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Suggest Remedy For Swelling On Legs And High Blood Pressure
Question: Hi i have been diagnosed Blood pressure of : 160/100 around 3 weeks back aged around 41.6 yrs and now i am taking : Amlovas5 every day morning and now the Blood pressure today was showing: 145/96.
Height is : 172 cms and weigth is: 77 KGS.
Also i have some swelling in both the legs. I asked the Consulting Dr and he told that its a medication side effect and also please let me know whether this is ok and also please let me know whether i have take this Blood pressure medication for Life long. My email address is: YYYY@YYYY . Thanks XXXX
Height is : 172 cms and weigth is: 77 KGS.
Also i have some swelling in both the legs. I asked the Consulting Dr and he told that its a medication side effect and also please let me know whether this is ok and also please let me know whether i have take this Blood pressure medication for Life long. My email address is: YYYY@YYYY . Thanks XXXX
Brief Answer:
High BP needs medications and lifestyle changes.
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Hoping that you have confirmed your high blood pressure status after getting clinical examination done. High blood pressure is diagnosed if a person has a persistent high blood pressure recording of more than 140/ 90 mm Hg when recorded on 3 consecutive days at the same time and in the same position after taking 30 minutes of physical and mental rest.
Even at home, you must record your blood pressure after 30 minutes of rest.
Amlovas 5 is amlodipine and helps in restoring normal blood pressure. The swelling of limbs is seen in some people who take this medication. If there is persistent swelling even after 12 weeks then it might need to be discussed with your doctors. High blood pressure is usually a chronic medical condition and treatment is to be taken for life. You can also try to take the lowest medication dose and control your blood pressure by taking no extra salt in diet and doing 30 minutes of yoga or exercises every day alternately.
I will suggest you to also get a Renal artery Doppler test to know if you are having high blood pressure due to any problem in reduced blood supply to kidneys. This is required because you are 41 years in age and this condition must be assessed and treated if present.
Please also consult a cardiologist and get lipid profile test done to know if you have high cholesterol in your blood. It is better to get a complete heart check up done because high blood pressure also affects the heart.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
High BP needs medications and lifestyle changes.
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Hoping that you have confirmed your high blood pressure status after getting clinical examination done. High blood pressure is diagnosed if a person has a persistent high blood pressure recording of more than 140/ 90 mm Hg when recorded on 3 consecutive days at the same time and in the same position after taking 30 minutes of physical and mental rest.
Even at home, you must record your blood pressure after 30 minutes of rest.
Amlovas 5 is amlodipine and helps in restoring normal blood pressure. The swelling of limbs is seen in some people who take this medication. If there is persistent swelling even after 12 weeks then it might need to be discussed with your doctors. High blood pressure is usually a chronic medical condition and treatment is to be taken for life. You can also try to take the lowest medication dose and control your blood pressure by taking no extra salt in diet and doing 30 minutes of yoga or exercises every day alternately.
I will suggest you to also get a Renal artery Doppler test to know if you are having high blood pressure due to any problem in reduced blood supply to kidneys. This is required because you are 41 years in age and this condition must be assessed and treated if present.
Please also consult a cardiologist and get lipid profile test done to know if you have high cholesterol in your blood. It is better to get a complete heart check up done because high blood pressure also affects the heart.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Hello Dr.
I had gone to the my Family Doctor on 16 Oct 2014 having a heavy head ache and he checked my BP and it was : 160/100. He then prescribed me Amlovas5 and then he asked me to come after 2 weeks that is 31 Oct 2014 and at that my BP was : 165/92 and since from past 4 days i have swelling in both keens i had been again yday and that time my BP was : 145/96. I also have some nausea after taking this medication , and i have a IBS problem also from past 10-12 yrs . The Family Dr mentioned that since i have IBS , i might developed BP . could you please let me know whether Amlovas5 is the best medicine for my case and also is this correct medication. Should i consult some other dr for the swelling in the keens , please let me know .
I have a family history of BP as my Mother is Hypertensive.I am doing running and walking now for the past 4 weeks as per the Dr advice for 30-40 Minutes in the morning. I have also cut down my Salt diet and no sweet and no fried food too.
Could you please let me know which is the best lowest medication dose to control my blood pressure. I will ask him , Also could you please let me know why have you suggested me the following tests:
1. Renal artery Doppler test -- Do you suspect any other complication .
2. lipid profile test.-- I had this test done and it was found ok , shld i retest it again ???
Please let me know.
Thanks
XXXX
I had gone to the my Family Doctor on 16 Oct 2014 having a heavy head ache and he checked my BP and it was : 160/100. He then prescribed me Amlovas5 and then he asked me to come after 2 weeks that is 31 Oct 2014 and at that my BP was : 165/92 and since from past 4 days i have swelling in both keens i had been again yday and that time my BP was : 145/96. I also have some nausea after taking this medication , and i have a IBS problem also from past 10-12 yrs . The Family Dr mentioned that since i have IBS , i might developed BP . could you please let me know whether Amlovas5 is the best medicine for my case and also is this correct medication. Should i consult some other dr for the swelling in the keens , please let me know .
I have a family history of BP as my Mother is Hypertensive.I am doing running and walking now for the past 4 weeks as per the Dr advice for 30-40 Minutes in the morning. I have also cut down my Salt diet and no sweet and no fried food too.
Could you please let me know which is the best lowest medication dose to control my blood pressure. I will ask him , Also could you please let me know why have you suggested me the following tests:
1. Renal artery Doppler test -- Do you suspect any other complication .
2. lipid profile test.-- I had this test done and it was found ok , shld i retest it again ???
Please let me know.
Thanks
XXXX
Sorry my BP was : 156/94 on Oct 31,2014.
Thanks
Thanks
Brief Answer:
Change in medications after visiting cardiologist.
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
The BP recording as mentioned by you can be classified as mild hypertension. Amlodipine (Amlovas 5) is a calcium channel blocker and this controls blood pressure by maintaining the calcium ions transport across cells. This medication works well in most patients but can cause swelling of feet and knees as a side effect in many people. Nausea if continuous, is also an undesired side effect.
There are many alternatives to Amlovas 5 considering your knee swelling, if it is severe. This can include giving you a different calcium channel blocker, reducing the dosage, and or adding a known venodilator such as a nitrate, an angiotensin-converting enzyme inhibitor, or an angiotensin-receptor blocker.
Angiotensin-converting enzyme inhibitors have been best studied in this regard. Water pills or diuretics may also be given but they work in a different way by decreasing the plasma volume.
For mild swelling brought on by long periods of swelling, patient can be advised to take rest and elevate limbs but this might not be practical in a young person like you. Discontinuing the amlodipine and switching to an alternative antihypertensive resolve will resolve the swelling.
I suggested Renal artery Doppler to make sure that the high blood pressure is not due to narrowing of blood supply channels in the kidneys. It is a simple ultrasound test and will tell the blood flow to the kidneys.
If you have got lipid profile done in last 6 months then there is no need to repeat it.
We are sorry that giving prescriptions is not allowed online as per ehealth policy guidelines as telling you to take any medication without doing complete assessment might be harmful to you. Therefore it is in the best interest of your health that you consult a cardiologist and then modify treatment after a complete cardiovascular assessment. Most cardiologists ask for a Renal artery Doppler when evaluating high blood pressure.
Please note that if your lipid profile and blood sugar levels are normal then there is no need to stop taking sweets and oily foods completely. You can take it in small quantities. Also please continue your morning walks and this might help in reducing the leg and foot swelling.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Change in medications after visiting cardiologist.
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
The BP recording as mentioned by you can be classified as mild hypertension. Amlodipine (Amlovas 5) is a calcium channel blocker and this controls blood pressure by maintaining the calcium ions transport across cells. This medication works well in most patients but can cause swelling of feet and knees as a side effect in many people. Nausea if continuous, is also an undesired side effect.
There are many alternatives to Amlovas 5 considering your knee swelling, if it is severe. This can include giving you a different calcium channel blocker, reducing the dosage, and or adding a known venodilator such as a nitrate, an angiotensin-converting enzyme inhibitor, or an angiotensin-receptor blocker.
Angiotensin-converting enzyme inhibitors have been best studied in this regard. Water pills or diuretics may also be given but they work in a different way by decreasing the plasma volume.
For mild swelling brought on by long periods of swelling, patient can be advised to take rest and elevate limbs but this might not be practical in a young person like you. Discontinuing the amlodipine and switching to an alternative antihypertensive resolve will resolve the swelling.
I suggested Renal artery Doppler to make sure that the high blood pressure is not due to narrowing of blood supply channels in the kidneys. It is a simple ultrasound test and will tell the blood flow to the kidneys.
If you have got lipid profile done in last 6 months then there is no need to repeat it.
We are sorry that giving prescriptions is not allowed online as per ehealth policy guidelines as telling you to take any medication without doing complete assessment might be harmful to you. Therefore it is in the best interest of your health that you consult a cardiologist and then modify treatment after a complete cardiovascular assessment. Most cardiologists ask for a Renal artery Doppler when evaluating high blood pressure.
Please note that if your lipid profile and blood sugar levels are normal then there is no need to stop taking sweets and oily foods completely. You can take it in small quantities. Also please continue your morning walks and this might help in reducing the leg and foot swelling.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Hello Dr. Thanks for asking about my health. My leg swelling has reduced inspite of taking the Medications of :Amolvas5.I need to meet my Family doctor and get my BP checked which i will go on Thursday. Wanted to check whether this medications i need to continue for life long suppose my BP has reduced.Please let me know. Also since i have IBS issue has this relation to the BP. I am doing walking/running every day for 45Minutes. Should i have any other tests done in order to be safer side. Please let me know. Thanks XXXX
Brief Answer:
Please continue blood pressure medications. IBS can increase stress and BP.
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
It is important to get your blood pressure checked up regularly by your family doctor and adjust medications. Amlovas 5 is a small dose of medication and will protect your system from any further complications of high blood pressure. It is better to continue the medication under supervision of your doctor. If you stop taking medications on your own then the blood pressure can affect the kidneys and eyes. There have also been cases where stopping blood pressure medications had cause bleeding in brain and stroke which is a life threatening condition.
Doing exercise and eating healthy food will also help you but medications are most important because your blood pressure was 160/ 100 mm Hg and that is high. As discussed earlier please avoid taking extra salt in diet and also try and remain stress free.
IBS can increase your stress levels leading to higher blood pressure.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please continue blood pressure medications. IBS can increase stress and BP.
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
It is important to get your blood pressure checked up regularly by your family doctor and adjust medications. Amlovas 5 is a small dose of medication and will protect your system from any further complications of high blood pressure. It is better to continue the medication under supervision of your doctor. If you stop taking medications on your own then the blood pressure can affect the kidneys and eyes. There have also been cases where stopping blood pressure medications had cause bleeding in brain and stroke which is a life threatening condition.
Doing exercise and eating healthy food will also help you but medications are most important because your blood pressure was 160/ 100 mm Hg and that is high. As discussed earlier please avoid taking extra salt in diet and also try and remain stress free.
IBS can increase your stress levels leading to higher blood pressure.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Hello Dr,
I had been to the Family Doctor to get my BP checked and it was now showing almost the same reading what it was showing: 146/94 what it was showing on 06 Nov 2014. Now the Dr has changed to : amlong 10 .
He asked me to visit him after 10 days again.
Please could let me know whether this medication is fine or shld i meet a Regular Cardiologist and get all the tests done. He also mentioned to stop salt which i have doing and using the Sodiun lite salt for daily cooking
and also i have stopped all fried food and also sweet. I have been running and walking for abt 30-40 Minutes every day in the morning.
Please let me know whether my condition is ok or some other Investigation needs to be done.
Please let me know if you need any more Information.
Thanks
XXXX
I had been to the Family Doctor to get my BP checked and it was now showing almost the same reading what it was showing: 146/94 what it was showing on 06 Nov 2014. Now the Dr has changed to : amlong 10 .
He asked me to visit him after 10 days again.
Please could let me know whether this medication is fine or shld i meet a Regular Cardiologist and get all the tests done. He also mentioned to stop salt which i have doing and using the Sodiun lite salt for daily cooking
and also i have stopped all fried food and also sweet. I have been running and walking for abt 30-40 Minutes every day in the morning.
Please let me know whether my condition is ok or some other Investigation needs to be done.
Please let me know if you need any more Information.
Thanks
XXXX
Brief Answer:
Please consult cardiologist and discuss side effects of Amlong.
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
Glad to be hearing from you. Since your blood pressure is slightly above normal I suggest you do not get worried and consult a cardiologist. The will do complete tests including ECG, echocardiography and lipid profile. Also please discuss the issue of swelling in legs after taking Amlong 5.
I also suggest you purchase a good electronic blood pressure machine and make chart of blood pressure taken at home every day after 30 minutes of rest. This will also confirm if you are having white coat hypertension which is sudden rise in blood pressure due to visiting hospital or doctor. This is purely psychological.
Good to know you are taking steps to keep yourself fit. There is no need to stop taking fried food and sweets completely. You can use olive oil for cooking at home and avoid deep fires regularly. Light fries and sweets can always be taken occasionally. Please do not add extra salt in foods.
You can please refresh me with reports of investigations you have till now.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please consult cardiologist and discuss side effects of Amlong.
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
Glad to be hearing from you. Since your blood pressure is slightly above normal I suggest you do not get worried and consult a cardiologist. The will do complete tests including ECG, echocardiography and lipid profile. Also please discuss the issue of swelling in legs after taking Amlong 5.
I also suggest you purchase a good electronic blood pressure machine and make chart of blood pressure taken at home every day after 30 minutes of rest. This will also confirm if you are having white coat hypertension which is sudden rise in blood pressure due to visiting hospital or doctor. This is purely psychological.
Good to know you are taking steps to keep yourself fit. There is no need to stop taking fried food and sweets completely. You can use olive oil for cooking at home and avoid deep fires regularly. Light fries and sweets can always be taken occasionally. Please do not add extra salt in foods.
You can please refresh me with reports of investigations you have till now.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Hello Dr.
Thanks for the email and suggestions.
I had certain questions to be asked.
1. Is there any side effects of Amlog 10 mg?
If yes what are they , i asked the Dr why he has changed the medication and he mentioned that both Amolvas5 and Amlong 10 are of the same parent company and he also mentioned that Amalong 10 is better and with this medication shld come down to : 120/80 easily and this Reading is requied for my age which is 41.6 Yrs and he also told once it come down to 120/80 he will change to Amlong 7.5 MG.
Is this correct??
2. Do you advice me to consult a Cardiologist right now or wait for some time and then consult , please let me know.
3.How long will it take for a High Blood pressure to come down after taking medication. I have started to be under medication from 14 Oct 2014.
Here are the exact steps what i have undergone tilll now.
On 14 Oct 2014 i visited my Family doctor complaining abt Head heaviness and he immediately checked my BP which was 160/100 and he started the Amolvas5 medication immediately.
He didn't do any repeated BP reading once again.
he asked me to visit back him in 2 weeks time , but again went to him
on 2 weeks that is 31 Oct 2014 and at that my BP was : 156/94 .
and he asked to continue the same medication and asked me to meet him again after 2 weeks .
I promptly went before that on Nov 06 , 2014 and that time my Blood pressure was : 145/96 and he continued the same Amolvas5.
I had gone on Nov 06,2014 for the swelling of the keens and i even asked him and he mentioned that it is fine and nothing to worry.
Again today i went and met him he checked my BP which was : 145/92 and he changed the medication of : (Amolgan10.) which i mentioned before and he has asked me to meet again after 10 days.
These are the exact steps i have undergone.
I have a Blood pressure machine at homw which i am not using .
I will start tracking the reading, could you please let me know how many days once i need to track the BP Reading.
I will ask my family folks to use olive oil going fwd for cooking.
Is there any thing i need to do .
Please advice accordingly.
Thanks
XXXX
Thanks for the email and suggestions.
I had certain questions to be asked.
1. Is there any side effects of Amlog 10 mg?
If yes what are they , i asked the Dr why he has changed the medication and he mentioned that both Amolvas5 and Amlong 10 are of the same parent company and he also mentioned that Amalong 10 is better and with this medication shld come down to : 120/80 easily and this Reading is requied for my age which is 41.6 Yrs and he also told once it come down to 120/80 he will change to Amlong 7.5 MG.
Is this correct??
2. Do you advice me to consult a Cardiologist right now or wait for some time and then consult , please let me know.
3.How long will it take for a High Blood pressure to come down after taking medication. I have started to be under medication from 14 Oct 2014.
Here are the exact steps what i have undergone tilll now.
On 14 Oct 2014 i visited my Family doctor complaining abt Head heaviness and he immediately checked my BP which was 160/100 and he started the Amolvas5 medication immediately.
He didn't do any repeated BP reading once again.
he asked me to visit back him in 2 weeks time , but again went to him
on 2 weeks that is 31 Oct 2014 and at that my BP was : 156/94 .
and he asked to continue the same medication and asked me to meet him again after 2 weeks .
I promptly went before that on Nov 06 , 2014 and that time my Blood pressure was : 145/96 and he continued the same Amolvas5.
I had gone on Nov 06,2014 for the swelling of the keens and i even asked him and he mentioned that it is fine and nothing to worry.
Again today i went and met him he checked my BP which was : 145/92 and he changed the medication of : (Amolgan10.) which i mentioned before and he has asked me to meet again after 10 days.
These are the exact steps i have undergone.
I have a Blood pressure machine at homw which i am not using .
I will start tracking the reading, could you please let me know how many days once i need to track the BP Reading.
I will ask my family folks to use olive oil going fwd for cooking.
Is there any thing i need to do .
Please advice accordingly.
Thanks
XXXX
Brief Answer:
Please find detailed answers below.
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
Please find answers to your queries below.
1. Side effects of amlong (amlodipine) are increased sleep, dizziness, headache, ankle swelling, oedema, flushing, fatigue, palpitations, abdominal pain, nausea. Rarely, confusion, rash, gum swelling, muscle cramps, breathlessness.
Though amlong will work for you, but because knee swelling other medications can be thought of. There are many medications other than amlong (amlodipine) which can be given to you instead of amlodipine. This needs to be done only after clinical examination and discussion with a specialist.
2. I suggest you consult cardiologist right now for proper guidance and they will suggest you any investigations if required as per your age and symptoms.
3. After taking medication the high blood pressure comes down immediately and might take a few days to get used to the medication. In the beginning small dose is given and after 15 days or a month dose regulation might be required depending on control of blood pressure.
Please record blood pressure 30 minutes after waking up in morning every day when at rest.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find detailed answers below.
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
Please find answers to your queries below.
1. Side effects of amlong (amlodipine) are increased sleep, dizziness, headache, ankle swelling, oedema, flushing, fatigue, palpitations, abdominal pain, nausea. Rarely, confusion, rash, gum swelling, muscle cramps, breathlessness.
Though amlong will work for you, but because knee swelling other medications can be thought of. There are many medications other than amlong (amlodipine) which can be given to you instead of amlodipine. This needs to be done only after clinical examination and discussion with a specialist.
2. I suggest you consult cardiologist right now for proper guidance and they will suggest you any investigations if required as per your age and symptoms.
3. After taking medication the high blood pressure comes down immediately and might take a few days to get used to the medication. In the beginning small dose is given and after 15 days or a month dose regulation might be required depending on control of blood pressure.
Please record blood pressure 30 minutes after waking up in morning every day when at rest.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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