Hypertension

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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What can be done for less hemoglobin in a diabetic and hypertensive patient?

Query: Hi doctor, I have less hemoglobin. I am a diabetic and hypertensive.  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I have read your attached reports (attachment removed to protect patient identity). Following are the important abnormal findings seen: 1. Your hemoglobin level is low. RBC count, PCV, serum iron is also low. Hence, it is suggestive of iron deficiency anemia most proba...  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 pa...  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 »

Can Donep M forte and Rejunex CD3 be given together?

Query: Hello doctor, My father suffered a brain stroke before six months and following that, his body is partially paralyzed from the right side. We have shown him to two neurologists and got confused after both gave completely different diagnoses. He had diabetes for a very long time and had blood pressur...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. I reviewed all your father's therapy. I would explain that there is no interaction between these drugs and it is fine to take them concomitantly. Donep-M (Donepezil plus Memantine) is a drug used for dementia. While Rejunex CD3 is composed of vitamin B1 and alpha lip...  Read Full »

My hypertensive father has involuntary bowel movements and cannot walk or hold things. Why?

Query: Hello doctor, My father, age 86, complained of being unable to walk, grasp, and hold things, involuntary bowel movements, and hypertension. Kindly help.  Read Full »


Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hi, Welcome to icliniq.com. I understand your concern. IIncomplete speech, muscle weakness, and involuntary bowel motion are all signs of neurological issues, most probably either stroke or normal pressure hydrocephalus (which cause a triad of dementia, abnormal walking, and urinary incontinence)...  Read Full »

Can hypertension cause dilated cardiomyopathy?

Query: Hello doctor,I have a medical question actually. There is a 30-year-old obese female with no known history who comes to the emergency room. She presents with a 2-month history of shortness of breath and pedal edema. When she comes to the emergency room she is found to be in a hypertensive emergency ...  Read Full »


Dr. Amiya Kumar Chattopadhyay

Answer: Hello, Welcome to icliniq.com. She is having HTN (hypertension) which may cause concentric LVH (left ventricular hypertrophy). EF (ejection fraction) 20 to 25 % with both pericardial and bilateral pleural effusion. You need to evaluate the cause of effusion both cardiac and pleural and need to exc...  Read Full »

What are the side effects of taking Adderall for a long time?

Query: Hi doctor, I have a 29 year old boyfriend, who weighs 190 lbs and 6 feet tall, he is a former athlete in college. He was diagnosed with idiopathic hypersomnia through the spinal tab, five years ago. He is now taking Adderall 60 mg a day total, spread over six times, and is using Flumazenil cream, wh...  Read Full »


Dr. Ramesh Kumar S

Answer: Hi, Welcome to icliniq.com. Idiopathic hypersomnia is a sleep disorder even less common than narcolepsy, a rare sleep disease. The biggest distinguishing characteristics include differences in REM (rapid eye movement) sleep, the absence of cataplexy (a sudden weakness in the muscles while fully co...  Read Full »

How serious is my mother's chest pain?

Query: Hi doctor, My mother, who is 62 years old, has been hospitalized for two days due to sudden sweating, chest pain and left hand pain. When she was admitted her BP was 190/110 mmHg. She is also a diabetic (150/270) and undergoing tremendous stress due to sudden personal loss. She underwent ECG and 2D ...  Read Full »


Dr. Mangesh Baliram Danej

Answer: Hi, Welcome to icliniq.com. I have gone through her reports (attachment removed to protect patient identity). It can be unstable angina or MI (myocardial infarction). Please let me know the troponin I value. If it is negative repeatedly, then stress test is advisable. If positive, then straig...  Read Full »

My mother has been taking BP medicines for four months but there is no improvement. Please help.

Query: Hello doctor, My mother has been taking medicines for blood pressure for four months. She has been on tablet Telmipil 40 milligrams and capsule Nicardia 5. Despite taking these medicines, there is no decrease in her blood pressure levels. Instead, her BP got increased. The doctor has prescribed anot...  Read Full »


Dr. Arpit Varshney

Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. The medicines prescribed to your mother are in general sufficient to control blood pressure. However, if her blood pressure is not getting controlled by these medicines, there can be two causes, 1. White Coat H...  Read Full »

How to treat my mother's swollen feet?

Query: Hi doctor, I have a question about my mom's peripheral blood smear test. She is 62 years old and is diabetic. The report says she has normocytic normochromic anemia with neutrophilic leukocytosis. Her neutrophils are 85 %, lymphocytes are 14 %, eosinophils are 1 %, and neutrophils show coarse toxic ...  Read Full »


Dr. Arvind Guru

Answer: Hi, Welcome to icliniq.com. I have seen her reports (attachment removed to protect patient identity). In your mom's case, considering that she is a diabetic patient with swelling in both her feet (also known as edema), a few things come to my mind. She could be having some skin infection in the s...  Read Full »

I was diagnosed with borderline hypertension in my twenties, and now I am taking medication for it. How can I control my blood pressure?

Query: Hi doctor, From age 20 to 40, I had consistent blood pressure readings of 140/90 mmHg. Many doctors said it was prehypertension and not to treat yet. After my 40s, my systolic started getting into the 150, and I went on a beta blocker and then tablet Lisinopril. For the last ten years, my BP has bee...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Your question was left incomplete, so kindly see to it. It would help if you had a healthy lifestyle, like Avoiding fatty, oily, and high-calorie diets. Have a low-salt diet and monitor blood pressure thrice a day for one week, then once or twice a week. If bloo...  Read Full »

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