Archive for March, 2010
Hi
Question: Dear VladimirVladimirovich help in my distress. every day I change the pressure. If the morning blood pressure 120/75, then during the day can vary up to 140 80.150 85, 160 90 a week can dramatically, within half an hour, will increase to 180 100.190 105. What is the explanation I do not know. No external stimuli. Agree on a doctor following preporaty: Morning Indapamide-1t, + Egilok 0,25 mg. At lunch Diroton 20mg. Evening Egilok-50 mg. With a sharp rise in blood pressure on the recommendation of a physician take Egilok 50 mg. under the tongue + 5.10 mg + Enap sedatives. But not always help. Then take Capoten 25 mg under the tongue. + Sedatives. With a sharp rise in blood pressure appear seizures under the red-hot left leg. Today, 30 November 2007. was on the next the doctor, explained that the state of my health, throughout the year, does not change. . She said that previously designated drugs do not work. work and made new appointments. Morning-Indapamide -1 v. + Fozikard-1t. 10 mg. + Normodipin-1t. 5mg. Unless bedet positive rezeltata a Fozikarda rate increased to 20 mg, and Normodipina to 10 mg. The first appointment the doctor did a cardiologist, because at the moment there is no cardiologist doctor, the second appointment did doctor – internist. And I disease – insomnia. Dear doctor, I want unat your opinion about all this. I am 59 years old. The tests are normal, except cardiogram. With respect to you.
Answer: In this situation, we must first establish a dream, and seemed always to take something from the sedatives. A sharp pressure jumps extinguish klofelinom or korinfarom (nifedipine). The pulse frequency and manifestations of seizures are not given, but it's important.
Normodipin and pressure
Question: On the background of the reception normodipina and egiloka pressure fell from 140/90 to 90/30. Can I take nitroglycerin? What can replace normodipin?
Answer: Nitroglycerin in such a situation can not accept. The second question – doctor.
The pain in his eyes and head
Question: Dear doctor Give me what to do? I am a woman, I am 47 years old. Recently had headaches in the forehead and eye pain, and morning bags under the eyes and forehead swells, the pressure for me tried on normal. I have in life is always lower. I work in an office behind a computer.
Answer: Come to the reception, if you estimate their state of health as alarming.
drug treatment of hypertension
Question: Dear Doctor! I am a long time, take drugs that reduce blood pressure. I am 58 years old. I suffer from hypertension over 21 years, disabled 2 groups. Daily accept Concor (morning) and arifon retard (evening), so the doctor recommended. Took renitek and other drugs, but tormented by a cough. My question is: how best to combine taking medication, because almost everywhere are encouraged to take arifon morning. And how to take arifon: an empty stomach? I accept the evening after a meal. Thank you in advance for your reply. T. Smirnova.
Answer: In the instructions that came with the drug, reported that the morning is preferable but not necessarily. But keep in mind that most of arifona retard comes 12 hours after admission and may coincide with a maximum of Concor (within 1-3 hours after his admission).
The intracranial pressure?
Question: I'm 32. Where you at age 25, was first headache and vomiting, which was similar to the simple poisoning. But for a period of 4 months they continue to this day. But the last 2 years the frequency was once every six months. Seizures begin in the morning and continue all day. Very severe headache from the neck to the nape. Constant vomiting, even when the stomach is empty. diarrhea. feeling that the body tries to get rid of fluid. During the attack at intervals of several minutes, captures the warm wave, and headache and nausea seemed to pass but then he starts trembling all over. Chatham to 4-5 all day passes. . . weakness remains that in the morning passes. Fits almost always start with utraPosledny time it was incredibly bad. . a very strong tremor. taken to hospital put on a drip with analgesic and antirvotnym. . . an hour and a half all over. was a big weakness and indifference. Interesting detail. My father related seizures began at 35 and ended at age 45 without a remainder. learned by chance from the conversation.
Answer: Preventive measures for such states are absent. This strange AB (syndrome of periodic vomiting) – http://www. doktor. ru / articles / article. html? id = 65206.
High pressure at 23
Question: My husband 23 years, suffers from high blood pressure for six months (140-150/90) – pressure appeared suddenly. Normalize pressure not only with drugs. Gone are the complete examination (heart, kidney, thyroid, stomach, pancreas, brain, spinal cord (MRI), blood donations – halesterin increased 6,8; doing load tests – EKG is normal, and the pressure podskachilo to 188/90). Doctors say that all the bodies in order. Causes of pressure one can not give me. Diagnose the IRR. With increased pressure: burning thoracic, grabbing breath, heart palpitations. Normal weight, not drinking, not smoking, nutrition diet. Give that can cause pressure. Thanks in advance!
Answer: The reason – "IRR", cardiovascular neurosis.
Q
Question: Good day! My mother 73g, previously hosted Enap of pressure sotaleksom of atrial fibrillation. But in recent time, the pressure is difficult strays. Do not prompt another drug from the pressure compatible with sotaleksom?
Answer: Hydrochlorothiazide (gipotiazid).
Dizziness, Ketanol, eufillin
Question: Good afternoon, doctor! I am 51 years old. From time to time there are very strong headaches. Recently torments dizziness, a day to 2-4 times. Pressure 140/100, 170/105 sometimes. . In general, increased. Neurologist has prescribed the following drugs: ketanol and eufillin. Drink 3 weeks / 3 times a day! Should I take these drugs? What do you do you recommend in this case? Advance thank you for your response!
Answer: When vertigo is most effective special exercise, ie, exercise therapy (complexes exercises Brandt-Daroffa, Semonta, Epli), they also can remove noise in the ears, and sometimes headaches. Ketanov with long-term treatment may increase the pressure, and eufillin – heartbeat.
Hypertension
Question: Vdragivanie at the slightest sound of a sharp, sudden anxiety, poor sleep, physical neustochivosti, strong tremor in his hands (at the slightest agitation), hands sweating, heart palpitations, recurrent pain in the left half of the breast. Attended nevropotolaga and psychiatrist, but the effect otsutvuet, tranquilizers do not help (fenozepam). 'll Show to any doctor and ask for a disease that appears as a treat. Thank you.
Answer: a psychiatrist, but medical treatment should not fenozepamom from him will only get worse. This – not hypertension.
Where is the trend.
Question: I am 35. Height 181. Weight 98. Smoke. Pew. After corporate parties – usually I can get only on the second day (perhaps at the level of consumption 0,3-0,5). At work – head. Engage in sport once. Began probably about 4 years ago or five. Pressure never before were measured. Felt like a well. At the same time, 4-5 years ago, was taken away from work on soon. Pressure 180/110. He went to the doctor. We put AG 2 degrees. Took prestarium a year. Felt like a well. Then he stopped taking the medication. I also felt like a couple more good years. A year ago, during one of kommandirovok – became ill. Soon. Again the pressure. On arrival home – bought tanometr digital, wrist (as measured carefully read instructions and do it always the same) began to measure 140-150/85-95. Continuing reeling, giddy. sweating hands froze. Feelings of fear that before reaching the work happens attack increased by so much that he went to the hospital bed. Pierced with a standard set pirotsetamov and so on. We examined – kidneys – pyelonephritis. Liver – normal. ECG – hypertrophy of the left stomach. Then he went to the sanatorium. Voobshchem koordinalno not become better. Назначили в итоге полгода назад, когда я обратился к другому кардиологу, после долгих испытаний – что мне пойдет, а что нет, следующее – 1/2 небилет + индапамид утром + вечером лозап 50мг. At the same background and drink afobazol novopasit. This treatment began in June. In September Oyat attack with pressure again soon – something reduced. and a week later another. All I associate with stress at work. Like no other explanation. Unevrologa was – do not put encephalopathy. Says everything is fine. Now the question – is now pressure on average 115/95 at work. Morning 118/78. Evening 110/65. Waves of high diastolic blood pressure during the day. Although became calmer but fears remained. Now I'm afraid somewhere to go to business trips. In general, far from home try not to deviate. Everywhere in the car, slightly INTO – just lying. Externally on people do not show, although I am feeling that sometimes overcomes fear. On the weather changes rapidly reacting pressure increases. In the right direction there is a treatment or something must be adjusted. Syrup under the eyes in the morning always. Am feeling – sometimes fever, heart palpitations. pulse 80 in average. Pot – sticky, almost always. My heart aches. Also reeling and dizzy. Times, feeling of unreality. Think on drink magnesium. I understand that not all with me in order. By the way sexuality is at zero. 'll Show what changes to make or that add to the medicinal diet, sorry for the confusion of presentation. .
Answer: A typical social situation obsuslovlennaya nepriverzhennost plus usual treatment for a number of years. Now at the forefront of neurosis. The provision and outcome. Absent treatment is not promising.
