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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Metformin And Rampril For BP And Diabetes. Severe Headache, Chest Pain , Breathlessness After Breakfast. Suggest

i am male with 44yrs of age from one year i suffering from diabetes and blood pressure with doctors precriptions twice a day i taking metformin tablet and rampril 2.5 mg tab for blood pressure. My problem is in the morning after break fast i am getting severe heaeche, chest pain exterior left side feeling uncomfortable sometime breathness also taking place this type of uneasiness facing every day. after 16:00hrs onwards it will becoming normal
Thu, 19 Sep 2013
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Pulmonologist 's  Response
I believe u have an unstable angina . sometimes it does aggravate because of eating. Kindly see a cardiologist and get investigations like 2decho
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General & Family Physician Dr. Het Ram Bishnoi 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Metformine +ramipril twice in day from one year.
You have not mentioned that blood sugar is under control or not control .
Blood pressure is under control or not control.
Presumed that blood pressure and diabetes are under control.
1 Here one point is very important as the side effects of both drugs are G I disturbance means nausea, vomiting , dizziness .
When there is nausea and vomiting most of patients develops severe headache as your headache may be due to this reason.
When you take these tablets in the night after 1-2 hours you go to sleep so less nausea and vomiting ,hence less headache.
2 Headache may be due to lowering of blood pressure due to use of ramipril as it acts just after 1/2 hour .
So please consult your treating doctor and get his advice.
You may upload your complete reports over this site for evaluation of diagnosis.
Good luck.
Dr. HET
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On Metformin And Rampril For BP And Diabetes. Severe Headache, Chest Pain , Breathlessness After Breakfast. Suggest

I believe u have an unstable angina . sometimes it does aggravate because of eating. Kindly see a cardiologist and get investigations like 2decho