Blood Pressure

The pressure exerted by the flowing blood on the walls of the blood vessels is called blood pressure. The normal blood pressure is 120/80 mmHg. A fall or rise in this blood pressure is a risk factor for developing certain health conditions.

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What would be the cause for a sudden increase of blood pressure within a year in a teenager?

Query: Hi doctor, I am a 16-year-old physically fit male with a good diet. There is no family history of blood pressure problems and no known pre-existing conditions. Last year, my blood pressure was 100/68. However, today my blood pressure is 160/80. I am seeing a doctor this week, but I wonder if there ...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Measures to control BP (blood pressure) are: 1) Avoid smoking and other addictions. 2) Reduce salt intake in the diet. 3) Reduce fatty foods, junk foods, saturated fats. 4) Avoid stress and anxiety. 5) Do regular moderate-intensity exercise such as brisk walk for 3...  Read Full »

Is my abnormal EKG indicative of a heart attack?

Query: Hi doctor, I had two separate EKGs. The first showed a normal sinus rhythm, septal infarct, age undetermined, and abnormal ECG with a QRS duration of 76 ms. The second EKG showed normal sinus rhythm, possible anterior infarct, age undetermined, abnormal ECG with QRS duration of 74 ms. Did I have a ...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. There are no Q waves in any ECG (electrocardiogram). There is no sign of a past heart attack. The second ECG fulfills one of the criteria of left ventricular hypertrophy (LVH). Please tell if you had hypertension, diabetes, or any other heart issue, thyroid issue, or ha...  Read Full »

Why is my blood pressure so high?

Query: Hi doctor, I am 23 years old with a weight of 73 kilograms. I am worried about my blood pressure ranging from 140/70 mmHg to 160/80 mmHg. What to do?   Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Follow these measures to control your blood pressure. Avoid smoking and other addictions. Reduce your salt intake in your diet. Reduce taking fatty foods, junk foods, and saturated fats. Avoid having stress and anxiety. Do regular moderate-intensity exercise. Do bri...  Read Full »

Why are my blood pressure readings consistently high?

Query: Hello doctor, Yesterday my blood pressure reading was 180/120 mm Hg without any known cause. After checking again two hours later, my blood pressure reading was 170/120 mm Hg. After another four hours, the reading was 160/110 mm Hg. Today my blood pressure reading was 160/110 mm Hg. After checking ...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. If blood pressure is raised for the first time, I would advise taking short-acting antihypertensive for few days. Monitor blood pressure, and if stable, then long-acting medicine will be started. Take Tablet Captopril 25 mg three times a day. Before starting, have se...  Read Full »

What are the symptoms of subclavian steal syndrome (SSS)?

Query: Hi doctor, I have pain, which is like pressure or something I cannot explain, but it really hurts.It happens in my whole left chest and my upper left-back.I experienced it yesterday. This feeling frequently happens after I have done some tiring physical activities or when I am stressed. My left arm...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Thanks for the query. These symptoms are probably due to anxiety, but another cause is subclavian steal syndrome (SSS). In SSS, blood is diverted from brain to arm during exertion leading to arm pain, dizziness, vertigo, visual impairment, etc. SSS occurs due to blocka...  Read Full »

Does hypertension require medication?

Query: Hi doctor, I have been diagnosed with high cholesterol and high blood pressure. Should I take medication for high blood pressure (Telmisartan tab) considering my age 28, weight 68 and height 5.5. Currently my blood pressure is 100/138 mmHg.  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Thanks for the query. Measures to control blood pressure (BP): 1) Avoid smoking and other addictions. 2) Reduce salt intake in your diet. 3) Reduce fatty foods, junk foods, saturated fats. 4) Avoid stress and anxiety. 5) Do regular moderate-intensity exercise such...  Read Full »

Can hypothyroidism cause increased heart rate?

Query: Hi doctor,I have a high TSH of 10 mIU/L with increased heart rates. My ECG is normal and my blood pressure is high with a level of 160/100 mm Hg. After ten minutes, it was 140/90 mm Hg. I want to know whether a hypothyroid patient have an increased heart rate. I am taking Thyronorm, Multivitamin tab...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Your tests show that you have subclinical hypothyroidism. It means that you have elevated TSH (thyroid stimulating hormone) with T3 (triiodothyronine) and T4 (thyroxine) within normal ranges. TSH is produced in the pituitary gland inside the cranium near the brain. This...  Read Full »

Why do I have fluctuating blood pressure?

Query: Hello doctor, During the day up to the afternoon, I have a blood pressure of 130/80. In the afternoon, it is 160/90 or 160/95. What should I do? I am a diabetic person with and heart failure. My current medications are Valsartan 80 mg in the morning, Bisoprolol 10 mg, Furosemide 25 mg, and Metild...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. You have heart failure. What is the ejection fraction? Valsartan is recommended to be taken twice a day in heart failure. This will also lower your blood pressure. Record BP by following the proper method. Moreover, you are taking Lercanidipine, which should be a...  Read Full »

Can elevated BP cause slight variation on ECG?

Query: Hello doctor, I am a 39-year-old male. My height is 175 cm and weight 96 kg. I do not smoke or I do not consume tobacco or alcohol. I recently got my preventive health check-up done. My all blood tests are within normal range prescribed, including all cholesterol levels. I do not have any part...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. Only a concerning finding is on ECG. What to do in that case? If first ECG (electrocardiography) done shows some abnormalities, but there is very low suspicion of disease on patient's history and examination, repeat ECGs should be done every half an hour for few hou...  Read Full »

Blood pressure is normal in the morning but increases at night even after having drugs. Why?

Query: Hello doctor, My mother's blood pressure is 130/80 in the morning, but by 10 pm before she eats her medicine in the night, her bp becomes 160/80. She is taking calcium channel blockers, which cause swelling in her legs resulting in difficulty in walking. She is currently under, Moxilong 0.3 mg tabl...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. She is taking lots of medicines but still if BP is raised the possibilities may be, 1. Not reducing salt intake, not following a healthy lifestyle guidelines, and not exercising. 2. Medicines may not be taken appropriately, some over-the-counter medicines such as N...  Read Full »

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