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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Breathing Difficulty, Anxiety, Lack Of Sleep, Symptoms Of High Blood Pressure ?

Dear Doctor, i am 39 male , 5.6 height, 83 kgs weight, having bp for 4 years 130/145 with tablets, without tablet 145/150 , as i am taking the Medicine of Bi pretrax (Argenine & Indapamide), I do go for brisk walk weekly 3 or 4 times 2 km. Also i am suffering breathing difficulty, esp. after dinner. but when i wake up from sound sleep it disappreas. Though I consulted doctor, he told be it could be Anxiety causes my breathing difficulty. Couple of year back I did Eco cardio , ECG it was all fine. I have many doubts, that why this breathing difficulty prevailing, whether it could be related to Anxiety, or lack of sleep, or due to my sendentry lifestyle (sitting longer time). Your valuable advice is highly expected. Anything serious that i ignored to look in.
Mon, 7 May 2012
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General & Family Physician,  's  Response
it is called as pickwickian syndrome or obesity hypoventilation syndrome due to obesity there is hypoxia and hypercapnia which cause pulmonary vasoconstriction and high BP..........INITIALLY echo MIGHT BE NORMAL BUT LATER STAGES,it will show right ventricle strain pattern...............it is seen at night due to collapse of soft tissue neck compressing the airway causing obstruction.......advice is diet mostly weight losing diet and gym and exercise
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Breathing Difficulty, Anxiety, Lack Of Sleep, Symptoms Of High Blood Pressure ?

it is called as pickwickian syndrome or obesity hypoventilation syndrome due to obesity there is hypoxia and hypercapnia which cause pulmonary vasoconstriction and high BP..........INITIALLY echo MIGHT BE NORMAL BUT LATER STAGES,it will show right ventricle strain pattern...............it is seen at night due to collapse of soft tissue neck compressing the airway causing obstruction.......advice is diet mostly weight losing diet and gym and exercise