Q. My BP fluctuates often. What should I do?

Hi,

Welcome to icliniq.com.

I have worked through your query and understand your health issues. I assure you not to worry as you have consulted the appropriate expert physician who will take care all of your medical concerns. Your blood pressure (BP) was high in the first place and they started you on medicines for high BP. I like to add that this is still not normal for your age and it will definitely go high in the years to come. Can you please tell me any history of diabetes, high BP, stroke, paralysis or heart disease running in your family? If yes, then you are also at a high risk of ending up in these problems sooner or later unless you get proper treatment now. Do you smoke or drink alcohol? If yes, then mention the frequency and quantity? Also check your pulse rate and BP today and add the reading in the follow up. Please tell me your height, weight, waist circumference and your activity level? If I scale it and give a number from 1 to 10, what is your activity level? These answers are the most important for the first line of treatment. My advice to my patient at this young age is based primarily on the lifestyle changes and modification of habits based on the clinical scenario they have. I will put you on diet and exercise plan and a mild antihypertensive, if needed. We will slowly shift from medicine to lifestyle change only and your health will be under control forever regarding this issue. You need medicine, but if I put you simply on medicine and that is too in such a young age, you have to take the medicine life-long. What I expect from patients like you is a complete history.

Hi,

Welcome back to icliniq.com.

I want to assure you that do not worry as everything is going to be fine soon. Your body mass index (the scale for measuring the body weight appropriate for a patient's height and age) is higher and you fall in overweight and prone to obesity case. If you start acting on my advice, you will get alright with little determination and change of lifestyle. Your ideal weight ranges from 55 kg to 73 kg. You have central obesity and waist circumference for your age and height should not be more than 34 inches. For every 10 pounds decrease in body weight, you will get a beneficial fall of 5 mmHg in blood pressure until it gets normal. You need to take a pedometer, most smartphone already have it as built in software, and also comes separately. Your goal is 10,000 steps in a fast healthy pace of jogging daily for at least five to six days a week and on continuous basis. Make a chart on daily basis with date and share with me on follow up. You do not need weight lifting exercises, rather cardio exercises to help support the heart and your blood pressure. Previously, Sartel and Amlogard caused hypotension as a side effect which is the reason for losing balance while walking. It is good that you left taking those medicines. Rest of the symptoms you mentioned in previous question, are due to anxiety and high blood pressure. For that you need a medicine to control high BP and a follow up after a week and keep taking that. Follow up is just to see how you are doing with that treatment.

The probable cause is Truncal or central obesity and sedentary lifestyle.

Do fasting blood sugar levels, fasting lipid profile and thyroid profile.

Take Tablet Atenolol 25 mg once daily.

Avoid excess salt. Take appropriate water and keep a healthy diet. No soda, tea, energy drinks or coffee. Less sugar in diet.

Revert back with the blood work to a cardiologist online.

Hi,

Welcome back to icliniq.com.

I am really pleased to see your follow up query and happy to help you out. I am amazed to see the fabulous improvement in your health status. You are doing really great and I appreciate the efforts you started for the sake of your good health. Blood pressure fluctuates daily in a normal routine due to many normal physiologic processes. Your blood pressure readings are all normal and very great with the medication. I congratulate you on achieving such a fabulous result in such a short time with merely your efforts and activities. I hope you make it a routine and remain healthy forever. It is better to take medicine regularly at the same time. Fix an alarm that reminds you daily at the same time that you need to take medicine. If you forget someday, take whenever you remember. And carry on the next day dose at its regular routine timing. You need to take care of your diet. Low salts, low sugar, and low fat diet. Avoid soft drinks, alcohol, energy drinks and cigarettes. Take fewer amounts of tea, coffee and chocolates.

There is no big medical concern that may need immediate attention. Your body is adjusting the situation very well. You have started exercise, medication and all that cumulatively give you a feeling of weakness but it will no longer be there as I have added some body strengthening medicines for you.

Continue as you doing and along with that take tablet Surbex-Z multivitamin, and SeaMega or Tri-Mega (omega 3) capsule.

For further information consult a cardiologist online.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Muhammad Majid Hanif

Experience: 12 + Yrs

Cardiology

---

Related Questions:
Is there any rule that fruits cannot be eaten on an empty stomach?

I would suggest you reduce regular intake of fish and pickles (if you are taking) ...   Read full

How to lower blood pressure? I am a chronic high BP patient and taking Amlodipine and Atenolol

Hi doctor, I am 9 weeks pregnant. I had a mild perigestational hemorrhage during the 5th week. After taking medications, there is no subchorionic hematoma. Can I take an air travel of two and half hours to my native at the end of this month as I do not have anyone here to take care of me.   Read full

I am suffering from dizziness and low BP. Shall I continue Atenolol 50 mg?

Hi doctor, I am 9 weeks pregnant. I had a mild perigestational hemorrhage during the 5th week. After taking medications, there is no subchorionic hematoma. Can I take an air travel of two and half hours to my native at the end of this month as I do not have anyone here to take care of me.   Read full