Q. I have high blood pressure for the last five to ten years. Please suggest me medications.
Hi doctor,
I have high blood pressure (95 mm Hg to 140 mm Hg), and I would like to start medication if needed. It was a little high for the last five to ten years. I do not have any other health issues. Please help.
Hi,
Welcome to icliniq.com.
You have diastolic hypertension. Diastolic hypertension is when the diastolic blood pressure is more than 90 mm Hg. I think you can try doing the following lifestyle modifications.
1. Salt-restricted diet.
2. Daily half an hour brisk walking.
3. Increase intake of fruits.
4. Proper eight hours of sleep daily.
Recheck after a week. If blood pressure remains high, then I will suggest you some medications. Meanwhile, it would help if you also ruled out other causes of hypertension. Please check FBS (fasting blood sugar), PPBS (postprandial blood sugar), FLP (lipid profile), TSH (thyroid-stimulating hormone), creatinine levels. If there are any abnormalities in these tests, then you will require treatment to control blood pressure.
Thanks and Regards.
Hi doctor,
Thanks for your reply.
I walk daily for about 45 minutes (regular walk, not precisely brisk walk). But I still have to reduce salt, increase fruit intake, and sleep properly for eight hours (now I get only six hours of sleep). I will make those changes and get back as you advised. Following are the test results for the other causes, fasting blood sugar 83 mg/dL, two hours after the breakfast blood sugar level 97 mg/dL, cholesterol 250 mg/dL (these tests were taken a couple of years ago, and not tested recently). The doctor had advised controlling the diet. I am not taking any pills. I will also do TSH and creatinine as soon as possible. I am a little scared to go out now due to COVID-19, and I would like to do it after my second dose of the vaccine.
Thank you.
Hi doctor,
Thank you for the reply.
Sorry for the delay. I have attached my test report herewith. Cholesterol and hemoglobin are a little high. One thing I would like to highlight is my work pressure. I am working in an IT company and I work 12 to 13 hours a day under high pressure. Not sure whether there is a relation. My pressure for the last week was 100 to 145 range.
Kindly advise at the earliest.
Thank you.
Hi,
Welcome back to icliniq.com.
The reports look fairly normal (attachment removed to protect the patient's identity). You have mildly elevated LDL (low-density lipoprotein), but that is fine. Yes, if it is a job with 12 hours of work, then definitely it may be a cause for hypertension. Try to find time to relax, exercise, and do yoga. I would also suggest that you consult a cardiologist for an opinion as the diastolic BP remains high. You need to be started on antihypertensives.
I hope this information will help you. Please revert in case of further queries.
Thank you.
Hi doctor,
Thank you for the reply.
Would you be able to suggest an antihypertensive medication to start with until I consult a cardiologist?
Thank you.
Hi,
Welcome back to icliniq.com.
I feel it is better to take medicines after the cardiologist assesses you because there are few medications that are to be prescribed in certain situations. This would depend upon your 2-Dimensional echocardiography and other blood reports. The best you can do is take less salt, sleep well, and exercise.
I hope this information will help you. Please revert in case of further queries.
Thank you.
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