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Hypertention
My father has high pressure (150/90) what I checked at home but he doesn't take any medicine for it. The pressure is same for 9-10 months. He also has Diabetes and cholesterol ( takes medicine for diabetes) What to do???
Answers (20)
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from the description it looks like hypertension although it has to be confirmed by a physician.
Next Steps
consult general physician, get total+ fasting cholesterol and hba1c tests done. based on the results there may be changes in dosage of sugar tablets and new medicine for high bp and cholesterol are required
Health Tips
decrease salt intake in the food, exercise/ walking may also be done
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Take a glass of milk daily.
Thanks.
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Hello,
Firstly, as you said your father's BP reading are mostly the same of 150/90, I suggest for one week, monitor and record his BP reading atleast 2 to 3 times a day, make sure you do it using correct method to avoid unreliable values, then report them to a general physician or practioner.
Secondly, as he is diabetic and also dyslipidemic, is he taking regular medication for it? If yes, make sure to have his blood sugar and Cholestrol levels monitored every 3 months, if not on regular medications, I would suggest you to immediately go on for a new set of investigation for the same.
Having chronic Uncontrolled hypertension, Diabetes and dyslipidemia can pose signignifact long term complication, starting from the heart (Ishecmic heart disease), eyes (diabetic or hypersynsive retinopathy), Kidneys (chronic kidney disease), brain (stroke) and even nervous system (peripheral vascular disease, autonomic neuropathies).
Next Steps
- Consult a general physician or practioner nearby.
You can also connect with me on practo or via call/ WhatsApp (915093049eight) for guidance.
- Consult an ophthalmologist/ eye doctor for an eye (fundus) examination to look for any hypertensive or diabetic changes in the retina.
Suggested Investigations:-
- ECG
- FBS, PPBS, HbA1c
- Urine Routine, Serum electrolytes, Sr. Creatinine, BUN
-Fasting Lipid profile
Health Tips
- Montior for any specific or new symptoms.
-While monitoring the blood pressure, if any time the BP reading is more then 160 or even more than 100, keep monitoring a BP every 15 to 30 mins.
If any time readings go more than 180 above or more than 120 below, immediately consult in a nearby clinic or hospital.
Also monitor blood sugar levels before and two hour after food intake, any time the reading randomly too are more than 250 to 300mg/dl go for an immediate visit to hospital or clinic.
- Any time if there are any symptoms of:- Sudden headache, nausea or vomiting, fainting eiposde or dizziness, difficulting using arms legs, weakness felt or loss of sensation in the arms, legs or face, chest pain, it radiating to neck, Jaw, left arm and hand, significant heart burn, difficulty breating, significant indigestion, irregular heart beat, sweating, reduced urine output, swelling in feet, irrespective of the BP reading immediately consult a nearby clinic or hospital.
- Based on the recent investigations, appropriate treatment will be given, but the patient should also start with life style modification in term of change in diet by avoiding high carbohydrate, oily and high salt food. Go for hight fibre diet, food rich in complex carbohydrates, limited salt intake to less than 1 to 1.5 teaspoons per day.
Go for regular exercise even as walking for minimum 30 to 45 mins a day atleast 5 times a week.
Take care
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Need to start medicine..
Given T2DM status start tab telmisartan 40mg once daily at 8ak
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He needs to take medicine. Let me talk to him.kindly consult with me on 94 two six eight six 78 nine six.
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Hello, I am Dr. Romain Rajan, General Physician.
I understand your concern â consistently high blood pressure, especially in someone with diabetes and cholesterol issues, can increase the risk of heart and kidney problems if left untreated
â
Advices
⢠Encourage him to monitor his blood pressure daily and keep a log to show the doctor
⢠Adopt lifestyle changes such as reducing salt intake, avoiding processed foods, walking or light exercise daily, maintaining a healthy weight, and managing stress
⢠Limit alcohol and avoid smoking if applicable
What to Monitor
⢠Watch for symptoms like headache, dizziness, blurred vision, chest pain, or shortness of breath
⢠Mild warning signs include occasional fatigue or swelling in feet
Managment
High blood pressure in the presence of diabetes and cholesterol usually requires medical management with anti-hypertensive medications. Lifestyle changes alone are often insufficient to bring it under control. Please do not start or stop medications without consulting a doctor
When to Consult a Doctor Immediately
⢠Severe headache, chest pain, palpitations, or shortness of breath
⢠Sudden weakness, numbness, or difficulty speaking
⢠Very high blood pressure readings (for example above 180/120) or persistent readings above 160/100 despite lifestyle measures
Every patientâs situation is unique. For accurate diagnosis and lasting control, itâs important to discuss your fatherâs full medical history and current health in detail
You can reach out to me directly for this case, and also connect with me in future for any medical consultation
I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where youâll receive
A personalized treatment plan
Safe medicine adjustments if required
Quick follow-ups to track your recovery
Take care, wishing your father good health
Best regards
Dr. Romain Rajan
General Physician
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Reach out on video call consultation to get rid of this.
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Your father’s BP (150/90) is consistently high and needs attention, especially since he already has diabetes and high cholesterol. Uncontrolled BP increases risk of heart, kidney, and eye complications. He should visit a doctor soon for proper evaluation and start of antihypertensive medicine if needed. Meanwhile, limit salt intake, exercise regularly, avoid stress, and monitor BP twice weekly.
Next Steps
feel free to connect online for further discussion.
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Please consult a MD physician as your father turns in metabolic syndrome as bp.is added with dm2.
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Bp is moderately high... As there are risk factors you have to do lifestyle modification plus low dose htn tablet.. Please connect through practo or wattsap nine zero seven two two zero seven zero nine three
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If you want to discuss your problem in more detail, feel free to message me on Whats App at nine one one nine two five five six nine nine for detailed discussion
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If the blood pressure is remain above 150/90 then start regular antihypertensive medications
Next Steps
Take regular reading of B.P
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Age should be mentioned!...
Hello mam
I’m available to discuss your problems in detail. Please feel free to message me on WhatsApp at 9133 seven seven 996 seven (@ ₹95)
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It is borderline hypertension,it is better to take treatment otherwise complications can occur .
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He needs to take medication
Kindly connect on consultation so that proper trea and counselling can be done
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Need few more details
Kindly connect.
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Need to bring him to clinic
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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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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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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.