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I am worried about constant high diastolic pressure. Please help.
Query: Hello doctor, I am a 38-year-old female with a history of SVT, cardiac ablation. Smoker of 25 years, 5’4”, 175 pounds. Yesterday I experienced pain in my jaw and left shoulder, took my blood pressure it was 150/105. This went on for about three hours. And went to the ER. They ran a CBC and one T... Read Full »
Answer: Hello, Welcome to icliniq.com. It is elevated. Our target is to keep it below 90. However, it is acceptable to have if systolic remains well controlled as there is no definitive and excessive proven risk from it. But, we try to target it below 90. Now, the possible reasons in you, firstly, do you ... Read Full »
How to manage diastolic hypertension?
Query: 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. Read Full »
Answer: 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 fr... Read Full »
What is the best time to take tablet Amlong with tablet Telma?
Query: Hello doctor, My 81-year-old father has been diabetic for the past 30 years. He had bypass surgery and a history of stroke. I am attaching the ECG and ECHO report, which was done as part of a routine test. His blood pressure has been a little high, around 150/70 to 160/70 mmHg for the past few da... Read Full »
Answer: Hello, Welcome to icliniq.com. Considering his cardiac history and stroke in the past, your doctor has tried to lower his BP (blood pressure). However, I suggest checking your BP three times a day for two days at home to conclude your BP. Sometimes anxiety at the doctors' place can increase BP. So... Read Full »
What factors are responsible for variation in heart rate and blood pressure?
Query: Hi doctor, I have a good diet, exercise, normal BMI. I have been taking my blood pressure for a while, using a reliable device with all the correct procedures. My systolic pressure is a bit higher than it should be, ranging between 127 to 140 mm Hg when resting, while my diastolic is a bit lower tha... Read Full »
Answer: Hello, Welcome to icliniq.com I went through your query and can understand your concern. I also appreciate the detailed history you have described. I went through the BP (blood pressure) recordings that you have shared. Blood pressure and pulse rate are dynamic variables, and they are never the sa... Read Full »
How to maintain normal diastolic blood pressure?
Query: Hello doctor, My blood pressure runs at about 135/70 mm of Hg and drops to about 125/60 mm of Hg when I wake from sleep at night. I am on Candesartan 32 mg and Reaptan (Arginine plus Amlodipine) for blood pressure. I also take Duodart for prostate issues which contains the alpha-blocker Tamsulosin. ... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. Thanks for your query. You take Reaptan (Perindopril Arginine and Amlodipine). It is completely contraindicated to take both Perindopril and Candesartan at the same time. I strongly suggest that you stop Candesartan. Tamsulosin is good for both your prostate and blo... Read Full »
How to use my automatic blood pressure-checking device?
Query: Hello doctor, I have an automatic device for checking blood pressure at home. There are 3 options of which first says "sys", the second one says "dia" and the third one "pulse'. Which option is for checking the blood pressure and how much should is normal? Read Full »
Answer: Hi, Welcome to icliniq.com. The automatic blood pressure machine is a good investment, and it is good to have one at home even if you are not struggling with your blood pressure. The ideal position to take your blood pressure is with the machine located at the level of the heart. The best way to do ... Read Full »