Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Suggest Me Medication For High BP Of 130/140 And Cavity Bilateral Koch Infection.
Hi, im a health worker in the Philippines. i had my annual chest xray done a month ago and surprising the result revealed i have cavitary bilateral koch s infection. I was shocked since i am asymptomatic even til now. Although im fully aware that TB is widely spread among Asian countries and most of us developed immunity. I started to self medicate with fixcom 4 (rifampicin, isoniazid, pyrazinamide, and ethambutol) OD, since the pulmonologist is not yet around. But 3days after, she agreed with the medication and included vitamin B6 and ciprofloxacin 500mg BID. 2 weeks after, i repeated my chest xray and there was an improvement to about 50%. A week after, i started to feel dizzy, palpitation and BP maintained at 140/90mmHg for almost 4days. I had my lab workups : lipid profile, cbc, potassium, calcium, creatinine, ecg and sgpt. All are normal except for sgpt which is 3x the normal and HDL a little over 0.2 from normal. I stopped the ciprofloxacin. My SBP plays around 130-140mmHg. Should i start taking anti hypertensive meds? Im worried about it.
Mon, 21 Apr 2014
Hello
Since you are a health worker and know many things about Koch's and blood pressure .
I want to tell you that at the age of around 30-35 years systolic blood pressure around 130 -140 is also normal don't require any treatment at all.
Further systolic blood pressure depends upon many factors as mild exertion , self medication white coat , emotion , anxiety fear. All these factors increases this S B P mild degree as may be in your case , so in my opinion you don't require any medication.
Still you have nay doubt then get in E K G and ECHO ( at least no need) .
As far as concerned about treatment of tuberculosis .
This A T T must be continue till complete course i.e. 6-9 months as stipulated by W H O.
For dizziness and nausea , vomiting you can take proton pump inhibitors like pantoprazole.
Good luck
Since you are a health worker and know many things about Koch's and blood pressure .
I want to tell you that at the age of around 30-35 years systolic blood pressure around 130 -140 is also normal don't require any treatment at all.
Further systolic blood pressure depends upon many factors as mild exertion , self medication white coat , emotion , anxiety fear. All these factors increases this S B P mild degree as may be in your case , so in my opinion you don't require any medication.
Still you have nay doubt then get in E K G and ECHO ( at least no need) .
As far as concerned about treatment of tuberculosis .
This A T T must be continue till complete course i.e. 6-9 months as stipulated by W H O.
For dizziness and nausea , vomiting you can take proton pump inhibitors like pantoprazole.
Good luck
I find this answer helpful
1 user finds this helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Tuberculosis
Loading Online Doctors....