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Hypertension
I am a 42 year old female recently got my bp checked and it was on a higher side so doc said that i need to measure it on daily basis twice. When i measure it in the mrng it comes arnd 125/74 and in the evening it goes to 135 0r 138/ 85. I want to ask shall i start the medicine? Also when we chk at home why the BP readings vary so much like first time it comes 148/88 n then second 138/82 n then 124/74.
Please answer my query.
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Can help you, kindly provide me detailed history for proper diagnosis and further management
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BP is not like your height that it can't change.
BP may vary hour to hour. So your query doesn't need an answer. It is a natural phenomenon.
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Blood pressure usually is lower in the morning and raises in the evening.
Home bp reading should be measured using the upper arm digital bp apparatus taking 3 readings at a time . Ignore the first reading and take average of remaining 2 readings.
In an home bp reading if the reading is above 135/85 on different days , hypertension is confirmed.
At this point you don't need to start medicine for the BP.Instead you reduce salt intake,use fresh fruits and vegetables , avoid fatty foods
Do exercise for 30 minutes a day for 5 days in a week
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Get your blood investigation that includes CBC renal profile, liver function, lipid profile, fasting glucose levels and hba1c , thyroid function tests and an baseline ECG
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Hello ,got your concern ,it can be treatable with further evaluation, better healthcare and proper treatment ..For prescription and counselling regarding the same you can consult me through this app - Dr Hemanth Patakamuri
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Best to measure Thrice daily for 5 days.
And review with the charting
But with all the above values u have . DASH diet maybe sufficient to keep the Bp under control
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Everything is ok
U dont need medicines
Just DASH DIET will do the job
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Would like to know the complete history.kindly consult
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Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult.
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Home machine recording is inaccurate.
You need not start medicine at this stage rather follow life style modification and diet control.
If you have any recent blood reports, please share.
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Changes in bp readings might be due to many causes like if you have taken coffee or tea within 30 min or had a brisk walk or strenous exercise before measuring. I can also vary if you are tak8ng it in sitting or lying down position.
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best way to measure is in the right arm in lying down position and have not taken coffee or tea within 30 min of measuring.
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Kindly consult
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