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Suggest Treatment For High BP When On Concor

Posted on Wed, 11 Mar 2015

Question: hi , i m a 40 year old guy .one month before when i woke in night it was spinning all around me ,and again in the morning when i woke up it was same .i went to my family doctor he suggested me vertin 8 mg daily twice.after some days spinning symptoms were low but not completely eliminated.i i use to lie down on the right side some spinning happens but not same on the left side.when i look up i feel spinning for some seconds.but from two days the symptoms are going more and i feel spinning whole day.i went to E N T capitalist.he taken a clinical test of mine and told me that i m suffring from cupololithiasis and priscribed me vertin od in morning and acuraste 5mg,diligan 25 twice a day .i m already a patient of high blood pressure taking concor 5 am in morning and telma 40 mg twice a day .i use to take nexito forte from 5 years .i use to have alcohol daily in night at the time of slipping near about 180 ml.i use to take body massage twice in a weak can this be the reason that iuse take heavy pressure around my neck while meassaging.please suggest me thanking you.

Answered by Dr. Abubakar Siddiqh (2 hours later)

Brief Answer:
BPPV-needs vestibular exercises.

Detailed Answer:

Hi,

I have gone through your question and understand your concerns that you are having episodic dizziness.

Based on your clinical details, it occurs to be BPPV (Benign positional proximal vertigo) or cupololithiasis.

Vertigo during postural changes is a charecterstic sign of BPP.

I suggest the following measures, to overcome your post viral status.

1. Revisit, your ent surgeon, discuss about epelys moreover and vestibular exercises (treatment of choice in bppv).

2. Change of life style (exercise, stop smoking or exercises).

3. Regular exercises, fatty diet in view of hypertension.

4. Do x-ray cervical spine, to rule out cervical sponsylitis.

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Abubakar Siddiqh (17 minutes later)

I ALSO SUFFERING FROM MILD THYROID AND TAKING THYRONORM 50 MCG .AND I M ALSO TAKING ECOSPRIN AV-75 .CAN I CONTINUE WITH THIS MEDCINES

Answered by Dr. Abubakar Siddiqh (40 minutes later)

Brief Answer:
no interaction-continue.

Detailed Answer:

Hello again,

Thanks for considering my answer and for your follow up.

Yes. You to have to continue thyronorm for lifetime, in view of hypothyroidism. Ecosprin-av can be stopped, once your cholesterol and BP levels comes too normal. There is no interaction between these drugs.

Hope, I have answered your query.

Take care.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Abubakar Siddiqh (16 minutes later)

My cervical x ray is Normal can I go for MRI

Answered by Dr. Abubakar Siddiqh (21 minutes later)

Brief Answer:
REQUIRES MRI.

Detailed Answer:

Hello again,

Yes. To reveal ligament, nerves and bony abnormalities, MRI is the best modality.

Kindly go ahead.

All the best.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D