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Suggest Remedies For High BP In An Elderly Person
Question: my age is 60 years and i live in shimla XXXXXXX my blood pressure is 150/101 please advise what should i do
Brief Answer:
Need more information to alter dose/change of drug along with lifestyle ch
Detailed Answer:
Hi
Thanks for the query
High blood pressure is a common finding in elderly, and it is mandatory to be well managed to prevent it's troublesome complications.
It would be very helpful if you could provide me with the following additional information
1. Since how long have you been having high blood pressure
2. What was the last pressure reading
3. Do you have any other medical problem like heart disease, respiratory symptoms, obstructive airway disease
4. Are you over Weight
5. Dose of current medication
Even though you are on ramipress H tablets, your blood pressure is not in control.
Other possibilites to bring your blood pressure down are to raise the dosage of Ramipress H or switch telmisartran or combine with another medication like a so called ca-antognist like verapamil or similar.
Before changing the drug or change in the dosage you have consult a doctor.
Life style modification also plays an important role in maintaining your blood pressure
Maintain ideal body weight.
- avoid salt ( sodium) intake.
- regular physical activity - you can start having a walk at medium pace 20- 45 minutes ,as per her capacity, gradually increasing the time .
- Start yoga exercises,/ pranayama under expert guidance/ do mind concentration & meditation- this helps in being +ve., relieves tension & helps lowering blood pressure.
Eat more of fresh fruits & salads,
- avoid taking alcohol.
If you have any doubt you are welcome.
Take care
Regards
Dr Priyanka
Need more information to alter dose/change of drug along with lifestyle ch
Detailed Answer:
Hi
Thanks for the query
High blood pressure is a common finding in elderly, and it is mandatory to be well managed to prevent it's troublesome complications.
It would be very helpful if you could provide me with the following additional information
1. Since how long have you been having high blood pressure
2. What was the last pressure reading
3. Do you have any other medical problem like heart disease, respiratory symptoms, obstructive airway disease
4. Are you over Weight
5. Dose of current medication
Even though you are on ramipress H tablets, your blood pressure is not in control.
Other possibilites to bring your blood pressure down are to raise the dosage of Ramipress H or switch telmisartran or combine with another medication like a so called ca-antognist like verapamil or similar.
Before changing the drug or change in the dosage you have consult a doctor.
Life style modification also plays an important role in maintaining your blood pressure
Maintain ideal body weight.
- avoid salt ( sodium) intake.
- regular physical activity - you can start having a walk at medium pace 20- 45 minutes ,as per her capacity, gradually increasing the time .
- Start yoga exercises,/ pranayama under expert guidance/ do mind concentration & meditation- this helps in being +ve., relieves tension & helps lowering blood pressure.
Eat more of fresh fruits & salads,
- avoid taking alcohol.
If you have any doubt you are welcome.
Take care
Regards
Dr Priyanka
Above answer was peer-reviewed by :
Dr. Yogesh D
1. i am suffering for this high blood pressure for last more then ten years.
2.Today morning it was 126/78 after my routine meditation and pranayam etc. which i perform regularly from 4 Am to 6 Am.
3. I have no any other problem as mentioned above.
4. Yes my weight is higher as my height is 5'-4" but weight is 80Kgs.
5. My dose of medicine is Ramipress-H one tablet in the morning and 2.5 mg tablet in the evening, even then it shoots up to 150/101. So please advise suitable doze of suitable medicine to keep my BP stable and source of its purchase as Ramipress is not easily available in the local market.
6.i have sufficient physical exercise in the hilly altitude.
7.I very rarely take some alcohol in functions and parties.
Hoping for prescription of good medicine
few tests reports by PGI XXXXXXX are as under:-
USY KUB DOPPLER 9/3/16
Right=9.8 Left=9.62
Intersegmental
PSV=30cm/s PSV=32.7cm/s
R1=.7 R1=.7
Hilor A
PSV=29cm/s PSV=28.8cm/s
R1=.7 R1=.7
Clinical Biochemistry BLOOD 22/1/16
Sodium 140.60
Chloride 103.10
Calcium 10.2
Cholesterol 222.02
LDL 140.91
HDL cholesterol 45.38
Triglycerides 232.60
ALT 44.23
AST 54.08
protein total 8.15
Albumin 4.67
Urea 36.80
Creatinine 0.77
Glucose fasting 95.0
Glucose (PP) 156.8
Endocrinology Serum/Plasma 22/1/16
HbA1c 5.1%
TSH 2.9
T4 8.87
T3 1.68
TPO 14.89
Urine
Proteins CSF null
Urine Protein 37.5
Urinary Creatinine 1417.1
Volume 1500 ML
Ultrasound
Liver Size 18.1 cm fatty changes
Gall bladder Distended
Kidney
Size RK=8.6cm LK=9.2cm
Spleen 8cm
Urinary Bladder and Pelvis Partially distended and prostate 45cc
Fatty liver
Grade II prostate
Thanks
XXX XXXXXXX XXXX
2.Today morning it was 126/78 after my routine meditation and pranayam etc. which i perform regularly from 4 Am to 6 Am.
3. I have no any other problem as mentioned above.
4. Yes my weight is higher as my height is 5'-4" but weight is 80Kgs.
5. My dose of medicine is Ramipress-H one tablet in the morning and 2.5 mg tablet in the evening, even then it shoots up to 150/101. So please advise suitable doze of suitable medicine to keep my BP stable and source of its purchase as Ramipress is not easily available in the local market.
6.i have sufficient physical exercise in the hilly altitude.
7.I very rarely take some alcohol in functions and parties.
Hoping for prescription of good medicine
few tests reports by PGI XXXXXXX are as under:-
USY KUB DOPPLER 9/3/16
Right=9.8 Left=9.62
Intersegmental
PSV=30cm/s PSV=32.7cm/s
R1=.7 R1=.7
Hilor A
PSV=29cm/s PSV=28.8cm/s
R1=.7 R1=.7
Clinical Biochemistry BLOOD 22/1/16
Sodium 140.60
Chloride 103.10
Calcium 10.2
Cholesterol 222.02
LDL 140.91
HDL cholesterol 45.38
Triglycerides 232.60
ALT 44.23
AST 54.08
protein total 8.15
Albumin 4.67
Urea 36.80
Creatinine 0.77
Glucose fasting 95.0
Glucose (PP) 156.8
Endocrinology Serum/Plasma 22/1/16
HbA1c 5.1%
TSH 2.9
T4 8.87
T3 1.68
TPO 14.89
Urine
Proteins CSF null
Urine Protein 37.5
Urinary Creatinine 1417.1
Volume 1500 ML
Ultrasound
Liver Size 18.1 cm fatty changes
Gall bladder Distended
Kidney
Size RK=8.6cm LK=9.2cm
Spleen 8cm
Urinary Bladder and Pelvis Partially distended and prostate 45cc
Fatty liver
Grade II prostate
Thanks
XXX XXXXXXX XXXX
Brief Answer:
Kindly send a photography of all these reports
Detailed Answer:
Hi
Kindly send a photography of all these reports
Regards
Dr Priyanka
Kindly send a photography of all these reports
Detailed Answer:
Hi
Kindly send a photography of all these reports
Regards
Dr Priyanka
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Reports attached
Brief Answer:
Reports
Detailed Answer:
Hi
Thanks again and sorry for the delayed response
I have gone through your reports according to your reports taken on XXXXXXX , it is showing increased cholesterol, LDL,Triglycerides and liver enzymes.
But the reports of Feb showing only increased in liver enzymes.
Also according to your scan report u have fatty liver and enlarged
Grade II prostate.
And increase in the glucose t postprandial.
All these reports are 9 months before taken.So in order to start the treatment you may need to take fresh reports and you have to consult doctor.
He will do clinical examination and may ask for required tests.
So treatment can be started after the complete evaluation.
Take care
Regards
Dr Priyanka
Reports
Detailed Answer:
Hi
Thanks again and sorry for the delayed response
I have gone through your reports according to your reports taken on XXXXXXX , it is showing increased cholesterol, LDL,Triglycerides and liver enzymes.
But the reports of Feb showing only increased in liver enzymes.
Also according to your scan report u have fatty liver and enlarged
Grade II prostate.
And increase in the glucose t postprandial.
All these reports are 9 months before taken.So in order to start the treatment you may need to take fresh reports and you have to consult doctor.
He will do clinical examination and may ask for required tests.
So treatment can be started after the complete evaluation.
Take care
Regards
Dr Priyanka
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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