Recently Answered Questions
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Will taking Telmisartan for long periods cause edema in my legs?
Query: Hi doctor, I am a 60-year-old male who is quite healthy and exercise regularly. I have been taking 80 mg Telmisartan for 20 years and taking one Diclofenac or Naproxen tablet daily for arthritis. Last few years, my legs have been swelling with edema, which has increased my weight. I have been resear... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. I think we should first rule out heart failure and kidney disease because both are common with hypertension and cause edema feet. So, if possible first get done echocardiography and kidney function tests. It will be of great help if you can ... Read Full »
Should I increase the dosage to maintain my blood pressure?
Query: Hello doctor, My BP was 150/80 mm of Hg when I took the tablet Telmisartan 40 mg. The doctor prescribed Cilacar 5 mg. However, it had increased to 185/90 mm of Hg in the evening. I had a subconjunctival hemorrhage in my left eye. So I increased the dose of Cilacar to 10 mg. I am wondering if I shoul... Read Full »
Answer: Hello, Welcome to icliniq.com. Regarding your concern, I would suggest increasing the dose of Cilacar (Cilnidipine and Telmisartan) to 10 mg daily or increasing the dose of Telmisartan up to 80 mg daily. This will help maintain your blood pressure under control. I would also recommend performing s... Read Full »
Can using too much salt in sitz bath be a causative factor for the rise in BP?
Query: Hello doctor, I have high blood pressure, and I used to take Telma 20 mg once daily for the last two years. Besides that, I am also following and taking only right diet for my high blood pressure. But, now for about seven to eight days my BP suddenly raised up to 150/100 mmHg, though I changed takin... Read Full »
Answer: Hi, Welcome to icliniq.com. Is there an open wound, which is absorbing salt? Using salt in a sitz bath should not cause a rise in BP. In fact, it may be a response to the pain that you must be having. Even if it is causing high BP, then it would resolve after you discontinue sitz bath and it i... Read Full »
My blood pressure is not under control despite taking Telma 40 mg tablet. Kindly help.
Query: Hello doctor, I had a blood pressure of 172/115 mm of Hg for around four months, and I consulted a doctor. He prescribed Telma 40 mg, and after taking the medication, my blood pressure was down to 140/110 mm of Hg. However, I am continuing the same medicine, and my blood pressure values are not with... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Your medical history shows that your current therapy is not very effective in controlling high blood pressure. For this reason, I recommend adding a calcium channel blocker to your treatment. In this regard, Amlodipine (... Read Full »
What is the role of aldosterone in controlling BP?
Query: Hi doctor, I have got high blood pressure, low potassium and vitamin D levels. Also, my aldosterone level is very low that is almost non-existent. I think low aldosterone is supposed to cause low blood pressure. I am wondering once I start the low aldosterone treatment will my blood pressure, potass... Read Full »
Answer: Hi, Welcome back to icliniq.com. You are correct. While Hyperaldosteronism typically leads to hypertension with low potassium levels, your situation appears to be the opposite. This suggests that high blood pressure might be due to essential hypertension rather than aldosterone-related issues. As f... Read Full »
If I quit smoking, will my RBC, hemoglobin, and PCV levels come back to normal?
Query: Hello doctor, I am suffering from hypertension since few years, and I am currently on medication Telmisartan. I am an alcoholic and smoker, and I smoke approximately 15 cigarettes a day for the last five years. My current CBC report suggests high RBC, hemoglobin, and PCV. Though it reduced slightly ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi,Welcome to icliniq.com.I have gone through your attached reports (attachment removed to protect patient identity).The diagnosis is polycythemia. Polycythemia can be secondary or primary. Secondary polycythemia occurs because of hypoxia, which activates the oxygen sensor and more erythropoietin is... Read Full »
I feel uncomfortable while taking thyroid medication and BP tablets together. What can I do?
Query: Hi doctor,I am undergoing blood pressure treatment, and I also have thyroid problems. When I take the blood pressure tablet alone, I feel comfortable and relaxed. But when I take thyroid medication and blood pressure tablets, I have pain in my chest and left hand. Should I stop thyroid medication? Read Full »
Answer: Hi, Welcome to icliniq.com. Your thyroid gland is working less; that is why you are on Thyroxin tablets. For hypertension, you are taking tablet Telmisartan. I suggest taking both tablets as both works for their indications. I suggest consulting an endocrinologist for a workup of hypothyroidism an... Read Full »
Why is BP still high after taking Telma and Cilacar?
Query: Hello doctor, My dad is having a persistent BP of 150/95 mmHg even after taking Telma 40 in the morning and Cilacar 20 in the evening. What should be done and how much risky is this BP? Read Full »
Answer: Hi, Welcome to icliniq.com. Telma is Telmisartan and your dad is taking 40 mg once a day. If he has been on it for over two weeks and the kidney function is stable, then it can be increased to 80 mg in one dose or divided dosage, that is either 80 mg in the morning or 40 mg morning and 40 mg eveni... Read Full »
Is medication required to correct 140/90 mm Hg blood pressure checked by Holter monitor?
Query: Hi doctor, I am a 44-year-old of height 5' 7" and my weight is 207 pounds. My blood pressure is 140/90 mmHg, and the ECG was normal, but just chronic palpitations probably due to chronic anxiety. All blood tests are normal. I have TSH - 0.163 mIU/L, S-FT4 - 11.5 mg/dL, S-FT3 - 5.7 mg/dL, Triglycerid... Read Full »
Answer: Hi, Welcome to icliniq.com. Your blood pressure is mildly elevated. Lifestyle modifications may help reduce it. However, if these measures do not reduce blood pressure in three to six months, then medicines may be started. Measures to control BP (blood pressure) are avoid smoking and other addicti... Read Full »
Does hypertension require medication?
Query: Hi doctor, I have been diagnosed with high cholesterol and high blood pressure. Should I take medication for high blood pressure (Telmisartan tab) considering my age 28, weight 68 and height 5.5. Currently my blood pressure is 100/138 mmHg. Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for the query. Measures to control blood pressure (BP): Avoid smoking and other addictions. Reduce salt intake in your diet. Reduce fatty foods, junk foods, saturated fats. Avoid stress and anxiety. Do regular moderate-intensity exercise such as brisk walk for 30... Read Full »