Common "High Blood Pressure" queries answered by top doctors | iCliniq

High Blood Pressure

High blood pressure or hypertension is caused when the blood flowing in the arteries exert more pressure on the walls of the arteries. The normal blood pressure is 120/80 mmHg. High blood pressure can damage the blood vessels and organs like brain, kidney, heart, and eyes.

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Can excess salt in sitz bath raise blood pressure?

Query: Hello doctor, I have high blood pressure, and I used to take Telma 20 mg once daily for the last two years. Besides that, I am also following and taking only right diet for my high blood pressure. But, now for about seven to eight days my BP suddenly raised up to 150/100 mmHg, though I changed takin...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hi, Welcome to icliniq.com. Is there an open wound, which is absorbing salt? Using salt in a sitz bath should not cause a rise in BP. In fact, it may be a response to the pain that you must be having. Even if it is causing high BP, then it would resolve after you discontinue sitz bath and it i...  Read Full »

I am a 31-year-old with a history of palpitations accompanied by lightheadedness and uneasiness. Please help.

Query: Hi doctor, I am 31 years old. I am on Metoprolol tartrate 50 mg twice daily for high blood pressure. I have a history of palpitations. I have noticed my resting heart rate dipping into the low 40s during the day, accompanied by lightheadedness and an uneasy feeling. I have confirmed it with my Garmi...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I understand your concern. You are having symptomatic bradycardia, which is due to Metoprolol. The dose of Metoprolol should be reduced to 50 mg once a day, and it should be a sustained-release formulation. Another antihypertensive should be added instead of tablet ...  Read Full »

I have a history of angina. Is stopping Atenolol safe?

Query: Hello doctor, I am a 65-year-old female, and my current medications are as follows Atorvastatin 20 mg 1 tablet in the evening, Sandoz Perindopril and Indapamide 4 mg/1.25 mg 1 tablet in the morning, Dexilant 30 mg 1 tablet and Calcite D 500 mg - 400 UI in the morning, Riva Atenolol 50 mg in the even...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. Your blood pressure is elevated despite being on these two medicines. So, it would be best if you had the addition or dose escalation in the existing medicine. So, I agree with increasing the dose of Perindopril In...  Read Full »

I am experiencing shortness of breath and an increase in blood pressure. What should I do?

Query: Hello doctor, I went to see a doctor a few years ago because I was having breathing problems. He stated that my blood pressure was extremely high (200 /185) mm/hg, so he prescribed 10 mg Lisinopril, 10 mg Amlodipine, and 10 mg Hydrochlorothiazide. I took the medications for two weeks and as the prob...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Assuming that your shortness of breath is persistent and non-episodic, I believe you do not have any other symptoms such as coughing or wheezing. This is caused primarily by diastolic dysfunction. I recommend that yo...  Read Full »

A stroke immobilized my uncle's left hand and weakened his left leg. He had a high blood pressure of 210/140 mmHg and is taking Captopril with Atorvastatin. Please help.

Query: Hello doctor, My uncle had a stroke, after which he was not able to move his left hand and has weakness in the left leg. He had a high blood pressure of 210/140 mmHg, and now he is taking Captopril with Atorvastatin. What should he do? Please help.   Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I can understand your concern. There are two aspects, one is recovering from damage, and the other is prevention of such episodes. For recovery, I suggest the best and only available option is physiotherapy. He should be encouraged to move his weak part even if he is...  Read Full »

Is Metpure-XL (Metoprolol) advisable in sinus bradycardia?

Query: Hello doctor, I have been a high BP and sinus bradycardia (heart rate of 52 beats per minute) patient for the last four years. I used to take Metpure-XL 25 mg after breakfast based on my cardiologist's advice. For the last six months, I was having headache and confusion plus slightly increased urin...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Firstly, it is better to avoid Metpure (Metoprolol) if the heart rate is on the lower side at least resting heart rate should be above 55 to 60 per minute. Also, we have other options available for blood pressure control. So, it is better to reduce the dose to 25 m...  Read Full »

My blood pressure remains high. Do I need to check secondary hypertension?

Query: Hi doctor, I was diagnosed with essential hypertension taking medicine for that. My BP is 146/92 mmHg. I do not have any symptoms. Should I get investigated to rule out secondary hypertension?  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Yes certainly, you being a young hypertensive first need an evaluation to know the cause of blood pressure. You should undergo a few tests like kidney function test, renal artery Doppler, serum cortisol and 24-hour urinary metanephrines. Also get lipid profile and...  Read Full »

Will hypertension cause severe headaches?

Query: Hello doctor, I am a 26 year old male, who weighs 173 lbs. I am having severe headaches for a few days now. I am currently taking Percocet for this headache. I was told that I have hypertension. My blood pressure is 168/98 mmHg, and pulse is 120 and steady. Please help.  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Your headaches are probably caused due to your high blood pressure. A headache can also increase the BP, but not this much. As you are so young, the cause of hypertension should be found out first. So, I suggest you undergo tests like kidney function test, renal art...  Read Full »

Is the blood pressure reading of 140/80 mmHg normal or high?

Query: Hello doctor, I am a 35-year-old female. I checked my blood pressure today and it was 140/80 mmHg. I was told it was high. Is this normal or high. I am really worried. Please help.  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. It is borderline. It is not worrisome. When blood pressure is elevated above 140/90 mmHg. Then it is considered elevated. Such once in a while, elevated blood pressure readings are well accepted. You should monitor your blood pressure three times a day for a week wit...  Read Full »

Does Viagra for ED help lower high blood pressure as well?

Query: Hi doctor, I am a 62 year old male. I have one stent but otherwise very healthy, nonsmoker, who works out one hour per day six days a week. I take Atorvastatin, 80 mg daily and Tamsulosin once daily, no other meds except 81 mg Aspirin. I have slightly elevated blood pressure 138/78 and have been ex...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Is your ejection fraction normal? Yes, Viagra (Sildenafil) can cause fall in BP as a side effect and you are also having Tamsulosin. So, it also predisposes one to BP fall. You need to use it cautiously. It is better to stop Tamsulosin if it is not absolutely necess...  Read Full »

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