Patient's Query
Hello doctor,
My husband is 43 years old. He has an irregular pulse, with a daytime heart rate ranging from 40 to 60 bpm. His blood pressure is borderline and has been managed through diet for a few days. He complains of feeling lightheaded upon waking, with an increased systolic blood pressure ranging from 143 to 153 mmHg, mild nausea, and occasional mild back pain on the right side. He takes one multivitamin every day. Could this be related to a renal or cardiac issue?
Please advise.
Hello,
Welcome to icliniq.com.
Based on the symptoms, it does not appear to be a cardiac issue causing the pain; it is likely due to gastritis and reflux. Does he also experience upper abdominal pain, bloating, burping, increased pain after eating, a sour sensation in the throat, or chest burning? These additional symptoms may be associated. He should avoid a fatty, oily, and spicy diet. It is recommended to take a walk after meals instead of resting. He should have multiple small meals rather than large ones, maintain regular sleep habits, and manage stress. He should consume plenty of green leafy vegetables and fruits, and avoid smoking and alcohol, if applicable.
He should be prescribed one tablet of Pantoprazole 40 mg once a day for two weeks. If symptoms are not adequately relieved, add two teaspoons of Sucralfate three times a day for a week. Consult your specialist doctor, discuss with him or her, and take the medicines with take the medicines with their consent.
Additionally, his blood pressure is on the higher side. He should adopt a healthy lifestyle by avoiding fatty, oily, and high-calorie foods, following a low-salt diet, and monitoring his blood pressure three times a day for a week, then once or twice a week thereafter. If his blood pressure remains consistently above 140/90 mmHg, he may need medication. This could be contributing to his high blood pressure.
Encourage regular exercise, such as brisk walking or jogging, for at least 30 minutes a day, five days a week. Aim for weight loss and keep the BMI (body mass index) within the healthy range (around 23). He should also have an ECG (electrocardiogram), lipid profile, blood sugar levels, and renal function tests done.
I hope this helps.
Patient's Query
Hello doctor,
Thank you for the reply.
He has recently started drinking water filtered with a basic filter (non-RO+UV). Is there a possibility of heavy metal ingestion that could contribute to an increase in blood pressure? Could it cause any renal issues? What can we do to verify this?
Hello,
Welcome back to icliniq.com.
It is unlikely that all his problems are caused by water ingestion. To rule out renal issues, he will need the tests I have previously recommended, including a renal function test and a 24-hour urine examination. Additionally, he should have a lipid profile and blood sugar levels tested once.
Regards.
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Answered byDr. Sagar Ramesh Makode
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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