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About Charles Cusumano, FMP, PA-C
(Top Expert on this page)

Expertise
I will answer questions about the different causes of Hypertension; the complications; the treatments and the drugs used.Hypertension is a silent, potentially deadly disease that`s completely treatable. Knowledge is power.

Experience
Nationally Certified Physician Assistant/Family Medicine Practitioner.
I've been in practice since 1975.

Organizations
I am currently serving as an expert in the Family, General and Internal Medicine site right here at AllExperts.com. You can visit my profile there.
I was also honored as a Distinguished Fellow in the AAPA.

You are here: Experts > Health/Fitness > Diabetes > Hypertension

Questions Answered By Expert Charles Cusumano, FMP, PA-C
In Category Hypertension

Subject	Date Asked

difficulty controlling hypertension	8/27/2008
Q: I asked you a question a few months ago and am following up. I am relatively young (33), I work out ... A: The medicines won’t lower BP on their own but by reducing your anxiety, the BP will come down. By ...
Hypertension	8/26/2008
Q: Cusumano, I am 39 & have had hypertension now for over 15 years. My biological father died from an ... A: This worries me VER MUCH. You are doing damage to your heart, brain and kidneys with blood pressure ...
sudden high blood pressure	8/26/2008
Q: my husband normally has a very low heart rate of between 45 and 50 bpm. he has had 2 heart attacks ... A: A sudden rise in blood pressure might mean a failure of the drug. Has he changed from a proprietary ...
Lisinopril dosage	8/21/2008
Q: I noted in a response to a question re: hypertension here ... A: Often we prescribe medicines at higher doses than is suggested on packaging. These limits arebased ...
Please help	8/21/2008
Q: Sir, Iam 28 years male.I suffered from shooting pain in left arm and shoulder since Feb-08 and then ... A: If the heart scan showed blockages then a heart catheterization is the next step. If the symptoms ...
Blood Pressure	8/19/2008
Q: Yes, I am taking Propranolol 10mg. 2 times a day for a recent bout with Hyperthyroid in February of ... A: It isn't uncommon for BP to be up first thing in the AM. Propranolol is not the BEST drug for blood ...
give a mainstream medicine please	8/15/2008
Q: What possible recommedation can you give persons who suffer these ailment.Red mushroom and venonia ... A: There are many medicines that are used for control of blood pressure. Each has its own purpose and ...
Pain Below Left Pectoral	8/14/2008
Q: Dr. Cusumano, First of all Thank you for taking the time to read my question. I am not sure if you ... A: Given what you have said, this doesn't sound like heart. If the pain doesn't come on with breathing ...
Shortness of breath and chronic daily headache	8/11/2008
Q: I'm not sure if you're the right expert, but I am running out of places to turn. I'm 27 years old ... A: You may have either tension headaches or atypical migraines. The abscence of pathology on your CT ...
heart rate low	8/8/2008
Q: I am female, 28yrs. old and weigh 104lbs. I am also 5'3. So I am small framed. I have high blood ... A: With any drug in the class of Labetolol, pulse can slow significantly while blood pressure can still ...
young with hypertension	8/4/2008
Q: I'm 23, male, smoker, and have a high BMI. I was diagnosed with hypertension about five months ago, ... A: I would seriously look for help with your anxiety and cardiophobia before anything else. Until that ...
Blood Pressure/Headache Mystery	7/31/2008
Q: A little over a week ago, I got a pounding headache that didn’t go away. The only temporary relief I ... A: It is not uncommon to have blood pressure spkies on occasion. There are diease states that can do ...
normal bp range	7/23/2008
Q: I know that bp should be below 120/80 at rest. But will healthy people have higher readings during ... A: A pressure of 145/90 is a bit high but not completely unheard of in severe stress or exercise. That ...
white coat syndrom	7/22/2008
Q: i am not sure if this is what my husband has but i am worried. if he even thinks about any kind of ... A: He is having a vasovagal reaction which causes the blood to leave the head. This triggers seizures. ...
Blood pressure medications	7/21/2008
Q: I am a 235lb 5'9 25 yr old female....I recently put on 65 pounds during my pregnancy mostly in part ... A: You are on the right track with exercise, weight loss and diet. Success here may obviate the need ...
HBP	7/16/2008
Q: I am a 35yr old white female weighs about 119pds. and 5"1' and would say that I am overall pretty ... A: From the sounds of it you may have what is called inherited essental hypertension. If this is truly ...
Should I be worried?	7/12/2008
Q: I tend to really worry when my blood pressure is taken - either at home or even when I take it ... A: A single blood pressure elevation is nothing to worry about. Although the upper number is a bit ...
Lowering High Blood Pressure	7/12/2008
Q: I hope I'm asking the right person about this. About a few years ago, I was told that I have high ... A: Veins that bulge are NOT a sign of high blood pressure. During the summer months, the body tries to ...
hypertension	6/15/2008
Q: I'm a 57 yr. old female who tried so many BP meds, with side effects, and/or no results. Currently ... A: An internist is fine for handling high blood pressure. Hypertension can be very difficlu to treat in ...
vitamins for high blood pressure	6/6/2008
Q: RE: a generic question about vitamins If one has high cholestorol (no medication taken), and ... A: If you'll allow me, I would see to the high cholesterol and hypertension before concern yourself ...
HIGH BP AND SEX	6/6/2008
Q: I have hypertention which was dificult to control but just begining to respond to medication. My ... A: Sounds to me like someone who is really full of himself and wants to prove it to you. That is a ...
Post-accident BP rise.	6/3/2008
Q: I am a 31-year-old non-smoker, and just yesterday, I had a car accident with my company vehicle. ... A: You very well may have elevated blood pressure from the physical and emotional trauma. I would just ...
Hypertension	5/23/2008
Q: I am a 38 year old female with a history of pregnancy induced hypertension that got worse AFTER I ... A: Any side effect you feel is less likely a result of stopping Hydralazine and more likely the ...
hypertension meds	5/22/2008
Q: I have tried at least eight meds for hypertension. My BP hovers around 140/90 sometimes less, ... A: Any medication can cause tolerance issues. Sometimes you need to be on up to 3 or 4 medicines at the ...
Pulse Pressure	5/18/2008
Q: I am a 29 year old female, with fairly low blood pressure, readings around 90/50 - 105/65 depending ... A: From what you have said, I'd say you are VERY healthy. Your low blood pressure is probably because ...
bp	5/16/2008
Q: my husband has had borderline htn (approx. 140/96) for about 3 yrs. Each time he went to his Dr. he ... A: You are not over reacting. your husband needs to be on blood pressure medicines. The JNC7 recommends ...
hypertension treatment protocol	5/6/2008
Q: Charles, I'm studying hypertension protocols and trying to understand effectiveness of ACEI and ... A: Although the ACEI's and ARB's basically work the same way, not all are created equal. I often have ...
life	4/30/2008
Q: My name is Christie and I guess you could say I am somewhat of a worry wart. I am 22years old I had ... A: I appreciate your honesty telling about your medical problems and fears about same. It sounds like ...
slow heart rate/blood pressure	4/25/2008
Q: I am a 61 year old white male adult. Work out a lot. BMP 25. Normal resting heart rate 50 - 52. ... A: What is happening here is that a regulatory mechanism is at work. When the pulse slows, the BP goes ...
slow heart rate/blood pressure	4/24/2008
Q: I am a 61 year old white male adult. Work out a lot. BMP 25. Normal resting heart rate 50 - 52. ... A: I need to clarify what you are asking. Is your blood pressure elevated regardless of your pulse? ...
BP 200/120 and white coat syndrome	4/23/2008
Q: My husband is 45, overweight, and a longtime weekend drinker and smoker. He rarely gets sick. His ... A: An EKG shows two things; old injuries to the heart and the hearts activity at that specific moment ...
BP 200/120 and white coat syndrome	4/23/2008
Q: My husband is 45, overweight, and a longtime weekend drinker and smoker. He rarely gets sick. His ... A: WHOA! Don't get freaked out. He is on the right course with medicines and blood work (not knowing ...
BP 200/120 and white coat syndrome	4/22/2008
Q: My husband is 45, overweight, and a longtime weekend drinker and smoker. He rarely gets sick. His ... A: You are quite correct to assume that his raised blood pressure could be related to a Dr. Visit, OTC ...
left side chest pain, palpatations	4/17/2008
Q: I'm really concerned now about my palpatations developing into a dangerous arrythmia. I was ... A: Some palpitations are normal in most all people. They only become an issue when they are frequently ...
Hypertension	4/17/2008
Q: My father aged 77 yrs. He is suffering from Hypertesions since last 2 years due to 2-3 deaths in my ... A: In addition to these meds, he needs to avoid salt in his diet. These are good medicines but there ...
I am 23 years old male and I have high blood pressure	4/16/2008
Q: I am a 23 years old male and couple a weeks ago I found out that I have a high blood pressure.I have ... A: I'm a little surprised that your blood pressure goes down with Xanax. That is not a usual side ...
I am 23 years old male and I have high blood pressure	4/14/2008
Q: I am a 23 years old male and couple a weeks ago I found out that I have a high blood pressure.I have ... A: First, I'm very happy that you stopped supplements. Blood pressue normally goes up and down through ...
Lisinopril	3/5/2008
Q: I was tolt to take Lisinopril because when I go to a clinic my blood pressure soots up to ... A: Sounds like you need the Lisionpril. Your pressure away from the office is still borderline high. ...
Hypertension	3/2/2008
Q: I got a mini-stroke on Feb 12 and my right hand and leg are numb. The doctor done all required test ... A: Your medicines for hypertension should not cause abdominal pain. Although this is a side effect it ...
belly	2/18/2008
Q: Sorry for the other question I copied and pasted wrong. I am 50,5'8",38' waist,48' belly measured at ... A: Unfortunately the size doesn’t tell the whole story. What was a 36” waist in tyiur youth isn’t made ...
pulse rate and bp	2/12/2008
Q: 31 male - no smoker, no caffine intake... i recently developed or have been aware of my pulse, i ... A: It isn’t unusual to see your pulse in your neck. Provided you had a complete and normal workup and ...
Hypertension and Leg Swelling	1/27/2008
Q: My father is 57 years old. There is a long family history of hypertension and he has been on Amlong ... A: Clearly his blood pressure is not controled now and from the numbers in the past, it wasn't then ...
Diabetes and microalbumin with occ hypertension	1/20/2008
Q: sir I am Diabetic patient since 5 years and inspite of metformin treatment 3 times 500 mg my sugar ... A: First, you NEED to control your eating habits because medicine can not do it alone. Second, I would ...
hypertension	1/16/2008
Q: I'm a 24 year old male,1,89m tall, 83kg.i've been diagnosed with severe hypertension about 2 years ... A: Hypertension can have a number of causes but when a specific cause can not be found , it is called ...
Varied diastolic readings even on Meds	1/10/2008
Q: I live in the UK Ive been on an calcium channel blocker for two years (20mg Zanadip) , im a 38yr ... A: I have the same problem with my patients. The monitors that they use outside the office are never ...
Diovan and Lopressor together?	1/9/2008
Q: My 84 year old father-in-law had been taking Diovan for many years. Well over one year ago he ... A: From what you say, the Diovan seems to be the culprit. I assume that he drinks enough water to ...
Getting off Lopressor	1/7/2008
Q: I am in the same boat as Sebastian. I basically mistook a panic attack for a heart attack and went ... A: it is possible to wean off medicines and see how you do. You should have your blood pressure checked ...
Mother and AF	1/7/2008
Q: My mother has secondary pulmonary hypertension. She has been on a medicine for the last 2 months ... A: I regret to say that there is no cure for pulmonary hypertension. Add to that an enlarged heart, ...
effects of medication	12/27/2007
Q: Two years ago I had wild fluctuating HBP which is better now but not perfect. . My dr. put me on ... A: I think you mean intracranial HYPERtension. The best way to have this evaluated is with spinal tap ...
Hypertension	12/20/2007
Q: I have been checked by different doctors and around 5-6 years back I was referred to take Amlopres - ... A: I am not familiar with the drug Amlopres-L (you must be living out of the US). If diagnosed with ...
Blood Pressure	12/6/2007
Q: I am 51 years old, 62 kgs weight, have blood pressure.170/90 Doctor suggested to me take TENORMIN ... A: That dose of Metoprolol may not be high enough. Also as a diabetic, you should be on either an ACE ...
sodium	11/29/2007
Q: I am 27 years old, female, weigh 110 lbs, and am 5'3. I have low blood pressure (86/58- average) ... A: If you are comfortable with a blood pressure of 86/58 and have no associated medical problems, I ...
Extremely High BP	11/26/2007
Q: I am 31 years, 6 feet tall, 90kg weight. I am going through a rather vigorous police job application ... A: I'm glad that you are seeing your doctor about this. A change in blood pressure that significant ...
dry stroke	10/17/2007
Q: If a person has a dry stroke can it cause you to have double vision? If yes how can it be corrected ... A: A stroke can affect vision. Depending on the severity of the stroke vision may correct on its own as ...
BP	10/8/2007
Q: I am 37 male, regular habits. I have been controlling my BP with 2.5 mg Amlodipine+25mg Losartan, ... A: These are all things you should be discussing with your doctor. He may have you on two drugs for ...
Blood Pressure and Stress	10/4/2007
Q: Cusumano: I need to interview an expert for my science fair project. Here are my questions: 1. How ... A: 1: As a rule it will go up 2: No 3: Mainly adults 4: No 5: Some kids can have high blood pressure ...
Accuracy of digital BP monitors	9/22/2007
Q: I am a CDL truck driver . A BP over 140/90 will disqualify me from driving . (I am 57 years old , ... A: As a matter of fact I do DOT physicals in my practice. As I undertand it, you will not be ...
Hypertension	9/17/2007
Q: I am 37, male, non-smoker, regular habits. I was diagnosed with primary hypertension(hereditary)of ... A: I ideally your blood pressure should be around 120/70. You pressure is higher than it should be. I ...
aldosterone/hypertension	9/4/2007
Q: I am 60 years old, 5'9", 140 lbs. I was diagnosed with hyperaldosteronism at about age 30, and have ... A: It is possible that over the years things have progressed and now what used to control your BP no ...
Scared.	8/30/2007
Q: I'm eighteen and I was diagnosed with mild Hypertension over two years ago. Right now, I'm on 5mg ... A: What you have been told and what you are doing is correct. It sounds like the anxiety is going to ...
Treatment of hypertension	8/24/2007
Q: I am 37 male Indian, non-smoker, fairly regular food and exercise habits. I was diagnosed with ... A: Your blood pressure goal should be 120/70. The history of diabetes makes important to stay on the ...
high pulse rate	8/9/2007
Q: i was on vacation in a town near bostin. i deloped an uti tract infection and went to a walk in ... A: A rapid heart rate can be caused by any number of things, not all of them serious. It is possible ...
My hpm is through the roof	8/2/2007
Q: I'm in great pain at the moment. but I really need to know why this happens to me occasionally. I ... A: This sounds like paroxysmal atrial or supraventricular tachycardia. The dizziness and pain are a ...
arb vs acei	7/20/2007
Q: My grandmother has uncontrolled hypertension. She is currently on Metoprolol 50mg daily, ASA 81mg ... A: Yes, she can switch to Diovan and get the same results in most cases. ARB's have a far less cough ...
Exercise and increase in blood pressure. (sorry forgot to add some info)	7/13/2007
Q: Sorry for the double email. I forgot to mention that after the exercise i was very out of breath ... A: Sorry for the delay. Blod pressure will rise during exercise but the rise shouldn’t be too ...
htn medications and the athlete	7/9/2007
Q: I'm a PA too, and found your source of info on internet while investigating the above topic (Not ... A: Certainly not beta blockers. Calcium channel blockers can cause fatigue and muscle cramps. You might ...
lotrel and lisinopril	7/8/2007
Q: your expertise is greatly appreciated. i currently take Lotrel 5/20 and it makes me weak, been ... A: I'll assume he is ADDING the Lisionpril? If so, it will be a different ACE. I'm not sure why he ...
Chest pain & Migrain Pain	7/3/2007
Q: I am having headache since last 5-6 years. Initially I had headache once in a month. But after that ... A: Unfortunately I am not familiar with Paracetamol. There is no like drug in the US. The problem you ...
Hypertension and drugs	6/28/2007
Q: I am caucasian male, age 40, overweight, pressure 141/100. I have been prescribed and I am using ... A: I am not familiar with "Prestarium Combi"--are you from outside the USA? As for taking drugs ...
27 year old hypertension	6/28/2007
Q: I am 27 years old and 5'5 and i weight about 166lbs, i used to weigh 192lbs, and i have lost all ... A: Ideally blood pressure should be no higher than 120/70. That isn't practical for all patients for a ...
Optimum heart rate whilst exercising with hypertension	6/25/2007
Q: I am a 46 yr old male with recently diagnosed hypertension. My BMI is good for my age and height ... A: I'm a little surprised that you have been put on Captopril. This is an old drug used to treat ...
rapid heart rate	6/22/2007
Q: My husband is in the military and just had a physical done and his heart rate was elevated to ... A: Unfortunately, there is no fix for this without first knowing what causes it. Hypertension is rarely ...
strokes	6/18/2007
Q: my grandpa just had a stroke this morning, i am waiting at home to hear more but what i do know is ... A: It all depends on what the bleeding is coming from and where it is. Also how much bleeding ...
blood preasure	6/17/2007
Q: tips to manage blood preasure A: Keeping hypertension at bay requires proper diet (low or no salt, low sugar and cholesterol), ...
morning hypertension.	6/16/2007
Q: I am a 59 yr old causcasian male, not overweight. I first took Altace which gave me a cough and did ... A: Based on the numbers you give, your blood pressure is still not adequately controlled. There are a ...
hypertension	6/12/2007
Q: Can a person have hypertension that is not an indicator of clogging arteries? Can a person have high ... A: Hypertension and high cholesterol can be interrelated but can also be stand alone issues. Neither ...
Hypertension- Turmeric	6/8/2007
Q: I have a hypertension for two years now .I take hazzard 100/50mg and Novarstic 50 mg. After reading ... A: I would never suggest a patient stop taking a medicine without first checking with your physician. I ...
My BP is 154/94 for 2 times in different occasions	6/7/2007
Q: I am male, 29 years. 5'6'' 158 lbs. I had a surgery for Abscess which became Anal fistula 2 months ... A: There are any number of reasons for hypertension to show itself at your age. It could be diet ...
Blood pressure	5/30/2007
Q: .. I am a 30 year old whitemale, who has a history of heart problems of my fathers side. I went to ... A: All things considered, I'm a bit upset that this wasn't more aggressively treated by your doctor. ...
weakness on exercise	5/19/2007
Q: I am 80 yrs old, 5'8' 142#. currently taking Armour thyroid and lisinopril/hctz.BP at home about ... A: One thing that you haven't had (I don't think) is an Echocardiogram. This will test if your heart is ...
HBP Problems	5/14/2007
Q: I am a Blk male, 48yrs old, 6'2" and have had HBP for over 20 yrs and have been on medication at ... A: Unfortunately hypertension can be very hard to treat. Many patients have to be on multiple ...
what now?	5/11/2007
Q: I'm a 34 year old white female, 5'7", 130 pounds, in relatively good shape. No history of ... A: Well, a "nurses evaluation" of the Renogram doesn't count. I'd wait for the full report. It may be ...
Hypertension	4/28/2007
Q: My husband, 38, has a blood pressure reading of 150/100 on the 23rd of April.This is the first time ... A: It is possible to stop medication in order to see if his blood pressure stays down with diet and ...
q	4/22/2007
Q: i was at the gym working out with weights and i was curios about those machines that take your blood ... A: Elevated blood pressure often has no symptoms. Your elevation is mild and depending on how soon ...
very high pulse rate and breathing problems	4/17/2007
Q: my 19 year old student daughter has had 'episodes' of palpitations,breathing difficulty and holding ... A: The Inhaler can speed up her pulse. An EKG is OK but only shows electrical activity of her heart. A ...
high blood pressure, dizziness, trouble breathing	4/15/2007
Q: I am a 14 year old female. Since Tuesday, March 13th, I have been dizzy and very weak, but March ... A: A stress test is when you are hooked up to EKG wires and walk a treadmill. An ECG and EKG are the ...
high blood pressure, dizziness, trouble breathing	4/13/2007
Q: I am a 14 year old female. Since Tuesday, March 13th, I have been dizzy and very weak, but March ... A: Hypertension at your age would be unusual but not impossible. If you haven't had a stress test ot ...
new hypertension, unresponsive to calcium channel blockers	4/13/2007
Q: Pre-eclampsia in 2003; mostly resolved, but had one episode of what was later determined to be ... A: Renal artery stenosis is always a possibility but that is usually seen in patients with very high ...
high blood pressure	3/24/2007
Q: Why does my 92 year old G-Ma feel like she is being shocked by everything in her room? When they ... A: No, I don't think shes' going to have a heart attack based on what you're saying. I believe that he ...
high blood pressure or white coat syndrome	3/4/2007
Q: The doctor has my husband on lisinopril/HCTZ, Cardizem CD and thyroid meds. He has always had his ... A: It is a well know fact that the WORST place to have your blood pressure checked is at the doctor's ...
Controlling HTN to reverse LAE/LVH	2/14/2007
Q: I am a 44 y/o male, 6'3 and 270#, hypertension x10 yrs, worked as a paramedic for 17 yrs. Currently ... A: These episodes sound like afib/flutter. it would be beneficial to get a 24 hour holter to capture ...
high blood pressure...	2/12/2007
Q: I am a caucasian male 36 yr old 5'11" and weigh 232lbs. Was 225, but after the holidays, it went up ... A: All those things that you mentioned are important in the effort to control high BP. Of course, ...
Low Cholesterol, High Blood Pressure.	1/31/2007
Q: Good morning: I have a strange problem that maybe you can shed some light on. In short, I am a ... A: This may be the result of activity induced hypertension. This has been shown to be what is called an ...
Hypertension and PVCs	1/22/2007
Q: I am a 44 y/o man with hypertension X 10 yrs. Currently treated with Toprol XL 50 mg/daily. I have ... A: As you said, PVC's are common. The palpitations that are made up of PVC's can be related to the ...
Stress Test	1/19/2007
Q: I am being scheduled for a stress test and would like to know how I can get the best results -- I ... A: It is important to take your medicines as scheduled. As a rule, they will ask you to EAT a FATTY ...
safety of viagra with hypertension	1/15/2007
Q: My husband is 59. Diagnosed with hypertension 2 1/2 years ago. Diagnosed with diabetes 1 1/2 years ... A: I have found that a direct approach is best. I ask the question straight away. I don't believe in ...
high blood pressure	12/16/2006
Q: i m a healthy Indian male of 28 years of age with a medium frame body and a height of 180cm. i ... A: It sounds to me as though you are doing a reasonable amount of exercise right now. My concern is ...
Plendil	12/8/2006
Q: If Plendil does not affect the heart directly, then exactly what does Plendil do for High blood ... A: Plendil is a calcium channel blocker. In essence it prevents the heart and arterial wall musculature ...
lisnopril	12/4/2006
Q: How long after stopping lisinopril will it take to claer up the cough. I stopped the medication @ 1 ... A: The "ACE Cough" should have stopped by now. Prevacid will help reflux by reducing acid but the ...
exercised induced essential hypertentian	11/29/2006
Q: I am a 37 year old male, who has run for 20+ years, averaging about 30 miles per week. I have also ... A: This is a concern. A blood pressure like this during exercise (and even a resting BP of 138/85) is ...
Blood Pressure & Kidney	11/27/2006
Q: from: John Catmull cattlab2000@yahoo.com November 21, 2006 SEND HEART ADVICE , SERITIDE , VENTOLIN ... A: This is clearly a very complex issue. I would say that you definitely have hypertensin. "White Coat ...
Hypertension not controlled	11/16/2006
Q: I am M 66 years been a BP patient for 25 yrs. Have Glucose tolerance (well controlled). Diet very ... A: Bharathy, Unfortunately I am not familiar with the majority of these medicines (you must live ...
hypertension & thumping	10/31/2006
Q: I have been to my doctor since talking to you and she is experimenting with my medication - weaning ... A: I'm not familiar with Karvea (do you live outside the United States?). Sometimes a low dose beta ...
PPH and virus link??	10/23/2006
Q: I came across 2 studies that say they have proven a link between HHV-8 and Pulmonary Hypertension. ... A: Viruses are being implicated in many diseases now-a-days, for instance, cervical cancer, diabetes, ...
ALTERNATIVE TO BP DRUGS	10/3/2006
Q: Why is it only drugs can control BP? Doesn't it seem possible that there are alternatives out ... A: True hypertension is a complex disease. There are a number of causes for this. Thre are no ...
Hypertension & thumping feeling	10/1/2006
Q: I am female, 56 years old. Last year I was diagnosed with High Blood pressure after experiencing ... A: I would not change any medicine without talking to your doctor. Beta blockers are OK for treating ...
lifestyle changes for treatment	9/20/2006
Q: My husband has borderline hypertension (averages 135/82. He was prescribed Diovan. I was upset that ... A: Three months should be enough time to see a change. That said, I would never stop a medicine though ...
White Coat syndrome / hypertension	9/13/2006
Q: Despite anti-hypertension drugs (lisinopril, bumetanide, doxazosin and low morning BP) I have ... A: There has been a debate for years about whether or not 'white coat syndrome' is "real" hypertension ...
Stroke	9/8/2006
Q: I have high blood pressure. I am not on medication. I was on medication and had a cough for 8 weeks ... A: These symptoms are certainly concerning. It would be a good idea to have this checked out. I would ...
hypertension	9/6/2006
Q: how can we acertaim by which test that our bllood pressure is related to kidney function-renin?, or ... A: and Mrs., This is a VERY complex question. There are many causes of high blood pressure and just as ...
temporary hypertension	8/27/2006
Q: sir age 46, height 5.8 eight 100 kg generaly no significant problem--diabetes-mild/borderline.I ... A: I would stay on blood pressure medicines. Those readings are very high for a mild, intermittant ...
hypertension and asthma	8/16/2006
Q: i am an asthmatic who suddenly developed hypertension. i am overweight and used to take massive ... A: It isn’t really “safe” to drink when tking any medicines as alcohol interacts with nearly every ...
High blood pressure	8/9/2006
Q: I am asking this on behalf of my friend, her son is 17 and has been to the doctor for a physical he ... A: Hypertension and obesity are ingredients for severe health problems. Specifically, Heart disease, ...
hypertension	8/2/2006
Q: What does calcium have to do with hypertension? Why is there such a thing as calcium channel ... A: This is not calcium as you know it–in pills. It is an electrloyte that controls the pliability of ...
high blood pressure	8/2/2006
Q: I am a 54 year old female who has had perfect blood pressure until this last year. I have mitral ... A: Claritn (the plain kind) doesn’t affect blood pressure). Unfortunately, the combination of Diovan ...
hypertension	7/31/2006
Q: I suddenly expreienced dizziness and nausea about a week ago. I thought of checking my blood ... A: It depends a lot on what is causing your hypertension that will decide if you need to be on ...
Lisinopril	7/12/2006
Q: I went to the doctor today and he gave me a perscription for Lisinopril. I am presently ... A: Lisinopril is a good drug for hypertension and renal protection from microalbuminuria in diabetics. ...
Blood pressure medicine	7/4/2006
Q: I take a daily 10mg dose of Lisinoprol, along with 5mg bendroflorazide, I have hyperthyroidism for ... A: I apologize for the late response. It's been a very busy holiday week end. I am unfamiliar with one ...
Son with High blood pressure	6/8/2006
Q: Good afternoon and thank you in advance for offering your time. My 23 year old son has had elevate ... A: He may have sleep apnea. This can cause high blood pressure and restless leg. In any event, he ...
flutuating blood pressure	5/26/2006
Q: jParent had bad fall, not told about it. Later pressure went stroke level. They put a catapres ... A: I'm afraid that your syntax leaves me confused about who is doing what to whom. This is a very ...
spironolactone causing voice deepening	5/9/2006
Q: I hope you can answer this boggling question for me. One of the side effects of spironolactone is ... A: Spironolactone can cause anti androgenic effects in men with breast enlargement. It can cause hair ...
blood pressure and heart rate elevated	4/7/2006
Q: Recently, I had a problem where my blood pressure and pulse were both high. My blood pressure was ... A: Actually the only thing that could cause your blood pressure elevation (from what you mentioned) was ...
blood pressure and heart rate elevated	4/7/2006
Q: Recently, I had a problem where my blood pressure and pulse were both high. My blood pressure was ... A: Anemia can cause high blood pressure and rapid heart rate. If you don't have enough Iron in your ...
raw garlic and cholesterol etc	3/20/2006
Q: I hope my question is relevant to you. I couldn't find the nearest category. Hope you can help. I ... A: There is truth to the effect of garlic on Cholesterol lowering, but it is minimally helpful at best. ...
High BP in Morning	3/13/2006
Q: I have high BP, and have been on medication for 25 years. As I have got older (64) now, I notice it ... A: Blood pressure is normally higher in the morning anyway. The fact that it is has started climbing in ...
Getting Off Lopresor	3/12/2006
Q: ------------------------- Followup Question Hello Charles: I appreciate your concern and prompt ... A: I envy you the ability to be able to change professions. Clearly this seems to have helped you. ...
Hypertension	3/1/2006
Q: I'm taking Diovan 80mg for my high blood pressure. Usually it keeps it at 117/78, sometimes even ... A: It is always possible that the 80mg dose has reached it's limit in controlling your pressure. He may ...
HIGH BP	2/2/2006
Q: I have been treated for hypertension for about 7 years now. Just last week I was diagnosed with ... A: I apologize for the late response, but the AllExperts server was dysfunctional. OSA causes hypoxemia ...
Meds	1/30/2006
Q: I'm a 23 yr old male with high blood pressure,sinus taychardia,anxiety disorder,adhd. I currently ... A: I apologize for this late response but the AllExperts server was dysfunctional. The medicines that ...
Medicine	1/22/2006
Q: I currently take Acebutolol 400mg 1x daily (for high pule rate), hydrochlrthiazide 25mg 1x daily(bp) ... A: Yes there are potential interactions with all these drugs. Adderall raises puse rate and Acebutolol ...
hypertension family history	1/11/2006
Q: I am 42 white female who has been startling doctor's since the age of 12 when I would show up ... A: Hypertension at a young age should have been worked up. It would pay to have a renal ultrasound, ...
cholesterol	12/16/2005
Q: I suffer from high blood pressure , and I am taking medication for this, I also suffer slightly high ... A: You can take Niacin, but by itself it will not substantially lower bad cholesterol or raise the good ...
reducing hypertension	11/8/2005
Q: I am a 24 year old male in good health, except for the fact that last year around this time, I was ... A: At 6' and 220 pounds, technically (by body mass index measurements) you are on the border between ...
white coat hypertension	11/7/2005
Q: I am a 46 year old male in excellent health, 5'10 and 164 lbs, muscular, I swim, run at least 20-25 ... A: White Coat Hypertension has been a hotly debated issue for a numbe of years. There is a subset of ...
high blood pressure in one arm	11/7/2005
Q: my sister went to her urologist and they took her blood pressure in both arms. Her blood pressure ... A: A persistent, dramatic difference in blood pressure in the arms (provided the method for taking is ...
occ.B P mild diabetes occ dysfunction in sexual	9/18/2005
Q: sir, MD docter has prescribed following drugs patient details:-age 45 weight 98 kg---height ... A: I know of no interactions between these medicines, however Lisionpril and Metformin MAY have an ...
Hypertension	9/17/2005
Q: I am 22 years old and I have been diagnosed with hypertension and my doctor has me on two different ... A: I believe Coversyl is a trade name of a medicine prescribed outside the USA. I am not familiar ...
Hypertension - Medication	8/22/2005
Q: Cusumano, My question pertains to the possibility of combining the following two drugs: Tenormin; ... A: Jarkas, It is not uncommon to combine drugs in an attempt to lower blood pressure. Sometimes as many ...
Hypertension and nosebleeds	8/17/2005
Q: In several articles I've read that frequent (spontaneous) nosebleeds can be a symptom of ... A: Merck is correct. Nosebleeds are not diagnostic of hypertension. If hypertension is suspected, the ...
Systolic	6/1/2005
Q: I have mild hypertension. I have been treated for over a year with Avapro 300mg. My systolic has ... A: I am not sure why your pressure would actually come down when going off the meds. This may be ...
retinopathy	5/26/2005
Q: I have what doctors say is diabetic retinopathy but I am not diabetec. I take Altace 2.5 mg for ... A: I would seriously doubt that flying a plane like that would have any adverse effect on your eyes. It ...
Hypertension	5/17/2005
Q: I'm a 26 year old female. I am currently a little overweight (not much) and exercise between 45 ... A: It would be a good idea to get off Xanax as soon as you can. It works but is very addicitve. There ...
blood vessels	4/30/2005
Q: I have elevated blood pressure-- it varies but averages 140/90. I'm everweight and recently stared ... A: Probably related to muscle fatigue. It isn't uncommon to have muscle cramps, soreness and twitching ...
Side Effect of Hypertension Treatment.	4/26/2005
Q: My mother in-law has been dignosed with Hypertension for the past few years and is currently under ... A: If she is taking a drug called an Angiotensin Converting Enzmye Inhibitor (ACEI) the cough could ...
hypertension	4/23/2005
Q: I am 84, consider myself still in good health, and am active (swimming, walking, gardening), but do ... A: Actually there are a number of correlations. There are conditions that slow pulse and raise blood ...
hypertension along with kidney problem	4/15/2005
Q: my B.P is 90/150 and also having kidney problem .my kidneys are not functionally properly as ... A: When Creatinine is elevated it usually means Renal Insufficiency. Proper diet and medicines are ...
blood pressure	4/13/2005
Q: I am 53 years old man. I had written to you before about high cholesterol (270) and high blood ... A: I think going off the Lipitor is a good idea, but the Lisinopril could have been left although your ...
blood presure	4/13/2005
Q: i need to get my blood presure down with out drugs. i am using drugs now and the dr.can not get them ... A: Unfortunately, if blood pressure can not be brought down with medicines, trying without medicines ...
Alcohol ,Hypertension and stroke	3/29/2005
Q: Can you explain how does alcohol increases blood pressure? How does hypertension increases the risk ... A: Alcohol affects blood pressure in anumber of ways. It attacks the heart, brain and neuro-endocrine ...
Drug side effects in elderly woman	3/24/2005
Q: My mother is 86 and recently (3 months or so ago) was put on both Monopril Hct (10/12.5)for high ... A: I think that at age 86, you have to be careful not to overdo the antihypertensives. She could be ...
hi i am 25 years old. ...	3/9/2005
Q: i am 25 years old. I have svt, but my blood pressure has always been 100/70. BUt i also suffer ... A: I think that you have a valid concern. First I would look into why you have such emotional turmoil ...
Hypertension	3/9/2005
Q: Can hypertension lead to heart disease? Can stress increase the severity of hypertension and heart ... A: The answer to all your initial questions is an unqualified YES. Reducing stress will help offset ...
Blood pressure and Strokes	3/7/2005
Q: I am wondering about the connection between high blood pressure and strokes. I have heard that if ... A: First, blood pressure normally goes up and down all day long depending on circumstances. As a rule ...
What are the symptoms of Hypertension?	3/6/2005
Q: What are the symptoms of Hypertension? I really did't know what expert to ask since It didn't note ... A: Unfortunately, sometimes there are no symptoms of hypertension. That's why it is such a deadly ...
white-coat syndrome?	3/3/2005
Q: I get elevated BP when I am at the doctors office(the highest ever was 190/100).If I take my BP at ... A: Whether to treat Whitecoat Syndrome has been debated for a long time. There are those that don't ...
high blood pressure	3/1/2005
Q: Good Morning, I have a question about the possible combination of a person with high blood pressure, ... A: It is entirely possible that the sweats are from high sodium food. He should be eating no sodium ...
Question about hypertenison and gout	2/23/2005
Q: I am an Herbalist working with a client who suffers from high blood pressure and gout. I had a ... A: I would first wonder about just what the Atenolol has done to his blood pressure or heart rhythm. He ...
hypertension	2/22/2005
Q: I have been on Tenormin 25mg for about 20 years now and up to about 2 years ago it controlled my ... A: In time, medicines can no longer be as effective as they once were. Your doctor is right not to ...
hypertension	1/28/2005
Q: My mother is 55, and has been taking lopressor to treat hypertension for over 20 yrs. It never ... A: Diet and exercise can help control BP but it usually isn't enough by itself at her age. Lopressor ...
HIgh Blood Pressue	1/25/2005
Q: I suffer from aniexty / panic attacks. However, I was just at my doctor and he said that my blood ... A: If your elevated blood pressure is from anxiety, then controling that will help. Otherwise exercise ...
Barranquilla, January 24th,...	1/24/2005
Q: Barranquilla, January 24th, 2005. Dear specialist: how are you? My questions are about the ... A: Hypertension can be hereditary or acquired. Heredity is a strong risk factor. Symptoms of ...
Supplements for Hypertension	1/19/2005
Q: I've heard that fish oil and garlic tablets help lower blood pressure. Is this true. Mine sometimes ... A: Supplements alone, are of little value for treatment for medical problems. Conventional medications ...
hypertension	12/16/2004
Q: I am keeping a log of my blood pressure per my doctors request. It varies all the time, is there a ... A: Blood pressures vary daily and from hour to hour. If your pressures vary widely the best bet is a 24 ...
blood pressure	10/31/2004
Q: I'm a man in his 50s, My bp has always been around 130/90 high or low.I use a treadmill to exercise. ... A: I would have this evaluated. The fact that you exercise and lost weight may have made an even HIGHER ...
Hypertension - ways to relieve the symptoms?	10/7/2004
Q: My mother is a 52 year old Chinese lady. Her family members have a case of hypertension, and ... A: You Mom needs a Cardiology workup. The fluctuations in her pressure are quite extreme. It's clear ...
groggy feeling	9/26/2004
Q: For a few days now, I am having this groggy or dizzy feeling that I might just faint at any moment. ... A: There are a number of reason for high blood pressure and treatment depends on the cause. Your ...
mental stress	9/12/2004
Q: I am working as en exicutive in maultinational company.The problem is when i address the people in ... A: You have "performance anxiety". I have this myself. One way to cut down on these symptoms is to have ...
High blood pressure	9/8/2004
Q: I am a healthy 30 year old male. I am not overweight and do not smoke. I run 2-3 times a week. I ... A: Your BP is borderline high at 136/86. With the family history, you have to be very careful that high ...
Anxiety	9/7/2004
Q: Sorry if this question falls out of your range of expertise, but I did not know where else to send ... A: Stress hormones can cause all sorts of physical side effects. This is due to a release of a plethora ...
can mukta vati cure hypertension...	8/13/2004
Q: can mukta vati cure hypertension? A: I looked it up and found a web site dedicated to this "herb". The symptoms ascribed to Hypertension ...
high blood pressure	8/1/2004
Q: can you please tell me if diabetes type 2 contributes to high blood pressure, my mom is 84 under a ... A: Diabetes can exist concurrently with Diabetes or can cause it indirectly by its effect on small ...
control blood pressure	7/30/2004
Q: some times my blood pressure goes higher than 140/90 . i check my bp 2x a day and i am normaly ... A: I'm surprised that your job won't allow blood pressure meds. I'm not sure that they can do that. I ...
hypertension	7/16/2004
Q: I am 68 years old and have been on almost every BP med available. Currently I am on Avapro, Toprol ... A: At 68 years of age, I'd like to see that systolic pressure better controlled. Unless you have a ...
irregular BP	7/16/2004
Q: sir age 45...obesity with weight 103 kg.male married indian..general BP reading 130/90.some time ... A: Wiseman, It sounds like you need to be on regular medication for Hypertension. These numbers are too ...
Beta Blockers	7/15/2004
Q: I am a 51-year-old male, 5'8" 195lbs. There is a history of high blood pressure in my family and ... A: Beta Blockers are good medicines for blood pressure control. There are side effects such as fatugue, ...
sir any drug which can affect...	7/13/2004
Q: sir any drug which can affect blood pressure in few minutes..nifidpine ofcaurse but it can cause ... A: Kumar, The safest drug to get an immediate lowering of blood pressure in an emergency is ...
Just dx with high blood pressure	7/7/2004
Q: I have been waking up in the morning with headaches for the past few weeks. I woke up this morning ... A: For now I wouldn't take any supplemental sodium and watch what you eat that may contain sodium. Once ...
Hello. I am a 29 year old...	7/6/2004
Q: I am a 29 year old female I do not smoke, drink,I am not overwieght and am in generally good health. ... A: Anxiety itself is not harmful except for the way you feel during an attack. I think that it is ...
hi i am 23 years old.,...	7/5/2004
Q: i am 23 years old., i don't suffer from high blood pressure. Actually so far mine has been 110 ... A: First, you should look at why you are so quick to anger and why you have a generalized anxiety ...
bp	7/5/2004
Q: boarderline bp how should be treated? A: The term “borderline” is a bit ambiguous without knowing the exact numbers. Blood pressure ...
heart disease	7/3/2004
Q: My father is 65 years old. His heart makes problems for him. Sometimes he feels as if his heart has ... A: I can not tell you about “curing “ his heart. He has a portion of his heart muscle that doesn't ...
diuretics for hypertension	6/12/2004
Q: I know she is taking a blood pressure medication, as well as cholesterol lowering medicine. Let me ... A: Unless she is already on it, she might consider Lanoxin It helps the heart beat more effectively and ...
diuretics for hypertension	6/11/2004
Q: My mother-in-law is a youthful 83. I visited with her last week and saw that her usually lovely ... A: Diurectics can cause sodium to drop, however, with that much fluid build up, she needs something to ...
I have high blood pressure from pregnancy	6/9/2004
Q: I'm just 9 months pregnant and I have high blood pressure from the pregnancy. I never had this ... A: This is not uncommon during some pregnancies. As a rule, once the pregnancy is over, the blood ...
hypertension and pulse	6/8/2004
Q: I am 61 years old man,have a angioplasty in 1996.weight 136 lbs. I have a question that if my blood ... A: In a normally functioning cardiovascular system, Blood pressure and pulse work opposite each other ...
High Test Results	5/14/2004
Q: This is a question I asked another doctor, but I forgot to mention a few things. I take Effexor XR ... A: It is possible that the Effexor is the cause of your fatigue. You may need a drug holiday. ...
Hypertension	5/11/2004
Q: My husband took his blood pressure last friday by coincendence and it was 140/90. We started ... A: I think he needs to start with his family doctor. That number (140/90) is high blood pressure by ...
High blood pressure and aging	4/14/2004
Q: I am a physically active, 74 year old male who for a number of years has had borderline high blood ... A: There is no 'normal' blood pressure for anyone. It varies depending on multiple factors. As ...
High blood pressure and aging	4/14/2004
Q: I am a physically active, 74 year old male who for a number of years has had borderline high blood ... A: A blood pressure of 140-150 systolic is too high. The medicines you are on are probably not the ...
what are the symptoms	4/6/2004
Q: What are the symptoms of hypertention? what kind of tests would one do to see if they had ... A: A very good question! Actually, hypertension, in most cases has no symptoms. That is what makes it ...
HBP 167/100 metoprolol to coversyl plus	3/25/2004
Q: ------------------------- Yes I am from Canada and I am on Plavix also. and a baby aspririn daily. ... A: An ACE is OK for BP control but if we're talking solely about stroke prevention, a Calcium Channel ...
HBP 167/100 metoprolol to coversyl plus	3/24/2004
Q: I had a stroke in Jan. 14, 04 and before that I never had HBP. However when this happened it was ... A: Your blood pressure is poorly controlled. Your pulse at 84 is acceptable. It sounds like you had ...
Blood pressure	3/24/2004
Q: I have been monitoring my BP Levels. I am a 35 year old Male and relitivly fit still playing sport. ... A: It sounds like your pressure is stress related. The rise in pressure is still dangerous and ...
High Blood Pressure	3/12/2004
Q: I recently spent three days in the hospital. I had dizzy spells, I was seeing double, and the ... A: It takes a few days to weeks to see the effect of blood pressure medicines. Changes need to be given ...
hypertension	3/11/2004
Q: I am getting ready to have gastric bypass surgery. Ever since I found out that I was approved for ... A: This could be from the stress of the upcoming surgery although I'd say it is an exaggerated ...
hypertension specialty	3/4/2004
Q: Which type of doctor usually specializes in treating hypertension? I have not had any luck with ... A: Don't give up on your GP just yet. Treating hypertension is often hit or miss untill the right drug ...
True Readings	2/25/2004
Q: Followup To Question - Charles My wife is a non-smoking, vegetarian of average weight who has ... A: The doses of the drugs she takes would be considered average in strength. Despite the doses that she ...
True Readings	2/24/2004
Q: Charles My wife is a non-smoking, vegetarian of average weight who has been taking a variety of ... A: I apologize. I had no idea that I was in a dialog with someone from the Mother Country. The "good ...
True Readings	2/24/2004
Q: Charles My wife is a non-smoking, vegetarian of average weight who has been taking a variety of ... A: This is an issue with which we wrestle on a daily basis---is the patient hypertensive or just ...
Pulmonary hypertension	2/19/2004
Q: I was diagnosed with pulmonary hypertension about 4 years ago. I took medication for 3 years but ... A: Unfortunately, an echocardiogram isn't the ultimate test to determine if you have Pulmonary ...
Pulmonary Hypertension	2/10/2004
Q: Can you tell me what you know about Pulmonary Hypertension? My mother has recently been diagnosed ... A: This is a condition of Hypertension involving the pulmonary artery. I'll assume that at her age this ...
angina/ischemia	2/9/2004
Q: My father is 76 years old. He has been diagnosed with angina, ischemia and was prescribed Enalapril ... A: I am not familiar with Monosan (are you writing from outside the USA?). The nutrients you mention ...
help	2/4/2004
Q: finally the doctor has recommnded my hypertensive wife to go for an IVU test, what is it, how is it ... A: I'll assume this is the same as an IVP (a study to look at the kidneys). The only risk is an ...
Unusual Chest Pain	1/31/2004
Q: I am a 57 year old female with some family history of heart disease and hypertension. I have been ... A: Your chest pain is probably due to the 'valsalva' maneuver you went through during the coughing and ...
hypertension	1/31/2004
Q: Can you tell me when is the best time of day to take your blood pressure. Is it higher or lower at ... A: Blood pressure fluctuates all day long. In order to see an overview of your pressure, I'd take it ...
help	1/29/2004
Q: my is approaching 25 years and she's suffering from high blood pressure, she's been under medication ... A: Refractory hypertension can be caused by kidney disease or a tumor of the Adrenal gland. If the ...
HBP	1/28/2004
Q: how are you Does smiking contribute to high blood pressure? Does being 20-30 pounds overweight does ... A: Both smoking and obesity contribute to hypertension. Smoking because the nicotine constricts the ...
Blood pressure	1/20/2004
Q: I have an ejection fraction of twenty and I was wondering if that would have any thing to do with me ... A: It is possible that this can contribute to low blood pressure. A blood pressure of 90-100 systolic ...

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