Hello! I have been a doctor for 21 years. My name is Georgy Olegovich Sapego. This article will have questions and answers.
Question: Lifting weights. I have a working pressure of 140/100. This is normal?
Answer: When lifting weights, anyone's pressure scales. The main thing is that it should be below 140/90 one hour after training. There is no work pressure. In all people, the arteries are made of the same material, and for all the pressure rates are the same. The rates are constantly decreasing. Now the pressure above 130/85 is declared increased. Pressure 140/100 is definitely increased. You can try to measure it more carefully: not earlier than an hour after training, with an automatic tonometer with a cuff on the shoulder, and only 5 minutes after applying the cuff.
Question: Prescribed drugs to lower blood pressure, I drank them, but the paradox, the state of health became, on the contrary, worse. Why?
Answer: Medicines for blood pressure do not make you feel better. They prolong life. All medicines have side effects. Medicines to lower blood pressure usually have many side effects. But these medications are not prescribed to improve well-being, but to reduce the risk of stroke or heart attack. That is, to reduce the risk of death. So you have to put up with side effects.
Question: A couple of times during training, the pressure increased, I took medicine for pressure under the tongue. So it is possible?
Answer: In training, pressure should increase. You don't need to accept anything. After training, after one hour, the pressure should be normal.
Question: What pulse pressure should be normal?
Answer: Somewhere 40 - 60 millimeters of mercury.
Question: Pulse pressure increased under load from 40 to 80 (120/80 - 140/60). Could you explain the mechanism of this phenomenon?
Answer: Pulse pressure is due to cardiac output. Under stress, adrenaline acts on the heart, and for each of its contractions, it ejects more blood than at rest. Therefore, predominantly systolic pressure increases, and with it the pulse pressure. Diastolic pressure may rise, remain unchanged, or decrease during exercise. It's all right.
Question: What foods should you eat for autoimmune thyroiditis?
Answer: Eat what you want. Let thyroiditis live its own life. Thyroiditis gradually strangles the thyroid gland and in the worst case will completely kill it. But the difference will only be in the dose of the pill that you have to take every day.
Question: How do the kidneys feel about mineral water?
Answer: it depends on the mineral water. I do not trust modern mineral waters. But I really respect tap water with a normal or high content of hardness salts. This water is good for the kidneys due to its salts. And I'm also afraid of demineralized water from under the reverse osmotic filter, because there are no salts in such water, and it can contribute to the appearance of kidney stones.
Question: And where to go without NSAIDs if the joints ache painfully for decades?
Answer: For the treatment of joint pain, a treatment algorithm has been developed from simple to complex. Go to the doctor, he will prescribe treatment for you, choose NSAIDs or non-NSAIDs at his discretion.
Question: What Chinese herbal preparations can be harmful?
Answer: Chinese herbal preparations are on average more dangerous than any other herbal preparations. The Chinese have a developed chemical industry. For example, they perked up to add such powerful components to the mixture that the brain can take out for people, but analyzes do not always reveal them (due to the scanty concentration). The name doesn't matter. The country of production is more important.
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