Recently Answered Questions
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I am having side effects after taking Metpure. Please help.
Query: Hi doctor, I had my BP 140/90 mmHg. The doctor advised me to take tablet Metpure XL 25 mg in the morning. I am using the tablet in the morning for last 20 days. Soon after taking it, I feel lazy and dull. I also experience a headache after taking the tablet. So, I am using Metpure XL 12.5 mg in the ... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. I can understand all your concerns. You have mild hypertension which requires lifestyle changes with a small dose of antihypertensive. Lifestyle changes include low salt diet and 30 minutes walking for five days a week. Metpure XL 25 mg tablet is a good choice. It is ta... Read Full »
Can I switch from Losartan to Telmisartan along with Metformin?
Query: Hello doctor, I have high blood pressure 171/90 with pulse rate 79, blood sugar under control after medication (fasting is 120 and PP is 146). I am taking high blood pressure medicine Losartan Potassium 50 mg. Can I start Telmisartan and Cilnidipine tablets instead of Losartan Potassium with my bloo... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. From what you mentioned, you have uncontrolled elevated blood pressure which requires upgrading of your medication. Losartan has the same efficacy as Telmisartan as both are from the same group. I suggest that you change Losartan to Telmisartan or Cilnidipine as the... Read Full »
Creatinine level is 1.12 in a 52-year-old patient. What does it mean?
Query: Hello doctor,I want to ask for my mother. Her age is 52 years approximately. She was diagnosed with high blood sugar level (365) two years back after recovering from chikungunya. We did blood sugar tests every month after that but it was never high less than 98 to 110 fasting blood sugar levels. Due... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. I understand all your concerns. Fortunately, creatinine 1.12 is within the normal range with no clinical significance. One of the most effective strategies to keep the kidneys healthy is good hydration specially in the summer months. I recommend repeating the test again... Read Full »
I have fluctuating blood pressure. Can I continue steroids?
Query: Hi doctor, I am a 76-year-old woman, and my blood pressure fluctuates to 160/70 mm Hg, 167/67 mm Hg, and 179/59 mm Hg. My doctor advised me to take the Floricot tablet. Is it fine to continue taking this tablet? Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. I understand your concern. You have high blood pressure, which requires medication to be controlled, and the target is to achieve blood pressure below 130/80 mm Hg. High blood pressure and uncontrolled diabetes cause many complications that affect the kidneys, eyes, he... Read Full »
Why have my blood pressure and triglyceride levels increased even after taking medications?
Query: Hello doctor, I had a myocardial infarction at the age of 40. Stents were placed at the age of 60. Now, I am 72 years old. I am using the medicines tablets Metoprolol Succinate 50, Losartan 50, and Ecosprin 150. My blood pressure and other parameters would be within normal limits. However, in the l... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand your concern. You have uncontrolled hypertension, which could cause heart attacks and other complications like stroke. Also, the triglycerides are high, which can increase the risk of cardiovascular complications. The target blood pressure level is 140/... Read Full »
I follow a healthy lifestyle; I have hypertension. Why?
Query: Hi doctor, I am a 39-year-old male who follows a healthy diet, jogs daily, and never smokes. Lately, the doctor told me I have hypertension during my routine check-up. My first reading was 150/90 mmHg, and after four days, it was 160/100 mmHg. My doctor suggested me to undergo a few blood tests. I ... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. I went through your query and understood your concern. According to the history provided by you, you have essential hypertension, which is a common chronic disease with no clear cause. But some risk factors include smoking, family history, and a stressful lifestyle. I... 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 »
My ECG shows left anterior fascicular block. What has to be done?
Query: Hello doctor, Yesterday, I got my ECG done. It shows sinus rhythm, abnormal left axis deviation, left anterior fascicular block. I am worried. I have long-term anxiety about heart. I am a smoker but not alcoholic. I always have a fear of heart disease. Kindly advice. My BP is 110/70 mmHg, triglyceri... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. Left anterior fascicular block is always associated with left axis deviation and caused by either hypertension, myocardial infarction or idiopathic fibrosis. This block means that the pathway of electricity of the heart in the left ventricle is blocked which may or may ... Read Full »