Dr. Sagar Ramesh Makode
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I went to see a doctor a few years ago because I was having breathing problems. He stated that my blood pressure was extremely high (200 /185) mm/hg, so he prescribed 10 mg Lisinopril, 10 mg Amlodipine, and 10 mg Hydrochlorothiazide. I took the medications for two weeks and as the problem was resolved; I then discontinued them. Three months later, however, I experienced a recurrence of the same symptoms. So I started taking the same medications, Lisinopril, Amlodipine, and Hydrochlorothiazide, without consent from the physician. The symptoms subsided after a week, and I stopped taking the medication. Now, two months later, The symptom reappeared, but this time it was more severe. I was having trouble breathing after eating, exercising, or lying down. So I returned to the hospital for an X-ray, ECG, Echo scan, and pulmonary function test. All of the outcomes were normal. I have prescribed 40 mg of Frusemide twice a day and 2.5 mg of Lisinopril once a day. The feeling of short breathing is still present, which makes me nervous. I have a family history of high blood pressure, but I have no other symptoms or chest pain. Please help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern. Assuming that your shortness of breath is persistent and non-episodic, I believe you do not have any other symptoms such as coughing or wheezing. This is caused primarily by diastolic dysfunction. I recommend that you have your reports checked because your systolic function may be normal but you may have overlooked LVD (left ventricular dysfunction). This condition develops as a result of hypertension-induced thickening of the heart wall and decreased cavity size, resulting in chest congestion and shortness of breath. I recommend that you take your blood pressure medication along with tablet. Furosemide (diuretic) on a regular basis. I also recommend that you limit your salt intake and limit or avoid beverages such as coffee and tea. I suggest that you follow a few lifestyle recommendations, such as avoiding fatty, oily, and high-calorie diets. For one week, check your blood pressure three times a day, then once or twice a week. If the blood pressure remains above 140/90 mm Hg, the medications must be increased. Regular exercises such as brisk walking or jogging for at least thirty minutes five days a week are recommended. Consume a lot of green leafy vegetables and fruits, and try to avoid meat once a week. It is critical that you refrain from smoking or drinking alcohol in order to reduce your body fat mass. I also recommend that you take the following tests: Profiles of lipids and sugars, high blood pressure, kidney function tests, such as the renal artery doppler and serum, Cortisol and 24-hour urinary metanephrines. I hope this helps. Thank you and take care. Regards.
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Cardiology
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