Headaches

Question: I am 38 years old. Last 3 months constantly have a headache, watery eyes, decreased vision (a unit that has 0.7), the pressure rises to 145/100, visited an eye doctor: slightly narrowed arteries, veins dilated, did REG: Conclusion: The cerebral pulse blood filling of vessels sufficient , the tone of the arteries of medium and small caliber increased, large-caliber in the normal signs of difficulty of venous flow, elastic properties of arteries moderately reduced asymmetry of the parties have been identified, a test with a turn of the head does not dynamically significant, positive response to nitroglycerin. The doctor ordered vinpocetine within 1-2 months. Diagnoses hypertension. I would like to know your opinion on the REG, diagnosis and treatment. Thank you.

Answer: Findings REG long time do not attach importance. If you want to know whether iimeetsya hypertension, the poizmeryayte independently of blood pressure – http://www. doktor. ru / qa / davlenie / qa. html? id = 54884.

Q

Question: doctorPodskazhite please, that I have. I am 24 years old, had participated in sports. Pressure is not obraschyal attention, now I have 160/110 at rest, began to shoot down the pressure is lowered until the pills take pills, and then again povyshaetsya. Already a year oschyuschyayu pain, the heart already as months, 2 constants. Sometimes oschyuscheniya that the left side is numb. pulse is not constant all the time jumps, decided otlizhatsya week at home but the same does not help. sometimes I can not sleep from overexcitation. Potskazhite what to do. Thank you.

Answer: Go to the therapist.

pressure and rapid pulse? (2)

Question: Http://doktor. ru/qa/46410/qa. html? id = 93552 you requested clarification. During the build up of pressure 160/100 – heart rate of 100 beats at rest. Сколько времени ждали прежде чем звать "скорую"? Valeryanku drink? – Did not call an ambulance because my mother gynecologist, and what she could to help. Valerian did not drink. my questions. 1. Can rapid pulse to disrupt the rhythm?? harmful if sinus tachycardia? yes and what if the slow path in the heart which gave AVURT removed, no paroxysms and no worries in the heart. 2. Do I have to drink if beta-blockers and a rapid pulse of at least one evening, getting back to normal (for the hell of a monitor 63 and above depending on the action and loads) (the other day in the morning all the pressure was 100/70 and pulse 59 was even surprised! What w blockers, there is still !!??) 3. Should I start treatment of hypertension or even wait to LOZAPOM although crises have already appeared, and the pressure prevents work. 4. Why a lot of beer when the pressure 120/80?? it must be something tonic drink? 5. At rest the day began to measure the pulse – 80 beats, so very excited with Holter make it unnecessary Why not nameryal – this does not exclude

Answer: "crises stoped only magnesium intravenously. Consequently, the crises and magnesium – a myth, blood pressure and pulse rate just the same as during normal agitation. Valerian would help the (beer, too – relaxing, but not tones). The average frequency rate increased slightly, too, probably due to excitement (they are suspect). Although the load does not exceed 120. I would have tried to take a month one of the simplest means: http://www. doktor. ru / qa / davlenie / qa. html? id = 53610 and see for themselves. And with the therapist would advise. Psycho-emotional form of hypertension (similar sympathoadrenal "Surge"). For a clear idea about what is happening you need to know what actually was before radiofrequency ablation. But now is not the time.

hypertension

Question: I am 57 years old, weight 69 kg, height 162sm. During 8 years of taking daily 5 mg and 5 mg Concor Enap HL. In the last 3-4 months blood pressure was low manageable. In the morning, to 170. / 100. Reduce kapotenom and greater dose Enap. I understand that-addictive and have to change medications. ECG without pathology. I want to start such a scheme: Concor 5 mg monopril 25 mg, amlodipine 5 mg, and gipotiazid 12. 5-25mg. Or poprobovatetu better first scheme, but without monoprila? Zoom reception Concor to 10mg can not because of bradycardia. I would be very grateful for the advice. Sincerely, Tatiana

Answer: It is better in such cases, consult with your doctor personally. Can blood pressure even more to shake. Enap HL 5 mg does not happen. In principle Enap HL can be taken 2 times a day. Concor is a higher dosage, but the dose depends on the initial pulse rate.

Pressure after the load

Question: I am 22 years old. Houses measure the pressure – 125-135/65-70. After the exercise is increased to 165-185/75-80, after some time returning to normal. The clinic I measured the pressure was 140-150/70. He did an electrocardiogram, in the opinion written – sinus tachycardia, arrhythmia and indirect signs of right ventricular hypertrophy. Sometimes the worry of pain in his right side below the ribs, and sometimes cutting pain around a little to the right of the diaphragm and to the bottom of the throat. I have 3 questions. 1) In what limits should be changed after the pressure load? 2) What is right ventricular hypertrophy, and because of what it could be? 3) Because of what may occur such pain?

Answer: 1) You do not need to measure the pressure. 2) "circumstantial evidence" nothing in terms of health does not mean.

Increasing the pressure, help!?

Question: I am 28 years old and I have a problem already as 4 months of high blood pressure, basically, 140.150 80, the pulse was normal, was taking all the tests, did ultrasound, the doctors said everything is OK and it seems due to stress. Took homviotenzin, no change, then discharged noliprel, propyl month, and drank one tablet in the morning, knocked on the 130, 135 top, sometimes not help at all. I do not know how to normalize the pressure so much so that by not having to drink all his life. Play sport, go to the gym. I would be very grateful for the advice. With nailuchshemi wishes. Dmitry

Answer: Now that you have already fallen into "medical Ring, began to take serious combination drugs are not cheap, do not venture to give advice in absentia. Come to the reception, if desired. The most important thing about hypertension – http://doktor. ru / qa / davlenie / article. html? id = 51966. About Hypertension – http://doktor. ru / qa / davlenie / article. html? id = 48559.

Were missing breath

Question: Vyacheslav Vladimirovich. About a month ago before going to bed woke up several times from the fact that as soon as I fall asleep for some reason I stopped breathing. In the waking state, I stopped chuvstovat its breath as if the brain forgot how to breathe and no longer sends a signal light and the pectoral muscles. In the dream, I do not snore and sleep is always on the side so the path through which air is not blocked by anything. The hospital passed the blood tests, urine. He made an X-ray light and examined the brain. No disease found nebylo. However, often during work (focusing on something), I noticed that dyhanik stopped. Then I specifically forced to breathe consciously. For some reason when I sleep I breathe, but in a position bodrovstvovaniya I do not feel the rhythm of breathing as before. For example, if I consciously shut the breath even after a minute or more I do not want to breathe as it was before and as it happens at all – yaprosto beginning to lose consciousness. The same thing happens when I run or climb the stairs – breathing avtlmatcheski not increase. Brain kontrollirovait almost stopped breathing. The psychiatrist said that it was all the stress and gave me a sedative pills. As a result, the fear of death by asphyxiation gone, no more panic. However, breathing is not restored and I am afraid that would come back by fear. Please'll show that it can be. I have already lost hope for recovery and vozvvrat to normal life. Very tired to breathe "spatsialno" and take a deep breath. SpasiboAleksandr

Answer: It probably is the anxiety-neurotic syndrome. In this case, other than medication and psychotherapy is required. Поэтому Вам надо очно обратиться к врачу психиатру-психотерапевту. Integrated Treatment: medical therapy and psychotherapy. Otherwise the effect will not be.

excessive sweating

Question: I'm 23 years. I have excessive sweating. I sweat when cold and when hot. anything helps. which smears be the cause and what to do?

Answer: It is necessary to pass inspection. Probably should first contact an endocrinologist or a dermatologist.

Energy Drinks

Question: Doctor! The question is: what effects on the body can have energy drinks, for example, after a brief of their use, and fairly long? What harm can they do to cause the organism. And what substances mainly make these drinks is energy. thanks.

Answer: Energy drinks cause dependence and the depletion of the higher nervous system, in consequence of the artificial "fueling" and connect the reserves, which also has its limits and can be fully utilized, resulting in not only the development of dependence (similar drug), but also serious mental disorders. One-time use is possible in small quantities. The frequency of the possible use of painless purely individual, but on average no more than 1 times per month and no more than 200-300 grams of a standard drink, such as "Adrenaline", etc. In addition, you should not use the drink in the moments of poor health or extreme fatigue.

andrei13dmd @ mail. ru

Question: Dear doctor, I am almost 45 years, mitral valve prolapse is observed as a teenager. Special problems he did not deliver, at times – periods is shortness of breath and weakness, bradycardia, tachycardia, shortness of breath – with physical activity, more recently the truth is that the left arm numb during sleep, but generally tolerated – there is no pain in my heart. I gave birth by caesarean section (suddenly withdrew water) 12 years ago. I do not remember how much I was then prolapse, ran the entire pregnancy is normal, but the preservation of paper I see that 3 years after childbirth I already had this diagnosis – PMK 2 degrees with regurgitation of 2 degrees. Now, after years of efforts, decided on IVF, was all hormonal preparations, but three days before the puncture, the therapist, an anesthesiologist, seeing my diagnosis – PMK, sent me for ultrasound and consultation cardio. He was trying to dissuade me – the heart of a little increased, age, 2 degree, that is very high risk for a successful pregnancy and my health. I – in disarray. On the one hand have been reading online about the possible consequences, on the other, in the same Internet – that's okay. Cardiologist suggested after the puncture to be treated, "to collect the heart in the right size and even then make a decision. Therapist in IVF – a woman with a long experience in maternity wards, discouraging. What you recommend given my age?

Answer: What advise? – Get pregnant and give birth under the supervision of good doctors. In our time, for various reasons doctors do not want to assign responsibility. The doctor assesses the clinically-defined violations of system blood flow (increased heart rate, swelling of the jugular veins, etc.) and intracardiac (the magnification of the left atrium, left ventricular ejection fraction lower, the signs of defeat miksomatoznogo valvular apparatus according to echocardiography). We must bear in mind that the standard procedure echocardiography often leads to overdiagnosis mitral insufficiency, giving false positive results. Heart to listen. In general, the patient to assess the need for treatment is assessed again clinically, rather than by echocardiography.