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How to effectively manage high blood pressure?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been suffering from high blood pressure for the past 10 years. I take medicine twice a day, but my blood pressure remains the same at 150/100 mmHg. I take Metoprolol succinate (at night) and Chlorthalidone (during the day). I am a 48-year-old female, and my cholesterol is slightly high, so I take Rosuvastatin. However, my ECG is normal. I also have high TSH levels and take Levothyroxine daily.

Please help.

Answered by Dr. Prashant Valecha

Education:

MD Physician

Professional Bio:

Dr. Prashant Valecha is a General Practitioner and an expert in Preventive and Noninvasive Cardiology and completed his MD Physician from Yerevan State Medical University, Armenia, in 2009. He is an expert in treating all cardiac ailments. He has 14 years of clinical experience and is currently practicing in Bhopal.

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Hello,

Welcome to icliniq.com.

Your blood pressure (BP) is not controlled with the beta-blocker (Metoprolol succinate) and diuretic (Chlorthalidone). I advise you to undergo a renal function test and a renal Doppler. The cause of your high BP may be related to renal pathology, which should be ruled out. If both of these tests are normal, some changes to your medication will be necessary. For now, you can add Amlodipine 5 mg once daily. Consult your specialist doctor, discuss with him or her, and take the medicines with take the medicines with their consent.

I hope this helps you.

Thank you.

The Probable causes

The probable cause is secondary hypertension (HTN).

Investigations to be done

Investigations to be done include renal function test (RFT), renal color Doppler, blood sugar tests, and electrolytes.

Differential diagnosis

The differential diagnosis is essential hypertension and secondary hypertension.

Probable diagnosis

The probable diagnoses are hypertension, hypothyroidism, and hypercholesterolemia.

Preventive measures

Preventive measures include exercise, following a low-salt diet, and reducing stress, if any.
Medically reviewed by Dr. K. Shobana
Published At October 26, 2018
Reviewed At November 8, 2024

Education:

MD Physician

Professional Bio:

Dr. Prashant Valecha is a General Practitioner and an expert in Preventive and Noninvasive Cardiology and completed his MD Physician from Yerevan State Medical University, Armenia, in 2009. He is an expert in treating all cardiac ailments. He has 14 years of clinical experience and is currently practicing in Bhopal.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prashant Valecha
Dr. Prashant Valecha

Cardiology

Consult this doctor

Education:

MD Physician

Professional Bio:

Dr. Prashant Valecha is a General Practitioner and an expert in Preventive and Noninvasive Cardiology and completed his MD Physician from Yerevan State Medical University, Armenia, in 2009. He is an expert in treating all cardiac ailments. He has 14 years of clinical experience and is currently practicing in Bhopal.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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