My blood pressure is high even after following a healthy lifestyle. What to do?

Hi,

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I understand your concern. I have gone through the reports (attachment removed to protect patient identity). There is a slight increase in BUN (blood urea nitrogen). It can be due to hypertension. I suggest you start taking blood pressure medications if the blood pressure is more than 140/90 mm Hg. It will help you to keep calm and regulates your heartbeat. It is normal to have a runny rapid heartbeat after a heavy meal. It is physiological too. I suggest you do a USG (ultrasound) of the whole abdomen to check if there are any renal stones or kidney disease. You can take tablet Diclofenac 75 mg after a meal. Take tablet Pantoprazole 40 mg once a day before meal for three days. Please mention whether you have a burning sensation while passing urine, and tell about the color of the urine.

Hi,

Welcome back to icliniq.com.

I suggested to take Diclofenac because you have mentioned about flank pain and chest pain. It helps to minimize these symptoms. Pantoprazole is given along with Diclofenac to avoid its side effects. It can lead to stomach ache when it is not taken. I suggest you do a USG (ultrasound) examination for the abdomen to rule out renal pathologies. Without knowing the complete history regarding hypertension, it is not good to start medications for it randomly. So I want to see the symptoms and observe you for three days. The prescribed medicine is available over the counter and you can get it without a prescription. Once you get the USG reports, then we can start medications for hypertension and BUN. Please do a chest X-ray and ECG (electrocardiogram) along with it. I can suggest you consult a cardiologist and nephrologist once if there is a need.