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Hypertension since 1 month
My bp is 120-25/90-95 since 1 month.
It's winter season in Delhi.
How to manage this hypertension.
I have attached ECHO Report of mine.
Answers (31)
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Consult a physician for proper examination. You might need antihypertensive
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Let me know are you a know case of hypertension
If yes then on which Medicines are you now
And how often you take medicines
As your blood pressure is within normal limit but your 2decho shoes some changes of hypertension so will need some more clinical history to evaluate
Kindly consult on Practo or on nine seven six six seven four two eight zero two
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How is your sleep - quantity and quality.
What's your weight?
How much ultra processed food intake is there?
How much of daily salt intake?
Next Steps
Follow up with your Kidney function tests.
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Your ECHO report is largely reassuring.
Left ventricular ejection fraction (LVEF) is 60%, which means your heart’s pumping function is normal.
There is mild concentric LVH, which commonly occurs due to raised blood pressure.
Heart valves, blood flow, and pulmonary pressure are normal.
No clot, mass, or fluid around the heart is seen.
Your current BP readings (around 120–125 / 90–95 mmHg) show borderline to mild diastolic hypertension, which is quite common during the winter season, especially in Delhi due to cold-induced vasoconstriction.
Next Steps
Regular BP monitoring (morning and evening, same arm).
Reduce salt intake (avoid pickle, papad, fast food).
Daily walking or light exercise for at least 30–40 minutes.
Maintain warm body temperature in winter.
Adequate sleep and stress control.
Avoid smoking, excess tea/coffee, and alcohol.
Health Tips
At present, there is no emergency and your condition can be managed with lifestyle modification, but BP should be closely followed. If diastolic BP remains persistently above 90 mmHg, medical treatment may be required after proper clinical evaluation.
For personalized guidance and long-term BP control, please consult me for a paid consultation, so we can plan the best treatment according to your reports and lifestyle.
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Try maintaing diastolic BP below 80 by, systolic blood pressure below 120( American cardiac association guidelines)
With LVH on echo start
Tab telmisartan 40mg once daily
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Please don't manage Hypertension by Tele-consultation. The initial treatment must be started under the care of a General Physician and that too by frequent visits to his Clinic.
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Relax that’s not alarming
You need lifestyle modification
Low salt diet
Daily exercise
And monitoring your bp
If persistent then need further testing and start appropriate medicine which suits you
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Echo is ok. Kindly consult with me on 94 two six eight six 78 nine six for proper guidance.
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Need few more details for further evaluation. Kindly consult
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Your diastolic BP is on the higher side, associated with left ventricular hypertrophy, mostly due to the long standing BP raise.If the BP remains in the same range, you need to start antihypertensive to reduce your BP and LVH
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Your blood Preesure is in normal range.
Attached report showing hypertrophy is due to many causes such as anemia , valve defects , exercise induced
Health Tips
Drink plenty of water
Avoid fast food
Avoid alcohol beverages
Avoid fatty meal
Consult me on practo for further questions
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U are having normal bp.no need of medicines.
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Your BP readings are on the borderline high side, especially the diastolic (90–95). This can happen in winter and with stress, but since it’s been there for a month, it shouldn’t be ignored. Your ECHO is mostly normal, with only mild LVH, which usually means BP has been on the higher side for some time — nothing alarming right now, but a warning sign.
Next Steps
Start with lifestyle control: reduce salt, avoid junk/packed food, regular walking/exercise, good sleep, and stress control. Check BP properly (rested, same time daily). A doctor consultation is advised to decide if lifestyle measures are enough or if medication is needed.
Health Tips
Don’t panic — this is manageable and reversible at this stage. But don’t ignore it either, especially with LVH showing on ECHO.
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It's not hypertension.
Next Steps
I can guide you more about the alarming symptoms of hypertension. Cutoffs to call a reading as hypertension.
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Your b.p. seems just occasionaly 95, which is borderline high diastolic b.p. Systolic is o.k.
Echo shows mild left ventricular hypertrophy. It could be due to congenital aortic stenosis, persistent long standing hypertension or even extensive athletic training.
Take low salt and low fat diet, avoid excess tea, coffee, avoid tobacco and alcohol, do regular physical exercise and Test adequately.
Repeat cardiac echo after 3 months.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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Your BP readings of 120–125 / 90–95 mmHg for the last 1 month suggest isolated diastolic hypertension. The winter season, stress, reduced activity, and dietary salt can all contribute to this rise, especially in Delhi winters.
Your ECHO is reassuring overall: an EF of 60% is normal, meaning heart pumping is good. Mild concentric LVH indicates that the heart muscle has started to thicken slightly, usually due to persistently elevated BP over time, but this stage is early and reversible with proper control.
This is not an emergency, but it does need attention to prevent progression.
Next Steps
• Start regular home BP monitoring (twice daily for 7 days, record averages)
• Discuss with your doctor whether:
• Lifestyle measures alone are enough initially, or
• A low-dose BP medication is needed to protect the heart
• Get or review:
• Kidney function tests
• Electrolytes
• Lipid profile
• Target BP should be
Health Tips
• Reduce salt intake (avoid pickles, papad, packaged foods)
• Walk or exercise 30–40 minutes daily, even in winter
• Keep yourself warm—cold causes BP to rise
• Limit caffeine and manage stress/sleep
• Avoid frequent BP checking, which increases anxiety and readings
I understand it can be worrying to see BP changes and words like “LVH” on a report. The good news is that your heart function is strong, and this condition is very manageable if addressed early. With the right guidance, you can bring your BP under control and even reverse these early changes. A focused consultation can help tailor the best plan for you and give you confidence going forward.
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Bp should be controll.. This is the best management for ur echo report..
Avoid stress,reduce salt, exercise regularly.. And manage bo according to ur symptoms.. If any doubt pls connect me throgh practo or wattsap nine zero seven two two zero seven zero nine three
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raised diastolic BP is important and should not be ignored.Mild Concentric LVH (Left Ventricular Hypertrophy), This means the heart muscle has started thickening due to high BP.
This is early and reversible if BP is well controlled now.Cold causes vasoconstriction, raising BP.you need to change lifestyle modifications and its reverse completely, also dietary changes like low salt intake.please feel free to consult me on practo for further management and evaluation.
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
Your diastolic BP is high it’s due to the LVH
No need of concern because your Echo report is fine
Kindly do routine follow up of blood pressure
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Salt restricted diet
Brisk walk 30 minutes per day
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
It's normal in range
avoid stress
Salt restrictions
Regular Walk simple exercises daily
Consult online will guide you further
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Dr. Ashritha Reddy Rachamalla
General Physician
4 yrs exp
Varanasi
Your diastolic BP is on higher side with mild LVH ,it indicates it is chronic.
Before starting any medication,you need to do
* BP monitoring at home -morning and evening for 7 days (you need to be seated and rested for 5min then measure BP)
* If diastolic BP is consistently high (>90 mm hg) then treatment is needed (for which you can contact me via Practo)
* Winter does raise BP, but therefore Keep yourself warm (peripheral vasoconstriction raises BP), avoid early-morning BP readings in cold and measure BP indoors.
Next Steps
Avoid excessive Salt instake
Avoid packaged & restaurant food
Avoid sudden heavy winter workouts
Limit red meat, fried foods
Avoid excess caffine ,smoking ,Alcohol (or
Health Tips
Do regular exercise, eat more fruits and vegetables
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Dr. Sumit Verma
General Physician
4 yrs exp
Kanpur
In winter session Blood pressure increases because of vasoconstriction . So not much worry. It's normal...
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Your BP raised
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.