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Dear Dr. First Up All I Want To Introduce Myself.
Question: Dear Dr.
First up all I want to introduce myself. I am a Sr. Citizen aged 61 going to retire in 31 May 2020 after extension of my services in a Private Urea factory at XXXXXXX U.P. During this corona virus epidemic I am staying alone in my house provided by Co. and my family left for XXXXXXX few months back, I was also to join them on 28th March but suddenly Lockdown happened so I could not make it.
I am diabetic as well as B.P. Patient. My last B.P reading few days back was 150/90 , it was taken at 1.00 noon After taking medicine at 9.00 clock. Some times My B.P increases while taking BP reading by medical staff to due to anxiety.
My sugar report is as follows:
HbA1c - 6.7%, ABG - 146. Fasting Sugar 137.5
I am taking Telivas-AM ( Telmisartan 50 mg plus Amlodipine 5 mg) once a day for BP and
Glycomet GP 0.5 tablet SR tablet ( Glimepride 0.5 mg plus Metformin 500 mg) once a day.
I have also cervical spondylosis and used to take pain killers and ayurvedic oils during neck pain
Now a days I am suffering from Heaviness in head, headache (frontal headache and pain in back of head) and neck pain. I have taken tablet containing Aceclofence 100 mg and paracetamol 500 mg for 3 to 4 days it give me some relief from severe pain. But Heaviness in head is continuing and need to
Take pain killers more often. Now I have also anxiety problem and stress problems due to exiting corona virus epidemic even though XXXXXXX district is now corona free. I am mostly concerned with heaviness in head, BP and not feeling healthy. My temperature is also ok but most of the time below
Normal. What it indicate ? Is my B.P level is OK. Kindly advise further. Due to lockdown I am unable
To consult a specialist in our area. Local Dr. told me to use Dispirin for severe headache and gel for neck pain. Can I take dispirin alongwith BP tablet Telivas- AM. I am taking this Telivas AM tablet for the
Last 6 months. Is it have any side effects. Some time feels weak ? Is it lightheadedness ? confused.
Kindly adivse and prescribe medicines as I am unable to meet specialist doctors during lockdown period.
My reports are attached for ready reference.
With regards,
Vijay XXXXXXX NS
First up all I want to introduce myself. I am a Sr. Citizen aged 61 going to retire in 31 May 2020 after extension of my services in a Private Urea factory at XXXXXXX U.P. During this corona virus epidemic I am staying alone in my house provided by Co. and my family left for XXXXXXX few months back, I was also to join them on 28th March but suddenly Lockdown happened so I could not make it.
I am diabetic as well as B.P. Patient. My last B.P reading few days back was 150/90 , it was taken at 1.00 noon After taking medicine at 9.00 clock. Some times My B.P increases while taking BP reading by medical staff to due to anxiety.
My sugar report is as follows:
HbA1c - 6.7%, ABG - 146. Fasting Sugar 137.5
I am taking Telivas-AM ( Telmisartan 50 mg plus Amlodipine 5 mg) once a day for BP and
Glycomet GP 0.5 tablet SR tablet ( Glimepride 0.5 mg plus Metformin 500 mg) once a day.
I have also cervical spondylosis and used to take pain killers and ayurvedic oils during neck pain
Now a days I am suffering from Heaviness in head, headache (frontal headache and pain in back of head) and neck pain. I have taken tablet containing Aceclofence 100 mg and paracetamol 500 mg for 3 to 4 days it give me some relief from severe pain. But Heaviness in head is continuing and need to
Take pain killers more often. Now I have also anxiety problem and stress problems due to exiting corona virus epidemic even though XXXXXXX district is now corona free. I am mostly concerned with heaviness in head, BP and not feeling healthy. My temperature is also ok but most of the time below
Normal. What it indicate ? Is my B.P level is OK. Kindly advise further. Due to lockdown I am unable
To consult a specialist in our area. Local Dr. told me to use Dispirin for severe headache and gel for neck pain. Can I take dispirin alongwith BP tablet Telivas- AM. I am taking this Telivas AM tablet for the
Last 6 months. Is it have any side effects. Some time feels weak ? Is it lightheadedness ? confused.
Kindly adivse and prescribe medicines as I am unable to meet specialist doctors during lockdown period.
My reports are attached for ready reference.
With regards,
Vijay XXXXXXX NS
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello
After going through the detailed medical query raised by you I can understand your concern for your health and I would like to answer your concerns and the following points
1. First of all I would like to correct you regarding the dose of tell me Saturn which you have mentioned as it doesn’t come in the strength of 50 MG, It’s either 20, 40, 80 mg.
2. Regarding your blood pressure, taking into consideration your age group the recommended BP is 140/90 MM HG however a BP of 150/ 90 MMHG is not bad and you can simply control it by your dietary salt intake and by avoiding caffeine containing drinks or cigarette smoking.
3. Yes you can take disprin (SOS) as per your doctor’s advice.
4. For sense of weakness it’s advisable to start some multivitamins.
Your reports are all fine nothing significantly deranged or alarming.
Kind Regards
Please refer to the detailed answer below
Detailed Answer:
Hello
After going through the detailed medical query raised by you I can understand your concern for your health and I would like to answer your concerns and the following points
1. First of all I would like to correct you regarding the dose of tell me Saturn which you have mentioned as it doesn’t come in the strength of 50 MG, It’s either 20, 40, 80 mg.
2. Regarding your blood pressure, taking into consideration your age group the recommended BP is 140/90 MM HG however a BP of 150/ 90 MMHG is not bad and you can simply control it by your dietary salt intake and by avoiding caffeine containing drinks or cigarette smoking.
3. Yes you can take disprin (SOS) as per your doctor’s advice.
4. For sense of weakness it’s advisable to start some multivitamins.
Your reports are all fine nothing significantly deranged or alarming.
Kind Regards
Above answer was peer-reviewed by :
Dr. Yogesh D
Dear Dr.
Thanks for your prompt quick reply and advice.
Sorry it was a typing error. The medicine contain Telmisartan 40 mg plus Amlodipine 5 mg.
My serum sodium level on earlier report dated 20/4/2019 was 135 and now also it is 135 level. It always slightly below normal or on boarder. Is it due to taking BP medicine ? Any need for taking medicine to control anxiety, stress and heaviness in head ? Is heaviness in head is due to B.P ?
I forget to mention that I am using eye drop Synobrim T (Timolol plus Brimonidine tartrate) for ocular hypertension and Takfresh fusion eye drop for dry eyes for the last 2 years. Earlier eye pressure was NCT 21/24, now latest reading is NCT 15/17. Any need to take second opinion from another specialist eye doc. as I am using Synobrim T eye drop for ocular pressure for long period of 2 years which I think may have side effects.
Kindly have your opinion and advice on the above.
Thanks once again for the prompt reply and advice
with regards,
Vijay XXXXXXX
Thanks for your prompt quick reply and advice.
Sorry it was a typing error. The medicine contain Telmisartan 40 mg plus Amlodipine 5 mg.
My serum sodium level on earlier report dated 20/4/2019 was 135 and now also it is 135 level. It always slightly below normal or on boarder. Is it due to taking BP medicine ? Any need for taking medicine to control anxiety, stress and heaviness in head ? Is heaviness in head is due to B.P ?
I forget to mention that I am using eye drop Synobrim T (Timolol plus Brimonidine tartrate) for ocular hypertension and Takfresh fusion eye drop for dry eyes for the last 2 years. Earlier eye pressure was NCT 21/24, now latest reading is NCT 15/17. Any need to take second opinion from another specialist eye doc. as I am using Synobrim T eye drop for ocular pressure for long period of 2 years which I think may have side effects.
Kindly have your opinion and advice on the above.
Thanks once again for the prompt reply and advice
with regards,
Vijay XXXXXXX
Brief Answer:
Hello again
Detailed Answer:
Your sodium levels are well within normal limits and slight up and downs are normal.
Your head discomfort could be because of your eye problem for which I strongly suggest to seek help of your ophthalmologist.
For anxiety I would like to suggest you to first try with yoga and meditation and if that won’t work then seek help of a psychiatrist.
Kind Regards
Hello again
Detailed Answer:
Your sodium levels are well within normal limits and slight up and downs are normal.
Your head discomfort could be because of your eye problem for which I strongly suggest to seek help of your ophthalmologist.
For anxiety I would like to suggest you to first try with yoga and meditation and if that won’t work then seek help of a psychiatrist.
Kind Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Kampana
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