Hypertension or high blood pressure is a health condition where the force exerted by the blood on the artery wall is high. Persistent high blood pressure is a significant risk factor for stroke, heart failure, chronic kidney disease, cardiovascular diseases, etc.

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I have high blood pressure. What does a Top-T test value of 0.003 ng indicate?

Query: Hello doctor, I am 51 years old. I have an ECG today as I have a high blood pressure of 160/90 mm of Hg. I have had a weakness for two days. I had undergone a treadmill test (TMT) and computed tomography (CT) angiography eight years before. The treadmill test (TMT) showed positive results, while the...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. Your ECG is normal. Top-T (Troponin-T test) is also negative. So the only issue you have is that of high blood pressure. You are taking medicines, which are fine. You can continue the medications. For blood pressure, if you are taking Angizaar 50 mg (Losartan Potassi...  Read Full »

What is the treatment for recurrent UTIs in a 76-year-old person?

Query: Hi dotor, This is regarding my friend's dad, aged 76-years-old. He has had recurrent urinary tract infections in the past three months, and every time the culture shows up, some bacteria, I guess, E Coli. He also strains while passing urine and has weak power (stream). He has also already taken Nitr...  Read Full »

Dr. Ankush Jairath

Answer: Hi, Welcome to icliniq.com. I will answer the point of your question by point. 1) Why is he always having infections and RBC (red blood cells) in urine? It always means whenever he is having UTI (urinary tract infection), pus cells and RBC are bound to come. 2) Why is it not going away after ta...  Read Full »

Why does my heartbeat keep randomly fluctuating and increasing?

Query: Hello doctor, I have fluctuating heartbeats, and sometimes it gets faster and more random. I have got my ECG and 2D echocardiogram done. I do not have a previous history of this issue, and I am currently on medications for arthritis. Please help.  Read Full »

Dr. Prashant Valecha

Answer: Hello, Welcome to icliniq.com. I went through your reports (attachments removed to protect the patient's identity). Your current ECG (electrocardiogram) is quite normal, with no rate, rhythm, or abnormality seen. However, your 2D echocardiography shows some changes, possibly due to hypertension. T...  Read Full »

My left arm and fingers start aching after eating oily and spicy food. Why?

Query: Hi doctor,I am in my late thirties and I have hyperthyroidism and hypertension. Whenever I have biryani or oily and spicy food my left arm and fingers start aching. There is no chest pain. Once I throw up, the pain reduces. I got ECG, EKG, and chest x-ray done twice over the last 30 days since I pan...  Read Full »

Dr. C Elanchezhian

Answer: Hi,Welcome to icliniq.com.Since your ECG and chest X-ray are normal (attachments removed to protect the patient's identity), and only left arm and fingers pain, you can take the following medications:1. The tablet Pantoprazole twice daily after meals.2. The syrup Sucralfate 10 ml thrice daily after...  Read Full »

Is it fine to not get an angiogram done before having a breast surgery in a 75-year-old female?

Query: Hi doctor, My mother is 75 years old, and she has atrial fibrillation and is on medications. She is moderately active and is on hypertensives and blood thinners. She got recently diagnosed with a breast mass. She was told to get cardiac clearance for surgery, and the cardiologist suggested doing a c...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to icliniq.com. Cardiac clearance is needed for risk stratification for any surgery. What we need are: 1) Patient history - whether she has chest pain or breathing difficulty on exertion. 2) ECG (echocardiogram). 3) Echo, and if a patient can do it, then TMT (treadmill test). Or we can a...  Read Full »

My mother is hypertensive and she is suffering from headaches and vomiting. What could be the cause?

Query: Hi doctor, My mother is 58 years old and is suffering from headaches and vomiting since last night. We went to a small clinic and they gave medicines but it did not work. She uses Dompan and Amlosafe-AT daily. Kindly help.  Read Full »

Dr. Arpit Varshney

Answer: Hello, Welcome to icliniq.com. I have read your concern in detail and will help you out. As your mother is taking Amlodafe AT (Amlodipine, Atenolol), I assume that she is hypertensive. I will advise you to get her blood pressure checked. Now most of the patients with hypertension present...  Read Full »

I have froth in urine and facial puffiness. What is the further management?

Query: Hello doctor, I am 30 years old male with HTN (Telmisartan 49 mg and CTD 6.25 mg) for past six years with a body weight of 80 kg. For some days I have noticed froth in urine and facial puffiness. I want your suggestion. My RFT was normal but I have not checked my urine for protein or USG abdomen. C...  Read Full »

Dr. Parth R Goswami

Answer: Hello, Welcome to icliniq.com. Your main concern is regarding facial puffiness. For that, you can do following investigations: Serum TSH (thyroid stimulating hormone) estimation to rule out hypothyroidism, SGPT (alanine transaminase), SGOT (aspartate transaminase). Serum protein, serum albumin...  Read Full »

Why is my blood pressure elevated even after taking medications?

Query: Hi doctor, I am 31-year old male. I follow a good diet and do physical work. My BP is 140/90 mm of Hg, and my pulse is 75 bpm. I take tablet Hydrochloride 25 mg, tablet Carvedilol 6.25 mg, tablet Diltiazem 350 mg and Potassium. Recently I took Ekg, echocardiogram, stress test, ultrasound of the ki...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. I understand your concern. Do you take your blood pressure medications as prescribed? Which time of the day do you usually measure your blood pressure? Do you consume a lot of salt? These factors will determine how best to approach your situation. Thank you.  Read Full »

I suffer from hypertension, and my blood pressure increases when I am stressed. What should I do?

Query: Hello doctor,I am seeking an opinion regarding my blood pressure. I have made a log for ten days with my home device. I am taking antidepressants tablets Buspar and Wellbutrin.  Read Full »

Dr. Kaushal Bhavsar

Answer: Hello,Welcome to icliniq.com.I can understand your concern. I have gone through the blood pressure and pulse rate chart (attachment removed to protect the patient's identity). Your blood pressure is above 140 mm Hg on only two occasions. May I know if you have any symptoms like headaches, giddiness,...  Read Full »

What could be done for the semi-conscious state of my mother-in-law?

Query: Hello doctor, This query concerns my mother in law. She has an imbalance of sodium due to which she becomes semi-conscious. Her condition has not improved since more than six months now. When I enquired with her doctor, he says that her health will remain this way throughout her life. She was oper...  Read Full »

Dr. Saravan Pramod Settipalli

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. I have seen the reports attached by you (attachment removed to protect patient identity). Your mother in law is diagnosed with multiple conditions such as hypertension, diabetes mellitus, left ventricular dysfunction with ...  Read Full »

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