Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health

I'm on Metoprolol 25 mg bid and losartan 25 mg daily if I go…

Customer Question
I'm on Metoprolol 25...

I'm on Metoprolol 25 mg bid and losartan 25 mg daily if I go for a walk my bp goes high to 160 to 170/90 he 100 with slight headache

Doctor's Assistant: Is the headache episodic or daily? And what about nausea?

No nausea but I have mild sleep apnea and I have mouthguard

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

High chol,osteoarthritis I was in ER 3x this yr in feb my bp reach 224/113 they say it was hypertensive crisis, the 2 last visit anxiety attack I had echo done on March and it was neg.Imalways cold at night and always with fatigue

Submitted: 1 month ago.Category: Health
Show More
Show Less
Ask Your Own Health Question
Answered in 3 minutes by:
12/23/2017
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 1 month ago
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 37,208
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Verified

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

Ask Your Own Health Question
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 1 month ago

What is your age?

Were you investigated for fatigue and being cold in night?

Ask Your Own Health Question
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 1 month ago

It seems that you are offline, so I am writing you the initial answer. Once you are online, you may ask follow up questions.

The dietary and other helpful measures for high blood pressure are;

1) weight loss,

2) sodium reduction,

3) stress management,

4) nutritional supplement interventions of calcium, magnesium, potassium and fish oil.

5) light physical exercise like walking.

6) yoga

7) meditation

8) breathing exercises

9) relaxation exercises

10) stop if you; smoke, drink only in moderation

You may try following, which lower the blood pressure (available without prescription);

1) Garlic

2) Fish oil

3) Herb Hawthorn

4) Coenzyme Q10 (CoQ10)

Following also is advised:

a) Patients with the hypertension do need to restrict table salt which is considered as a prime regulator of the blood pressure. It is advised to reduce sodium intake to no more than 2.4 g sodium or 6 g sodium chloride per day. It is also advised that adequate intake of dietary potassium (approximately 90 mmol/d), helps in reducing the blood pressure.

b) Following dietary and nutrition measure are strongly recommended to bring down the blood pressure;

A diet rich in fruits, vegetables, and low-fat dairy products may lower blood pressure by 10-16 mm Hg.
Oral potassium supplement may lower both systolic and diastolic pressure. Calcium and magnesium supplements, too, decrease the in blood pressure.
Low alcohol consumption lowers the blood pressure.
Stop smoking, if you do and reducing intake of dietary saturated fat and cholesterol benefits tremendously in overall cardiovascular health.

Following causes should be investigated for chronic fatigue and being cold at night;

Thyroid disease

Connective tissue diseases

Chronic anemia

Neoplastic disease

Chronic infections like Epstein Barr virus

Endocrine diseases (Addison disease).

Chronic fatigue syndrome

Myasthenia Gravis.

You would need following investigations:

Complete blood count (CBC)

Liver function tests

Thyroid function tests

Erythrocyte sedimentation rate (ESR)

Serum electrolyte level measurement

Immunoglobulin M (IgM)/immunoglobulin G (IgG) coxsackievirus B titer

IgM/IgG human herpesvirus 6 (HHV-6) titer

IgM/IgG C pneumoniae titer

Autoimmune panel

Anemia panel.

Other causes of fatigue may also be considered;

1) Recurring episodes of weakness should raise the question of periodic paralysis.

2) Weakness exacerbated by effort and relieved by rest is characteristic of myasthenia gravis.

3) Proximal muscle weakness suggests a myopathy, whereas distal muscle weakness is more consistent with a peripheral neuropathy or pyramidal tract disorder. Myopathy would be detected by a blood test creatinine kinase.

4) Recurring episodes of apprehension, tremulousness, and palpitations are seen with generalized anxiety.

5) Weakness or fatigue that occur only after work, fasting, or insufficient sleep are most likely explained by normal physiologic mechanisms.

6) All prescription and over-the-counter medications should be considered. Frequently used medications such as antihypertensives, sedative-hypnotics, antidepressants, tranquilizers, and antihistamines are common causes of fatigue.

Your medicine doses may also be increased for proper regulation of the blood pressure.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Ask Your Own Health Question
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 1 month ago

" I sincerely ***** ***** I have helped you, and that I have earned my 5 star rating today! Please remember to rate my service by selecting the 5 stars at the top of the screen ( rating me now does not close your question). We can continue here until you are satisfied, simply use the reply box and let me know. Thank you!”.

Ask Your Own Health Question
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 37,208
37,208 Satisfied Customers
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Arun Phophalia is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,095 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

37,208 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

14,036 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
Concerned I inhaled a large piece of gum. Just sore throat
Just sore throat thus far Voice is off Breathing hurts a little … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,518 satisfied customers
Dr chip it's almost 2am ,I can't sleep ,I slept maybe
Dr chip it's almost 2am ,I can't sleep ,I slept maybe 2-3hours woke up and can't go back to sleep ,I am supposed to have a very busy day with running errands,cleaning ,and then my daughter has a compe… read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
I started lisinopril about a year ago, which reduced by
I started lisinopril about a year ago, which reduced by blood pressure from 135/85 to 120/80. (5mg per day). I was warned that a possible side effect could be a cough. I did not get a cough, but now a… read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
Chip. i have a client who in an effort to maintain a healthy
hey dr chip.i have a client who in an effort to maintain a healthy weight, will sometimes just chew the fattening food she likes, not swallow/spit it out. other than the "gross" factor, i cannot seem … read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
I have what I will call a severe case of Streptococcus to
I have what I will call a severe case of Streptococcus to the point it is almost impossible to swallow. My Physician filled a script of Azithromycin 250mg. I'm on the third dosage-4th pill with no res… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
4,006 satisfied customers
Stabbing then aching pain above and back a little of my ear
Stabbing then aching pain above and back a little of my ear on my right side only. Has been going on for a week now. And I don't get headaches very often. I can only describe the pain as an earach typ… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
37,208 satisfied customers
Can oral sex cause folliculitis? Decent but have been i. I
Can oral sex cause folliculitis? JA: Is this your first time reaching out for information about this? In general, how would you describe your overall health? Customer: Decent but have been i JA: Anyth… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
37,208 satisfied customers
I've got a large inflamed pimple near the colon, it's tender
I've got a large inflamed pimple near the colon, it's tender to the touch. It's only been there a couple days but it is situated near a hemroid. Suggestions on whether or not I should be worried. … read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
On a recent comprehensive metabolic panel, my CO2 was 32.0
On a recent comprehensive metabolic panel, my CO2 was 32.0 mmol/L. Should I be concerned? … read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
Chip. I learned today that my brother-in-law who is 44 years
Hey Dr Chip. I learned today that my brother-in-law who is 44 years old, I said rectal bleeding for 2 weeks. Apparently he's had some lesions in his colon for some time that they are thinking have beg… read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
I am a 41 yr old female with a lot of neck pain and upper
Hi I am a 41 yr old female with a lot of neck pain and upper shoulder pain. I have slight weakness on and off in my left arm and tingling on my left lower cheek on and off as well. Pressure in my ches… read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,689 satisfied customers
10 years ago I suffered something I can't explain. Warmlike
Warmlike movement all over my body and itching, which lasted for almost a year … read more
Sumanth Amperayani
Sumanth Amperayani
Consultant Paediatrician
Master\u0027s Degree
196 satisfied customers
I am using 1mg for restless legs and it works excellent!!
I am using 1mg for restless legs and it works excellent!! What I've read now is that is maybe what causes me to gamble uncontrollably... Totally the opposite of how I was before. ?? Is is possible and… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
Few years ago my daughter had a fungal infection under this
Heya few years ago my daughter had a fungal infection under this eye. we took care of it with anti-fungal medication but tonight I noticed little red mark which I'm not sure what it is- fungal, eczema… read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
I have a pic that a friend sent me stating she passes it
I have a pic that a friend sent me stating she passes it thru her bowel movement and I'm curious as yo what it might be … read more
Dr. Hasan
Dr. Hasan
Consultant
Post-Doctoral Degree
3,619 satisfied customers
Chronic Bibasular Interstitial Changes, no Effusion shown on
Chronic Bibasular Interstitial Changes, no Effusion shown on CT scan. Was taking antibiotic Nitroflurantoin three days before scan for four days. A year and a half ago, testing showed “some bibsasilar… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,112 satisfied customers
The back of my tongue and throat is feeling numb but there's
Hello. The back of my tongue and throat is feeling numb but there's no pain … read more
Sumanth Amperayani
Sumanth Amperayani
Consultant Paediatrician
Master\u0027s Degree
196 satisfied customers
HeadachesSix year old head injury plus confusoion still
headachesSix year old head injury plus confusoion still seeing double fall down … read more
Sumanth Amperayani
Sumanth Amperayani
Consultant Paediatrician
Master\u0027s Degree
196 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x