Question 1

I've been waking up with a pretty bad headache and noticing that my blood pressure readings are quite high in the morning, sometimes hitting around 160100. It seems to settle down by around noon and stays normal for the rest of the day. Im currently on Espin AT and Equasite 12.5 every morning. Is this something I should be worried about? What's causing these high readings in the morning?

Accepted Answer

It seems like you are experiencing morning hypertension, which is a common issue for some individuals. To help manage your blood pressure more effectively throughout the day, you can consider taking your medications at different times. I recommend taking your Espin AT in the morning as usual, but you may benefit from taking your Equasite 12.5 in the evening instead. This can help provide more consistent blood pressure control throughout the day. Make sure to consult with your healthcare provider before making any changes to your medication regimen.

Question 2

I'm experiencing this kind of strong pounding pulse throughout my body. It's not really fast, just really strong. I can even see it in my neck when I look in the mirror and I feel it in my fingers and hands when I touch something. I also notice a visible pulse in my stomach and when I'm lying down, my head kind of bobs up and down with my pulse. Right now, even as I'm sitting in bed with my laptop, the pulse is shaking my laptop. This began shortly after I had some issues with anxiety and possible heart problems, but I've been to the hospital multiple times and they've ruled out any heart issues. It often gets triggered after heavy meals and this has been happening for about a year now. What could be causing this?

Accepted Answer

A really strong, pounding pulse all over your body, even visible in the neck and stomach, can be a concerning symptom. Since heart issues have been ruled out, this may be related to anxiety. To help manage this symptom, you can try taking Propranolol (Inderal) 10-20mg as needed to help reduce the pounding pulse and physical symptoms of anxiety. It is important to consult with your doctor before starting any new medication.

Question 3

I'm feeling pretty concerned about my wife's situation. She's 32 years old and she's had two abortions in the past. She's currently 23 weeks into an IVF pregnancy. Before getting pregnant, her echo was normal with an EF of 67, but now it shows Grade 1 diastolic dysfunction with an EF of 57, though everything else seems alright. She's experiencing mild breathlessness during activities like bathing. Her blood pressure reads 12490 on the right and 12084 on the left. I'm wondering if I should consider starting her on Labetalol. Is this something we should be worried about?

Accepted Answer

Considering your wife's medical history and current condition, it is important to address the diastolic dysfunction and high blood pressure to ensure the well-being of both your wife and the baby. Labetalol is a suitable choice for managing hypertension in pregnancy. I recommend starting your wife on tab. labetalol at a dose of 100 mg twice daily initially, with close monitoring of blood pressure. The dosage can be adjusted as needed based on her response. It is essential to continue monitoring her symptoms, blood pressure, and cardiac function regularly throughout the pregnancy. Additionally, it would be beneficial for your wife to follow up with her obstetrician and cardiologist for further evaluation and management of her cardiac condition during pregnancy.

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