Total Views: 5070

GOOD MORNING SIR,I NAVEEN KUMAR,I AM JUST 25 YEARS OLD.I AM SUFFERING FROM HYPERTENSION FROM 2 MONTHS,I USED STAMLO BETA FOR HYPERTENSION,TWO WEEKS BACK I MET A CARDIOLOGIST,IN THAT TIME MY BP170/100.PREVIOUSLY IT WAS CONTROLLED BY STAMLOBETA.DOCTOR WROTE FOR ECG&ECHO TEST,ECG TELLS THAT 'RBBB.'&ECHO TELLS THAT MILD CONCENTRIC LVH.OTHERWISE NORMAL.DOCTOR PRESCRIBE BP MEDICATIONS CHANGED FROM STAMLO BETA(ATENALOL+AMOLDOPINE)TO METXL-O(METOPROLOL+OLMESARTAN)&SAID THAT NOTHING TO WORRY ,RBBB&MILD CONCENTRIC LVH WILL BE REGRESS.BUT MY BP WAS NOT CONTROLLED ALL THE DAY IT IS RAISED AT NIGHT TIME.TELL ME YOUR SUGGESTION&IS RBBB&LVH REGRESSED,IF WITH CONTROLLED HYPERTENSION?&I HAVE DONE COMPLETE MASTER HEALTH CHECK UP,ALL ARE NORMAL.TELL ME SUGGESTION PLEASE.THANKSÂ®ARDS,NAVEEN KUMAR.

PAST HISTORY : i am just 25 years old.My height is 169 cm&weight-72 kgslast 10 days back i checked my bp,it is 150/100.my lipid profile reports are normal,in ultrasound scanning liver was minute enlarged&i have RBBB.

1 Answers

Dr. Puneet Madan answered : 12 years ago

Hi,

Looking at your height you have a perfect weight and bmi. However there can be many other reasons for hypertension. It would take your body a while to settle down with a new anti hypertensive as it has to adjust with your body's metabolism.

Now the question regarding lvh(left ventricular hypertrophy). It had ocurred because your heart had to face excessive pressure to force the same amount of blood in your body due to hypertension. Now as you will start controlling your hypertension or as your b.p would come down then pressure in your vessels will reduce and in turn will also reduce on your heart and lvh will regress

RBBB can be a normal finding don't worry about it. Mildly enlarged liver can be due to fatty liver

- Control your alcohol,cholesterol(like oils,butter,saturated deep fried stuff,specially frozen stuff)
- Do regular physical exercise
- Reduce salt intake
- Reduce stress levels
- Have a proper sleep wake up cycle

These factors will also help you reduce your b.p and your fatty liver will also regress.

Feel free to ask further questions.

Have a similar question? Ask our top doctors now !

Answers
Doctors

Matching Already Answered Queries

2 Answers

I plan to wisdom tooth and dental implant at the same time in about a week. I'm taking Metoprolol SUCC - 25mg/day and Warfarin Sodium ~ 4mg/day. My cardiologist advises me to stop Warfarin three days before the procedures. What about Metoprolol SUCC?

Doctor's Answer

Hello Continue Metoprolol ...
Read Full Answer

1 Answer

My father is 78 years old and has been suffering from constipation for the last 2 years. He has also lost a lot of weight around 10 kgs in this time span. In the last couple of months he has been complaining that his abdominal muscles have torn due to bowel straining and now he says there is loss of muscle in his stomach area. Which is why when he lies down everything is fine but when he sits up and walks around he feels like he is carrying a weight in his stomach. After intake of food it becomes worse and he also gets bloating. We have done all possible tests - colonoscopy, CT scan, ultrasound sometime last year and everything was clear. The doctors gave a verdict of idiopathic constipation and left it at that. His blood work is fine, haemoglobin levels, cholestrol etc. He still suffers from constipation. His prostrate is enlarged but results are fine. What is the solution to his stomach muscle problem ? Is it lack of exercise, lack of protein ? He doesnt have a pot belly and has never had and had always been physically active and fairly slender.

Doctor's Answer

Hi, History told by you favours irritable bowel syndrome ( IBS ). There are two alarming signs in your case : Firstly, loss of weight and that to10kg approx. Secondly, sensation of carrying a weight in stomach. Both of them do occurs in IBS. But to be on safer side,I would suggest you to go for colonoscopy again because it was done 1 yr back and symptoms have aggravated few months back. Treatments available for IBS - - Increase the level of physical activity. - Have regular meals and take t ...
Read Full Answer

2 Answers

I was suffering from blood in my stool from long time until i consulted a doc and he said that i have fissure. I got it cured through ointments and having drinking fibre. However, from last few monts I have started suffering from incomplete evacuation. All the time my stomach is bloated up and I dont feel like eating anything. I have increased my water intake and also have started eating fibre fruits to a great extent but nothing is helping me. Howsoever hard I try, I am not able to evacuate completely. I go to washroom at least 5 times a day but still i feel full all the time. Sometimes I get black stool and sometimes its normal. My stool is not hard at all. I feel uneasy all the time. I stay in tension all the time due to this. Please suggest me a cure to this.

Doctor's Answer

Hi, Since you have had a fissure, chances of recurrence are high. Constipation is just one of the causes of fissure. There can be other causes, for example, there can be a tear in anal canal, or there may be a foreign body present in body, or it can happen during normal labor. Usually the fissure has bright red blood and not dark coloured blood. Since you have dark, it indicates that blood is coming from above in alimentary tract, which might be due to inflammatory bowel disease, irritabl ...
Read Full Answer

2 Answers

Hello, I have had a nail fungus for a good ten years or so. When I first noticed it, I went to my doctor and he game me lamasil which I stopped taking after a few days since it had negative affects on me. Thereafter, I stopped taking care of it and just let it go for a good 7 or 8 years. I eventually grew up and started getting very self conscious of how it looked and wanted to wear sandals and flip flops and not have people think nasty things about me. A few years ago I went to my doctor again and he gave me a topical oil which I used for over a year and did not see any results. About two years ago, I noticed that a vertical brown line was starting to grow from the bottom up. I went to a dermatologist who took a sample of my nail but did not take a sample of the nail bed or from the cuticle. Biopsy came back as of course it being a fungus. He in turn gave me pills to take which I also had to stop taking since it was having a bad affect on my liver. After that, my dermatologist said that he would give me laser treatments which I did two of. They did not clear it but it looks a little bit better then what it was before. Still thick, yellow, crumbling below the nail, nail bed where new nail is growing is darker then the others and the brown line is still there. It is a thick brown line. How did I get this brown line? Did I get it because of the prolonged damage of the nail bed due to the years of having the nail fungus?

Doctor's Answer

You're most welcome. Nail Melanoma does not affect multiple nails together while Longitudunal Melanonychia (LM) often does. The fact that an additional nail is showing changes is nearly conclusive that this is LM, which as I said is harmless. However it would be best to see your doctor to get this confirmed since I cannot see the affected area. I would recommend getting the entire nail removed if its the only one affected by fungus, but this will be solely to treat the fungus not because I thin ...
Read Full Answer

1 Answer

i am just 25 years old.My height is 169 cm&weight-72 kgslast 10 days back i checked my bp,it is 150/100.my lipid profile reports are normal,in ultrasound scanning liver was minute enlarged,i am taking stamlo beta for my hypertension,now can i use ayurveda medicines for hyprtension & liver enlargement.

Doctor's Answer

Hi, Looking at your detail that you gave me, you seem to have a normal BMI (body mass index),and normal cholesterol levels which is a good thing. There can be many people who might have a slight or mildly enlarged liver that only means that you should have a little less on your cholesterol or oil in eating and may be alcohol if you ingest it. You can use ayurvedic drugs for your liver,but I wont say them for hypertension. Now a days many doctors prescribe diuretics as a first line of treatmen ...
Read Full Answer

Doctors Related to