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Suggest Treatment For High BP, Chest Tightness And Shortness Of Breath

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Posted on Tue, 27 Jan 2015
Question: I am a male, 58. I have had high blood pressure since my 20's. I am over weight but my BP has always been controlled with one medication. About 8 weeks ago my BP went out of control, I had chest tightness, shortness of breath, extreme fatigue, sharp pain in my back and down my left arm. I had a Echo Cardiogram, stress test, and ultimately a Heart XXXXXXX All was fine. I still have all the symptoms and I am on 3 blood pressure medications to get my BP to normal. What else should I be looking for?
doctor
Answered by Dr. Drkaushal85 (53 minutes later)
Brief Answer:
Need to know few things first.

Detailed Answer:
Hello there, thanks for your question on HCM.
Since your extensive cardiac work up is normal, we need to think other causes for your symptoms.

I want to ask few questions first.

1. Are you smoker?
2. Have you ever undergone PFT ( Pulmonary Function Test )?
3. What is your lipid profile report?

Bronchitis can also cause similar symptoms. So consult pulmonologist and get done PFT ( Pulmonary Function Test ).

Another possibility for your symptoms are over weight and high cholesterol (if high).
So let me know these answers, so that I can guide you further.
I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Drkaushal85 (21 minutes later)
1. I have never smoked.
2. No, I have not had a PFT.
3. My bad cholesterol is high and my good is low. On meds for it and was controlled until recently.

doctor
Answered by Dr. Drkaushal85 (6 minutes later)
Brief Answer:
get done PFT.

Detailed Answer:
Thanks for your follow up question on HCM.
Over weight can cause restrictive lung disease.
And age more than 50 is always an risk factor for bronchitis.
And in both these conditions shortness of breath and chest tightness are seen.
PFT ( Pulmonary Function Test ) will be helpful to diagnose both.
So I advice you to get done PFT first.
And loose weight.
Hope I have solved your query.
If you are not having further queries, please close the conversation and rate the answer.
Wish you good health.
Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15003 Questions

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Suggest Treatment For High BP, Chest Tightness And Shortness Of Breath

Brief Answer: Need to know few things first. Detailed Answer: Hello there, thanks for your question on HCM. Since your extensive cardiac work up is normal, we need to think other causes for your symptoms. I want to ask few questions first. 1. Are you smoker? 2. Have you ever undergone PFT ( Pulmonary Function Test )? 3. What is your lipid profile report? Bronchitis can also cause similar symptoms. So consult pulmonologist and get done PFT ( Pulmonary Function Test ). Another possibility for your symptoms are over weight and high cholesterol (if high). So let me know these answers, so that I can guide you further. I will be happy to help you further. Wish you good health. Thanks.