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Hypertension/Questions Answered by Expert Dr. Shabbir Baldiwala
| Subject | Date Asked |
| hypertension medication | 11/6/2009 |
| Q: Baldiwala, My wife is currently taking hydrochlorothiazide 25 mg (i belive), but is not very ... A: All the antihypertensives have their advantages and disadvantages. Selection of the group is of ... | |
| blood pressure | 7/12/2009 |
| Q: I know the normal blood pressure is less than 120/80. I know that blood pressure goes up during ... A: During exercise or any other physical activity, the blood pressure goes up significantly. There are ... | |
| my reports | 6/23/2009 |
| Q: I am 54 years male and hypertensive I was taking Amlopress NB ( Nebiovolol 5 + Amlodepine 5 mg ) and ... A: You have to stop smoking with immediate effect. You are at a very high risk for developing a cardiac ... | |
| HbAic | 6/11/2009 |
| Q: My friend is a male 53 years with hypertension on Tenochlor 100 once Losar-A twice He has a family ... A: 1. There is a possibility of fluctuations in his sugar levels during the day. That would probably ... | |
| 20 year old female with Hypertension | 3/4/2009 |
| Q: First off, I have a long medical history so I am going to give you an insight into that before I ... A: You seem to be having some kind of immune disorder. Anyways, you have to treat each component on an ... | |
| cilnidepine | 1/29/2009 |
| Q: Respected Sir, My brother's wife aged 64 has hbp and was on losartan 100 with HCTZ 12.5 Due to bp ... A: Cilacar is a novel calcium channel blocker which works similarly but superiorly to Amlodepine. There ... | |
| hypertension | 1/21/2009 |
| Q: Baldiwala I am 50, no major health issues other than being overweight (who isnt) and I have sleep ... A: Most likely you seem to have Essential hypertension which is generally hereditary. Stress would just ... | |
| Recent tests | 1/6/2009 |
| Q: Respected Dr Shabir sir, Hello. I am from India and have read your responses eagerly Your responses ... A: 1. Your SGPT is high due to fatty liver which is because of your obesity. 2. the only way to ... | |
| chest pain | 12/13/2008 |
| Q: I am 57years old and have been taking blood pressure medicine for some 20 years. My doctor just ... A: Sometimes it is very difficult clinically to differentiate an odd chest pain from a cardiac pain. ... | |
| Hypertension | 12/5/2008 |
| Q: i usually remain in prehypertensive stage for years, with bp ranging between 120/84 to 135/92, ... A: 1.Malignant hypertension is defined as high blood pressure with impending end organ damage. ... | |
| Blood Transfusions | 11/20/2008 |
| Q: If a patient is suspected of having blood loss becomes tachypnoeic, hypotensive, pale and sweaty. ... A: If the hypotension is due to active blood loss, you need to replace it very fast which would be over ... | |
| Blood donation | 11/7/2008 |
| Q: Dr. I am used to donate blood twice a year. Lately, my blood pressure is about 123/100, and the lab ... A: Blood donation will not help preventing hypertension. Lack of sleep can cause a slight rise in ... | |
| High Blood Pressure | 10/30/2008 |
| Q: Ask Expert [an experts expert!] Blood Pressure from: John Catmull Sir, If I mention age now it ... A: A combination of Amlodepine with Telmisartan or any other ARB would be a good and rational anti ... | |
| Thin and has high blood pressure? | 7/18/2008 |
| Q: My grandmother is 80 lbs. But, her blood pressure was 236 over xx(don't remember?)!! She has no ... A: Your grandmother has hypertension - most likely essential. Such a high pressure is a medical ... | |
| 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: I personally think that you should continue with just Toprol. A pressure of 120/80 is very much ... | |
| Labetalol and HCTZ | 6/19/2008 |
| Q: I'm a 27 year old female and have had borderline hypertension for the past 6 years (was detected in ... A: 1. HCTZ is not recommended in pregnancy. 2. An ARB like Telmisartan, Olmesartan or calcium blocker ... | |
| High blood pressure | 6/7/2008 |
| Q: I recently took up weight lifting and I have gained 30 pounds in the past 6 months. I also took ... A: Your increase in pressure should be attributed to your weight gain. Additionally, you have been ... | |
| 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: You are quite anxious. Calm down. First things first. It would be difficult for me to comment on ... | |
| Side effects of medicines. | 4/11/2008 |
| Q: My mother is 73 and had bypass of heart in May 2000. Now she is again in Failure stage and 2nd ... A: Sorry for the late reply. I have been regularly prescribing these medications and have yet to see an ... | |
| Atacand and potassium | 3/23/2008 |
| Q: I am a 35 year-old male. I take 4mg Atacand daily for mildly elevated blood pressure. I have read ... A: Atacand can cause increased potassium levels. You need to keep a regular check on your potassium by ... | |
| pulse | 2/16/2008 |
| Q: i recently began to feel my puls beat faster. I took a reading with a machine sure enough my pulse ... A: You have undergone all the basic tests needed to rule out some pathology related to a high pulse ... | |
| blood pressure medication | 2/16/2008 |
| Q: I am a 67 years old white male. I had triple by-pass 10 years ago and I have a slight murmur.. The ... A: 50 mg of Toprol is a good dose. But if your pressure isnt controlled with this dose, you could ... | |
| Hypertension Treatment Algorithms | 2/3/2008 |
| Q: Shabbir, I am 37 years old and have been battling hypertension since I was about 22 years old. I do ... A: Considering that an ARB is the drug of choice first up, Diovan is a good option. Adding ... | |
| Can you recomend a blood pressure monitor | 11/15/2007 |
| Q: Shabbir, My 53 year old husband has had two episodes of bleeding retina which his doctor can't find ... A: In general, I would prefer the forearm meter over the wrist meter. As regards accuracy, the mercury ... | |
| potassium use | 11/9/2007 |
| Q: Should your intake of potassium be limited while on the drug Lotrel? What are the benefits of ... A: Lotrel could cause an increase in potassium levels in certain individuals. It is best to get a ... | |
| Orthostatic Hypotension | 10/23/2007 |
| Q: I know that your specialty is HIGH blood pressure, but I was hoping that you would be able to help ... A: You would have to tell me the cause of Orthostatic hypotension in you. Are you on any drugs? Have ... | |
| Blood Pressure and Stress | 10/4/2007 |
| Q: Baldiwala: I need to interview an expert for my science fair project. Here are my questions: 1. How ... A: 1. The age of onset of high pressure has reduced over the years due to modernisation. 2. Certain ... | |
| Hypertension turned Hypotension | 9/20/2007 |
| Q: I had been taking 50 mg tenormin X2 daily and it wasn't controlling my hypertension and my doctor ... A: Get your pressure checked on a regular basis. If it remains on the lower side, you could ask your ... | |
| Normal Blood pressure | 9/20/2007 |
| Q: it is usualy around 130, highest has been a little above 140 and lowest has been 110. (the blood ... A: Since both your parents have high blood pressure, you definitely have a possibility of developing ... | |
| Hypertension | 9/17/2007 |
| Q: I am 37, male, non-smoker, regular habits. I was diagnosed with primary hypertension(hereditary)of ... A: a. As a rule, if there is a difference in BP readings of both hands, the higher value is to be ... | |
| Hypertesnion not getting controlled | 6/27/2007 |
| Q: I am 25. In Sept. 2006, just a couple of months before I turned 25, I got to know that I was keeping ... A: Considering your poor lifestyle, it seems difficult that you can manage your pressure without ... | |
| prehypertension-slow heart rate | 6/5/2007 |
| Q: My 19 yr. old son began having dizzy spells and racing of his heart. After two trips to the ... A: Just keep a regular check on his pressure and heart rate. Check his rate while he is sleeping. If, ... | |
| prehypertension-slow heart rate | 6/4/2007 |
| Q: My 19 yr. old son began having dizzy spells and racing of his heart. After two trips to the ... A: I have not understood whether your son has a slow heart rate or a fast one during the dizzy spells. ... | |
| hypertension and best medication | 5/20/2007 |
| Q: I'm 35 year old man i have checked my blood pressure several times during the last two months and ... A: Blood pressure is always lower during sleep as compared to the wake period. Also, the heart rate is ... | |
| queries | 5/16/2007 |
| Q: I am 5o years male on hypertension treatment Atenolol 100 and Losartan 100. Attorvastatin 10 mg ... A: 1. Clopidogrel may be preferred instead of Aspirin 2. Exercising regularly is the only way to ... | |
| BP Myth | 5/16/2007 |
| Q: My relative was recently found to be hypertensive and suggested Tenromin 25 mg ( for MVP + ... A: Firstly, you have to tell me her pressure reading. That will decide whether she needs to be on ... | |
| Hypertensive drugs and effects on running | 5/4/2007 |
| Q: I have fairly established hypertension (recent 24h monitoring conclusive and parents both ... A: Firstly, your pain is not related to any anti-hypertensive drug. Secondly, you havent given me a ... | |
| HBP Atenolol and Lancet mgzine | 4/18/2007 |
| Q: Respected Sir, I came across one article published in Lancet as told by my internist. I produce the ... A: Very true. Betablockers are not the first line of drugs for hypertension except in cardiac cases. In ... | |
| question | 4/10/2007 |
| Q: My elder brother aged 67 years already on metoprolol 100 losartan 100 and amlopdipine 10. He is ... A: Its a good combination. But Metoprolol has advantages over Atenolol. So I would suggest to continue ... | |
| question | 3/20/2007 |
| Q: Respected sir, My mother in law a patient of HBP and AF and pacemaker implant age 73 years was put ... A: In my opinion Carvedilol would be a better option as compared to Atenolol since she has heart ... | |
| elevated systolic bp , Cholesterol & medication | 2/25/2007 |
| Q: 60yrs female. wt 112 ht 5'4''. Take 1200 mg calcium, 81mg asprin and multi vit. Walk 2 miles three ... A: As age progresses, your systolic pressure rises but diastolic remains more or less same due to ... | |
| palpitations HBP MVP | 2/16/2007 |
| Q: Sir, I am lady housewife aged 43 years with HBP and MVP 2D Echo done and EF is 69%. Previously I was ... A: Get a 24 hr Holter monitoring done to record the palpitations. Repeat a Stress test. If it is ... | |
| 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: Aggressive BP control can to a certain extent reverse LVH / LAE. Exercising on a long term basis ... | |
| question | 12/13/2006 |
| Q: What causes Hypertension and heart disease? What can Cure Hypertension and heart disease? A: Most often hypertension is hereditary though you need to rule out secondary causes like renal, ... | |
| Sartan | 12/8/2006 |
| Q: Respected Sir, Which sartan, according to you, is very proven effective sartan with least side ... A: Telmisartan is an effective molecule. All sartans are relatively safe though they may increase ... | |
| drug interraction | 12/7/2006 |
| Q: My mother is a 75 year old 100 pound female. SHe is currently taking 240mg diltia, 100 mg of ... A: It would be advisable to start on atenolol or metoprolol with hydrochlorthazide for better control ... | |
| Sudden onset hypertention in 40 year old female | 11/12/2006 |
| Q: I need sound advice. I am a nurse who is 30 pounds overweight, fairly inactive, and slightly ... A: Do not panic. Your high pressure could be anxiety related or induced by prednisone. In any case you ... | |
| hyper/hypotension | 9/28/2006 |
| Q: I have a question concerning what I would call unstable blood pressure. I've had problems with nose ... A: There are blood pressure variations which occur during the day and sometimes due to certain factors. ... | |
| Atenolol...skipped dose questions | 9/24/2006 |
| Q: I was put on Atenolol (50 mg daily) to treat my high blood pressure, PVC's and tacycardia nearly 4 ... A: You can take the atenolol in the evening. Dont skip the morning dose that day. 2 doses in a day will ... | |
| hypertension and asthma | 8/16/2006 |
| Q: i am an asthmatic who suddenly developed hypertension. i am overweight and used to take massive ... A: The tabs prescribed to you are very safe for asthmatics. You probably need to take these tabs for ... | |
| hypertension | 7/31/2006 |
| Q: I suddenly expreienced dizziness and nausea about a week ago. I thought of checking my blood ... A: Most likely you shall have to take anti-hypertensive medications lifelong unless your pressure is ... | |
| Heart hurts/over stimulating | 6/27/2006 |
| Q: As far as I know the above test has never been done. Again, heart Cath. was performed. I have been ... A: Based on your description, it seems you are suffering from exertional angina. in such a case, a ... | |
| 20 year old male with serious blood pressure problem | 6/27/2006 |
| Q: Diastolic BP is 90 and higher one is 132i am 20 year old male and i have a serious blood pressure ... A: I dont think you need to worry. Your pressure is normal though on the higher side. You dont need any ... | |
| What could be causing my husband's HBP? | 6/23/2006 |
| Q: My husband is 28 years old. Very physically active, healthy body weight, no family history of high ... A: You have to rule out secondary causes of hypertension which include renal disorders, endocrine ... | |
| HBP Medicine | 6/20/2006 |
| Q: My daughter aged 16 years has MVP and hypertension for which she takes Metoprolol 25 mg. Difficulty ... A: It is true that if a medicine is crushed and taken it gets absorbed into the circulation much faster ... | |
| HYPOTENSION/LEG EDEMA | 6/1/2006 |
| Q: – I hope this email address is still valid. I found your information while perusing medical ... A: There are various causes of leg edema - venous insufficiency being one. It would be advisable to get ... | |
| Spironolactone causing voice deepening | 5/9/2006 |
| Q: Baldiwala. One of the possible side effects of spironolactone is deepening of the voice. Since ... A: Sorry for the late response. As a matter of fact, I had replied to your query but due to some ... | |
| sildenafil and low salt | 4/27/2006 |
| Q: sir whether use of low salt is permissible for user of sildenafil(viagra) at night?(no hypertension ... A: Why are you corelating low salt and viagra? Are you apprehensive of low blood pressure getting ... | |
| occ hypertension | 4/27/2006 |
| Q: how can we acertain the reason of occassional dis-comfort without chest pain but occ at that time ... A: Mr Kumar, Your blood pressure is in the prehypertensive range. Definitely, there must be 24 hr ... | |
Hypertension
Answers by Expert:
Dr. Shabbir Baldiwala
Top Expert on this page
Expertise
I can answer questions pertaining to maintenance of optimum blood pressure control, drugs to be used in different clinical settings, precautions and side effects to watch out for while using these drugs. Hypertension is the single largest killer disease affecting all organ systems.
Experience
5 years of training and 8 years of Clinical Practice.
Education/Credentials
MD (Internal Medicine)
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