price of my uncle's medication. He's been using Stamlo T to control his BP, but it costs INR 100 per strip, which seems quite steep. I found another medicine, OZOTELAM, that reportedly has the same composition and only costs INR 20 per strip. Why is there such a big price difference between these meds if they have the same ingredients? Also, would it be safe for my uncle to switch to OZOTELAM since it's more affordable, and is the composition truly identical, or am I missing something? Looking forward to your advice.

Accepted Answer

Symptoms and Possible Causes*

1. *Heaviness in the right cheek*: Possible causes include:
    1. Dental issues (e.g., toothache, abscess)
    2. Sinus pressure or infection
    3. Facial nerve issues (e.g., trigeminal neuralgia)
    4. Temporomandibular joint (TMJ) disorders
2. *Neck pain*: Possible causes include:
    1. Muscle strain or tension
    2. Poor posture
    3. Herniated disk or spinal issues
    4. Stress or anxiety
3. *Headaches*: Possible causes include:
    1. Tension headaches
    2. Migraines
    3. Sinus headaches
    4. Cervicogenic headaches (related to neck issues)
4. *Palpitations on the lips*: Possible causes include:
    1. Anxiety or stress
    2. Nerve issues (e.g., trigeminal neuralgia)
    3. Vasovagal syncope (a condition that affects blood flow)

*Recommendations*

1. *Consult a primary care physician*: Start by consulting your primary care physician to discuss your symptoms and determine the best course of action.
2. *Specialist referral*: Based on your symptoms, your primary care physician may refer you to a specialist, such as:
    1. Dentist or oral surgeon (for dental issues)
    2. ENT specialist (for sinus or ear issues)
    3. Neurologist (for nerve-related issues)
    4. Orthopedic specialist or physical therapist (for neck or spinal issues)
3. *Diagnostic tests*: Your healthcare provider may order diagnostic tests, such as:
    1. Imaging studies (e.g., X-rays, CT scans, MRI)
    2. Blood tests
    3. Nerve conduction studies
4. *Lifestyle modifications*: In the meantime, consider:
    1. Practicing stress-reducing techniques (e.g., meditation, deep breathing)
    2. Maintaining good posture
    3. Engaging in regular exercise
    4. Avoiding triggers that exacerbate your symptoms

Question 3

I'm feeling concerned about my blood pressure and heart rate. Last year, my family doctor found my BP was as high as 183120, but my ECG and other tests like Lipid, Thyroid, KFT, LFT came back normal. I was on Vitabend T and Alprex 0.25 for about 78 days, made some changes to my diet, and my BP stayed around 12090, so I stopped the meds. But just last week, my BP shot up to 163110 with a heart rate of 124 BPM; after taking Vitabend T, it normalized again to about 11580. Now, Im experiencing pain in my left hand and my heart rate averages 100 BPM. Should I be worried about heart trouble? Sometimes I feel pain around the collar bone too, but theres no fatigue or breathing problems. What should I do?

Accepted Answer

Based on your symptoms and history of high blood pressure, it is important to consult a Cardiologist for further evaluation. The pain in your left hand and collar bone, along with an elevated heart rate, could be indicative of underlying heart issues that need to be addressed. The Cardiologist may recommend additional tests or adjustments to your current medication regimen. In the meantime, continue monitoring your blood pressure and heart rate regularly. It is important to prioritize your heart health and seek professional medical advice in this situation.

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