Patient's Query
Hi doctor,
A few days back, I felt a little dizzy, and when I checked, my BP was quite high, around 149/89 mmHg. My recent lipid profile is also worrisome. What should I do now? I prefer eating junk food most of the time and dairy products like cheese and paneer more. I gained some weight now. I feel some slight vibration in the left side of my chest when I shout loudly. Apart from this, I have a few kidney stones of about 3 to 5 mm. Now, I am taking approximately 84.54 ounces of water a day. Otherwise, I am healthy. I do not take any medicines except for kidney stones and injections of Voveran for the same. Please help.
Thank you.
Hi,
Welcome to icliniq.com.
My advice to you is as per your complaints and reports (attachment removed to protect patient identity). Lifestyle modification includes 30 minutes of exercise, jogging, or a brisk walk every day or at least four days a week. Reduce weight. Reduce dairy products and the quantity of meals and avoid junk foods. Eat oats, vegetables, fruits, and nuts (groundnuts, almonds, walnuts, flax seeds, etc.) every day. Stop the injection of Voveran and take an injection of Tramadol for pain plus an injection of Ondansetron to avoid vomiting. Take an ECG (electrocardiogram) now, and also, when you feel something over your chest while fainting, we can rule out any rhythm problem. Stop smoking if you do so. Avoid stress, follow the instructions, and repeat your lipid profile after six months. Blood pressure (BP) also will improve with jogging and exercise, but weekly once BP (blood pressure) should be checked. If it is high like this, then we have to think of medicine.
I hope this helps.
Please revert so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
Do I need to worry about my condition? Or is it fine for now? Can I start walking and exercise now? Do you wish that I should visit a doctor for a physical evaluation or for any medication? At this early age, how cholesterol can be increased? I never smoke or drink. I eat junk foods only twice a week, like pizza or rolls, sandwiches, noodles, and momos. Are these that harmful?
Thank you.
Hi,
Welcome back to icliniq.com.
Your lipids are borderline abnormal nowadays. Most of the people have a sedentary lifestyle, and that is one of the causes. Because of your young age and no other associated risk factors, lifestyle modification is necessary. If your conditions become worse despite exercise, a cholesterol-free diet, and no fried foods, as they have trans fats, then medication is needed for you. Get an ECG done and meet your doctor if you feel any further complaints, such as chest pain, fainting, palpitation, breathing difficulty, etc.
I hope this helps.
Please revert so I can assist you further.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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