Kumar Clinic

Low blood pressure can be due to several causes. You have to get cardiac evaluation like ECG ECHO ,Endocrine evaluation There are several other diseases that are associated with low Blood pressure. So consult a doctor for evaluation. Thinking that is the blood pressure normal may turn out to be wrong.

There are several causes of low blood pressure. Symptomatic low blood pressure should always be evaluated. Most important are Asthenia due to chronic infective diseases ,endocrine diseases like adrenal failure, oosr cardiac diseases such as pulmonary hypertension etc So you will need proper evaluation of your problem .Hence consult properly and do not neglect.

You are having Skin infection. This indicates that your resistance to infection is low and you have got infection which are virulent and also that You may have Diabetes. So better consult a Doctor for proper evaluation and Treatment.

You can start with 2.5 mg at bed time initially (Max effect of the drug should be present in Early morning hours) and check your Blood pressure at several times .If it reaches 130/80 you can continue that. Otherwise You have to take 5.0 mg at Bed time and Check your BP. You have not mentioned your Age. If you are a person with lot of psychological tension Your BP will Vary depending on Your Tension. So You have to control your Tension by Meditation/Physical exercise. If you tension does not subside with Your effort You will have to take drugs to reduce your Tension Otherwise BP will not be Controlled. You have to reduce salt in your diet. You have to reduce your weight if you are overweight. Control Diabetes. Should avoid Hypoglycaemia.

You are telling you have depression and you are taking ventab. Have you consulted Psychiatrist. If you have depression you can not take ciplar for hypertension. Ciplar is used for Anxity. You have to use different drug for hypertension depending on the level of your blood pressure.

If you are vommiting you may have Gastrointestinal problem. People with Diabetes will have high ttiglyceride level if Disbetes id not under control. People who are taking alcohol have high triglyceride level So avoid alcohol if you are taking. Uncontrolef Diabetic people and people taking alcohol can have nausea and vomitting. You may be taking heavy carbohydrate diet. Avoid taking a heavy diet. You have to take only food sufficient to meet your calary requirement. If you take food in the morning you should become hungry at 12: 30 pm and if you eat your lunch at 01: 30 pm you should become hungry at 6: 30 pm.you should eat less at night also. Balanced carbohydrte food is okay. This will reduce your weight if you are overweight. Protein rich food is Body building. Food containing Fat (lipids) are not not spent easily as Carbohydrate metabolism always overtakes Fat metsbolism and gets stored in the body. (causing overweight). This should be remembered. Physical Exercises and Drug as Atorvastain and Fenofibrate reduce Triglyceride levels. For vomiting you should consult Gastroenterologist.

Only 2D Echo normal does not rule out all diseases. It tells that your resting heart function at that time is Normal. BP to be recorded to see wether You have High BP. Blood pressure should be below 130/80. You have to get ECG. If ECG is Normal you have to Undergo Treadmill exercise ECG test. Which may show Coronary Ischaemic heart disease. There are many causes of Chest pain. If You are a past smoker You may have Coronary artery disease to be evaluated by TMT. Vertigo is usually a neurological/EAR (labrynthyne) problem.

Your BP is 100/70. You are becoming breathless on exertion. That means your Physical capacity is limited. You have to first find out that you have any disease which has limited your exercise capacity. You may have Cardiac problems Respiratory problems Haematological problems or any other. There are so many causes of Breathlessness. So you have to find out that there are any pathological causes for Your breathlessness. Then only You can have a proper diaagnosis and treatment advise.