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Suggest Treatment For Fatigue, Dizziness And High BP
Question: I have a high bp of 134/101 and sodium level is 126. I do not have health insurance. I had done blood test in april and everything was fine except sodium low of 126.i am feeling little fatigue and dizzy sometime.
Brief Answer:
Nothing to worry about, at this moment
Detailed Answer:
Greetings and welcome to HCM. I understand your concern.
Well, this is not a moment to be worried about the sodium levels, which are accompanied with a slight decrease of the chloride levels. It is understandable during this time of year, and if you sweat a lot, as salt is eliminated from the organism. It is clear that you do not have any organic causes to be causing this. These levels are regulated by merely intaking the proper amount of salt in your food and I think that there is no need for further medical treatment about this phenomenon. However, I would recommend to check your sodium and chloride levels again after six months.
As about the blood pressure, I think you are on a good, safe and effective therapy about fighting the blood pressure. If this is a one-time finding, then it is nothing to be worried about. If the diastolic (lower) figures of the blood pressure remain above 90 mmHg, then an angiotensinogen-converting enzyme inhibitor (ACE-I) should be added to your regular atenolol-amlodipin regimen. Be cautious, as atenolol may decrease your heart rate. If that is so, then it also may produce dizziness and weakness. And, if that is so, then we should switch to a beta-blocker that has weaker impact on the heart rate, such as nebivolol or carvedilol.
I hope I was helpful with my answe. I am happy to help, if you have follow-up questions.
Kind regards,
Dr. Meriton
Nothing to worry about, at this moment
Detailed Answer:
Greetings and welcome to HCM. I understand your concern.
Well, this is not a moment to be worried about the sodium levels, which are accompanied with a slight decrease of the chloride levels. It is understandable during this time of year, and if you sweat a lot, as salt is eliminated from the organism. It is clear that you do not have any organic causes to be causing this. These levels are regulated by merely intaking the proper amount of salt in your food and I think that there is no need for further medical treatment about this phenomenon. However, I would recommend to check your sodium and chloride levels again after six months.
As about the blood pressure, I think you are on a good, safe and effective therapy about fighting the blood pressure. If this is a one-time finding, then it is nothing to be worried about. If the diastolic (lower) figures of the blood pressure remain above 90 mmHg, then an angiotensinogen-converting enzyme inhibitor (ACE-I) should be added to your regular atenolol-amlodipin regimen. Be cautious, as atenolol may decrease your heart rate. If that is so, then it also may produce dizziness and weakness. And, if that is so, then we should switch to a beta-blocker that has weaker impact on the heart rate, such as nebivolol or carvedilol.
I hope I was helpful with my answe. I am happy to help, if you have follow-up questions.
Kind regards,
Dr. Meriton
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you Dr Meriton for your message. What medicine should be used instead of Atenolol? And what mg? Is this better or adding ACE-I better? And hiw much mg? Any guidance on the diet?
Thank you! XXXXXXX
Thank you! XXXXXXX
Brief Answer:
Another beta-blocker
Detailed Answer:
Hi again.
I would prefer to stay in the beta-blocker class, because they have great effects both on hypertension and in reducing heart workload. I would propose Nebivolol 5 mg, instead of atenolol. On the diet matter, I would recommend you to consume 200-300 g fruit and vegetables a day, perform 60 minutes of physical activity a day (at least) and eating more chicken and other poultry and fish, and less red or raw meat.
I hope you find my follow-up helpful. Kindly, if you do not further questions, close the discussion and rate the answer.
Regards,
Dr. Meriton
Another beta-blocker
Detailed Answer:
Hi again.
I would prefer to stay in the beta-blocker class, because they have great effects both on hypertension and in reducing heart workload. I would propose Nebivolol 5 mg, instead of atenolol. On the diet matter, I would recommend you to consume 200-300 g fruit and vegetables a day, perform 60 minutes of physical activity a day (at least) and eating more chicken and other poultry and fish, and less red or raw meat.
I hope you find my follow-up helpful. Kindly, if you do not further questions, close the discussion and rate the answer.
Regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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