Lisinopril, carvedilol, plus pradaxa

42M, 5'9", 240lb, non-smoker, some history of sinus congestion but no previous eustachian tube issues. Got exposed Thursday at a concert (only time it could have happened), by Saturday night my throat was sore. Only mild sinus issues and not much of a cough, but last night my middle ear filled with mucus and won't drain. Took pseudoephedrine, diphenhydramine, acetaminophen and ibuprofen along with lisinopril, and pain subsided. This morning, naproxen, pseudoephedrine and acetaminophen plus adderall, vilazodone and gabapentin.
No pain to speak of now, and breathing clear through my nose with little pressure in other sinus areas. But pressure in the ear remains and hearing is greatly reduced, no high frequencies. Can hear it sloshing in there when I move my head. Have had hope a couple times that it was about to drain, but still stuck. Been running the humidifier since last night, several times have just stood around breathing in steam from the shower. Treatment recommendations at this point? And what duration or signs would send me to a urgent care or an ENT (I'm American so it'd be a considerable expense).

I’m long winded but I think this info is crucial as it paints the whole picture. :)
Growing up (child - 25ish years of age): Mom under-ate but loved junk food. Dad overate everything. I liked junk plus overate: constantly living with feelings of “enjoying/indulging->then regret/guilt”. I’m adopted so I have no family health history to lean on.
Age 25ish-30: I became pescatarian (vegetarian + seafood) after a year of a disturbed gut. It worked! I started dating my now husband. We’d eat out a lot. When we got married, we moved to a big city. We both dealt with extreme stress and overworking at our jobs so eating out most nights was not only convenient but also a retreat in a way. It started catching up with us in weight. But I noticed I was gaining significantly more than him.
Age 31-33: was only going to urgent care when “little illnesses” would arise (Covid, flue, etc). Nurses would mention my blood pressure was high but thought it was probably nerves. Wasn’t going to doctor for a physical yearly, like I should’ve been, because I felt fine. Did get migraines often. Noticed blurry vision sometimes, so eye doctor prescribed low prescription glasses. Noticed sometimes wounds in my feet or legs wouldn’t heal as quick and leave scars. Had a weird itchy/flaky patches of skin on my back and sides of breasts but dermatologist blamed sweating and gave me treatment that didn’t work. I had dry heels that cracked bad too.
Age 34 (7 months ago): we move again and have a calming, stress-free change in lifestyles with our jobs. Giving us time to focus on life and health. We start eating Keto. Found a primary doctor. They ran routine bloodwork and I got a call with my Dr saying “has anyone told you that you have type 2 diabetes?”. In shock, I said no and she basically said “watch the consumption of candies, cakes, and things like white rice and we will follow up soon.” She gave me Metformin and Lisinopril (for high blood pressure) and said she’d see me in 2 months. I obviously freaked out and cried thinking I was dying or doomed because I didn’t know anything about t2d.
After diagnosis: I did TONS of research trying to find a way to heal instead of cope/deal with it. Began Metformin and Lisinopril. The first 2 weeks were hell on earth. Lisinopril made me have to sleep every other hour and I had a foggy brain all the time. Couldn’t drive. Metformin was fine for a minute but then I ate something heavy with tomato paste and literally lived in the bathroom toilet+throwing up) consistently for 6 hours. Truly thought I was going to die. Found out (for me) highly acidic foods, especially at night, would make me have these issues while taking Metformin. Then everything regulated and I was good for the most part. I kept a log of what I’d eat each meal, plus my blood pressure and glucose readings. Highly recommend! Below I’ll share what ended up working.
Now: Since diagnosis (7 months ago) I have lost over 50 lbs. Here’s what worked for me: *started at 210lbs // now 157lbs (my non diabetic husband also lost 40lbs so it reassured that Metformin helped me start regulating my glucose but not be my cause of weight loss) *high blood pressure is now sustained to normal levels at all times *starting A1C was 8.5 // now 5.4 *my fasting glucose is usually 85-97, but usually in the 80s. *exercise: walk my dog 2-5 miles a day trying to do hills where I can. Going to the gym when I can to do resistance training on my full body of muscles for overall strength. I like to walk after meals when I can to reduce glucose spikes. *food: This was key for me. We enjoy lots of good, hearty, carb-friendly meals but focusing on keeping saturated fats at 0 or very, very low. Avoiding refined carbs like white flour and white rice. No meat but I do eat fish with good fats and cholesterol (ex: Salmon). Avoiding things with “added sugar” (refined sugar). But equally important, we say yes to high fiber (especially when eating carbs), whole carbs (brown rice, whole wheat, etc.), lots of veggies and fruits prepared in all different ways, beans, and some healthy fat fish. I still drink coffee, tons of water, sparking water, and unsweet tea. When shopping for food, knowing to look for low saturated fat and no refined sugar as the base of finding good foods made it easy and way less stressful.
My relationship with food has totally changed. I don’t feel bound to what I’m eating next. I don’t crave sugar like I did. I don’t feel guilt about my meals or if I treat myself on a special occasion or an event with a slice of cake or some French fries - and my body has gone into remission so my glucose says level, even after those treats now. I just challenge myself “is this treat worth it? Something you just have to have”? And reflect on my past few weeks - if I’ve had other treats or meals like that. Because it can add up if you’re not thinking about it. Plus we don’t buy things like that to bring home and eat. I don’t have THAT much self control 😂 but it’s so easy to say “no” now, while still saying “yes” to other times. I love it.
Come July, for my check-in, hopefully I’ll be fully off Metformin and Lisinopril! 🤞🏻oh - and about 1 month ago, I started reducing my Metformin to 1 pill per day instead of two because I think it was working too hard and causing veryyy slow digestion and constipation (I was miserable with gut trouble for a few months). So for anyone out there experiencing the opposite trouble that Metformin causes with digestion, here you go. It’s now much better since the reduction. I’m also curious if it’s causing this eczema on my hand. Hmm.
Hope this was helpful and encouraging for someone out there! Happy to answer any questions!

I’m long winded but I think this info is crucial as it paints the whole picture. :)
Growing up (child - 25ish years of age): Mom under-ate but loved junk food. Dad overate everything. I liked junk plus overate: constantly living with feelings of “enjoying/indulging->then regret/guilt”. I’m adopted so I have no family health history to lean on.
Age 25ish-30: I became pescatarian (vegetarian + seafood) after a year of a disturbed gut. It worked! I started dating my now husband. We’d eat out a lot. When we got married, we moved to a big city. We both dealt with extreme stress and overworking at our jobs so eating out most nights was not only convenient but also a retreat in a way. It started catching up with us in weight. But I noticed I was gaining significantly more than him.
Age 31-33: was only going to urgent care when “little illnesses” would arise (Covid, flue, etc). Nurses would mention my blood pressure was high but thought it was probably nerves. Wasn’t going to doctor for a physical yearly, like I should’ve been, because I felt fine. Did get migraines often. Noticed blurry vision sometimes, so eye doctor prescribed low prescription glasses. Noticed sometimes wounds in my feet or legs wouldn’t heal as quick and leave scars. Had a weird itchy/flaky patches of skin on my back and sides of breasts but dermatologist blamed sweating and gave me treatment that didn’t work. I had dry heels that cracked bad too.
Age 34 (7 months ago): we move again and have a calming, stress-free change in lifestyles with our jobs. Giving us time to focus on life and health. We start eating Keto. Found a primary doctor. They ran routine bloodwork and I got a call with my Dr saying “has anyone told you that you have type 2 diabetes?”. In shock, I said no and she basically said “watch the consumption of candies, cakes, and things like white rice and we will follow up soon.” She gave me Metformin and Lisinopril (for high blood pressure) and said she’d see me in 2 months. I obviously freaked out and cried thinking I was dying or doomed because I didn’t know anything about t2d.
After diagnosis: I did TONS of research trying to find a way to heal instead of cope/deal with it. Began Metformin and Lisinopril. The first 2 weeks were hell on earth. Lisinopril made me have to sleep every other hour and I had a foggy brain all the time. Couldn’t drive. Metformin was fine for a minute but then I ate something heavy with tomato paste and literally lived in the bathroom toilet+throwing up) consistently for 6 hours. Truly thought I was going to die. Found out (for me) highly acidic foods, especially at night, would make me have these issues while taking Metformin. Then everything regulated and I was good for the most part. I kept a log of what I’d eat each meal, plus my blood pressure and glucose readings. Highly recommend! Below I’ll share what ended up working.
Now: Since diagnosis (7 months ago) I have lost over 50 lbs. Here’s what worked for me: *started at 210lbs // now 157lbs (my non diabetic husband also lost 40lbs so it reassured that Metformin helped me start regulating my glucose but not be my cause of weight loss) *high blood pressure is now sustained to normal levels at all times *starting A1C was 8.5 // now 5.4 *my fasting glucose is usually 85-97, but usually in the 80s. *exercise: walk my dog 2-5 miles a day trying to do hills where I can. Going to the gym when I can to do resistance training on my full body of muscles for overall strength. I like to walk after meals when I can to reduce glucose spikes. *food: This was key for me. We enjoy lots of good, hearty, carb-friendly meals but focusing on keeping saturated fats at 0 or very, very low. Avoiding refined carbs like white flour and white rice. No meat but I do eat fish with good fats and cholesterol (ex: Salmon). Avoiding things with “added sugar” (refined sugar). But equally important, we say yes to high fiber (especially when eating carbs), whole carbs (brown rice, whole wheat, etc.), lots of veggies and fruits prepared in all different ways, beans, and some healthy fat fish. I still drink coffee, tons of water, sparking water, and unsweet tea. When shopping for food, knowing to look for low saturated fat and no refined sugar as the base of finding good foods made it easy and way less stressful.
My relationship with food has totally changed. I don’t feel bound to what I’m eating next. I don’t crave sugar like I did. I don’t feel guilt about my meals or if I treat myself on a special occasion or an event with a slice of cake or some French fries - and my body has gone into remission so my glucose says level, even after those treats now. I just challenge myself “is this treat worth it? Something you just have to have”? And reflect on my past few weeks - if I’ve had other treats or meals like that. Because it can add up if you’re not thinking about it. Plus we don’t buy things like that to bring home and eat. I don’t have THAT much self control 😂 but it’s so easy to say “no” now, while still saying “yes” to other times. I love it.
Come July, for my check-in, hopefully I’ll be fully off Metformin and Lisinopril! 🤞🏻oh - and about 1 month ago, I started reducing my Metformin to 1 pill per day instead of two because I think it was working too hard and causing veryyy slow digestion and constipation (I was miserable with gut trouble for a few months). So for anyone out there experiencing the opposite trouble that Metformin causes with digestion, here you go. It’s now much better since the reduction. I’m also curious if it’s causing this eczema on my hand. Hmm.
Hope this was helpful and encouraging for someone out there! Happy to answer any questions!

I’ve been on 5mg of lisinopril for a week and my numbers are around the same as before. I exercise regularly and eat clean 80% of the time. Should I wait a little bit longer before contacting my doctor? I do get a little bit anxious sometimes before testing my bp thats why my pulse is higher than normal. Plus I had just worked out 3 hours ago.

Does anyone have any experience with intradialytic hypertension and successfully lowering blood pressure during dialysis? My husband's BP is shockingly high, ONLY during dialysis. At home he's in the 140s consistently, but the moment he's at the hospital and doing dialysis it's in the 190s. They've tried changing his dry weight/removing more fluid, giving him BP meds during treatment (he's on carvedilol and amlodipine), and have now prescribed a fast acting BP med (hydralazine), they've had him change from lying down to sitting. NOTHING is working. They recommend he try home hemodialysis but if it's "white coat" syndrome then I'm concerned he's going to start viewing our home as a hospital and have high BP all the time. Plus, that's going to take weeks for us to get going. He needs something sooner than later, we're worried he's going to have a heart attack. He's young, only 46. If anyone has any information, we are grateful.

Symptoms: constant muscle weakness, constant muscle fatigue, low appetite, low sex drive, heart area weakness, ED, lethargy
A1C 4.4
Male 22, type 1 diabetic of 13 years. African American. 6’4 225LB. For the last 5-6 years I have intense heartburn experienced constant extreme muscle fatigue. Not only in functionality, but the inside of my muscles constantly feel weak as well. The only way I can best describe the sensation I feel in my muscles at nearly all times would be high blood sugar. It feels as if something is constantly eating away at my muscles. When this all started I felt intense heartburn and fatigue. I assumed that my insulin was no longer working, because my body would feel as though I was at least in the 300-400s. Unfortunately every time I checked my glucose it would never be high. If it was high it would be low 200s. Definitely nothing to warrant the way I was feeling. I was a high school senior when this began in 2018. I was an athlete back then, in quite good shape. I loved running and lifting, however I never pushed myself too far. Now it’s as if every time I attempt lift weight or gain muscle in my arms I experience the unpleasant sensation mentioned above only stronger. I feel it all hours of the day, even when I attempt to flex my arms. It’s like something “eats” away at my progress. if I was instructed to do 10 pushups, I could do them (with a little difficulty considering I’m not as spry as I once was haha). Within the next few minutes the sensation intensifies in mainly my biceps and upper arms, numb and trembling. it doesn’t seem to affect my deltoid strangely. After only 10 pushups, it feels like I’ve tried to do 60 pushups in a row. Same concept with any arm exercise. My legs don’t feel nearly as bad as my arms, but they still feel weak as well. I am able to walk, run, and jump. However I’ve noticed that anytime I do workout my legs, not only do they feel somewhat like my arms but I never get sore like I used to. No matter the exercise, it’s like I never even worked out. Frequent need to urinate. I’m quite tired all the time. I’m exhausted no matter how much sleep I get. I could sleep through an entire day if I tried. In early 2020 I was given a Transthoracic echocardiogram the to summarize these are the results posted on MYMERCY: “There is mild concentric left ventricular hypertrophy, most likely athlete's heart. No significant valvular dysfunction.”
They just assumed it was mild Cardiomyopathy. At first I was relieved to finally receive a diagnosis, but even after being prescribed 2 medications (carvedilol and lisinopril) my symptoms did not improve. I still felt the constant muscle fatigue, the heart burn, and the chest weakness. In January of this year I was asked to do another echocardiogram. Keep in mind, none of my symptoms have improved in any way. These are the results: “Mitral Valve: Normal Leaflets. Trace regurgitation. No stenosis. Tricuspid Valve: Normal. No regurgitation. No stenosis. Pulmonic Valve: Normal. No regurgitation. No stenosis. No findings consistent with cardiomyopathy or athlete's heart.”
I won’t lie, seeing that bummed me out. I just want to know why I feel like this all the time. I’ve tried everything. Altering my diet, taking a truck load of vitamins, I’ve tried positive thinking…but nothing works. I feel terrible no matter how good my glucose is. I lost my scholarship because of this and not to sound dramatic, but I can’t enjoy life feeling like this. I just want to feel good again….or as good as you can feel with Diabetes… you know what I mean. I don’t even care what illness I have. I just want to know so I can get treated and be free of the pain. Thank you all for your help.
Medical procedures done in the last 3 years.
Multiple Metabolic: panels all levels within normal range.
Emg: no signs of Delayed nerve response
Gastric emptying: Normal gastric imaging time
Upper endoscopy: no signs of damage of any kind
Checked for parasites as well, stool samples proved negative.
2x Muscle biopsy 1 in each thigh
Genetic blood testing, negative for ALS and MS.
Urinalysis: PH UA= 8.5 WBC UA= 6-10
Negative for Rhabdomyolysis
Negative for Addisons disease
Negative for any thyroid disorders.
Negative for Sickle Cell
Not sexual active (….unfortunately)
Suspected diabetic ED (…equally unfortunate)
Duodenal biopsy Gastric biopsy Esophagus biopsy
CTA CHEST ABD PELVIS

I am 31M, 190 lbs, 5'8 and taking Lisinopril as my BP meds because of high stress job the past 3 years!
This has been my lipid for past seven years.

Date	HDL	LDL	HB1AC	Triglyceride	Total Cholesterol
07/17	29	111		181	173
07/18	26	120		167	176
10/18	25				189
04/19	33	106	5.6	191	150
09/19	31	321	5.7	156	194
01/20	32	109	5.6	117	164
07/20	29	105	5.7	133	161
12/21	27	117	6.0	150	174
08/22	31	149	5.7	180	203
06/23	28	131	5.9	174	190
11/23	31	130	6.0	166	191
01/24	28	122	6.0	146	176

Doctor has now prescribed me metformin and rosuvastatin to reduce the risks of heart diseases.
I am hesitant to start because the "permanent" tag with these medicines.
Doctor has recommended lifestyle changes too which I am incorporating already already:

• workout atleast 5X a week
• Cardio atleast 3X a week plus a hike
• Limit saturated fats
• Make changes in eating habits including lower carbs
• Increase my fiber intake

I am confused if I should start taking meds or not.
I will bring the Hb1c down to 5.6/5.7 in 3-4 months considering I switched jobs and stress is way lesser. Will continue working on that too

I’m a 59 year old male 5’7 260 lbs I take lisinopril , plavix , zetia, carvedilol, and isosorbide. I’m needing a knee replacement to replace the knee replacement I have . My question is since I can’t take Vicodin because it makes me feel bad and itchy is there an alternative to opioid medications . When I had my first knee replacement 9 - 10 years ago I was able to tolerate Vicodin.

A couple months ago my usual pharmacy made a huge dispensing error when filling my citalopram. They mixed half the pills with carvedilol which is not a medication I take. I ended up filling a complaint against them with the college of pharmacists (regulatory body). After I filed the complaint everything was okay up until today. I went to pick up my mirtazapine prescription (i am down to my last pill) and was told today that the pharmacist was ending my patient/pharmacist relationship effective immediately. The reason he gave is that I am using other pharmacies in addition to him to fill my medication and so he is concerned with how i am managing my medication. This is incredibly false. While I have used different pharmacies here and there who hasn't?? I'm a student in my current city so when i go to my home town obviously i have meds there for the summer and stuff. I do not double fill my medication ever. The only other exception is that I am on a specialty drug called Xolair which has to be dispensed by a specific pharmacy because of insurance rules.
So today I was informed I can no longer pick up my meds from that pharmacy anymore. I just took the last pill of mirtazapine and am mentally preparing myself for the withdrawals I'll have to go through since I can't taper it. Before anyone suggests, I am not able to have the prescription transferred or anything. I have a major exam all day tomorrow and Friday morning I am leaving early to go out to the rural areas for a month. Plus, prescription transfers take 1-2 days here.

A couple months ago my usual pharmacy made a huge dispensing error when filling my citalopram. They mixed half the pills with carvedilol which is not a medication I take. I ended up filling a complaint against them with the college of pharmacists (regulatory body). After I filed the complaint everything was okay up until today. I went to pick up my mirtazapine prescription (i am down to my last pill) and was told today that the pharmacist was ending my patient/pharmacist relationship effective immediately. The reason he gave is that I am using other pharmacies in addition to him to fill my medication and so he is concerned with how i am managing my medication. This is incredibly false. While I have used different pharmacies here and there who hasn't?? I'm a student in my current city so when i go to my home town obviously i have meds there for the summer and stuff. I do not double fill my medication ever. The only other exception is that I am on a specialty drug called Xolair which has to be dispensed by a specific pharmacy because of insurance rules.
So today I was informed I can no longer pick up my meds from that pharmacy anymore. I just took the last pill of mirtazapine and am mentally preparing myself for the withdrawals I'll have to go through since I can't taper it. Before anyone suggests, I am not able to have the prescription transferred or anything. I have a major exam all day tomorrow and Friday morning I am leaving early to go out to the rural areas for a month. Plus, prescription transfers take 1-2 days here.

I’m long winded but I think this info is crucial as it paints the whole picture. :)
Growing up (child - 25ish years of age): Mom under-ate but loved junk food. Dad overate everything. I liked junk plus overate: constantly living with feelings of “enjoying/indulging->then regret/guilt”. I’m adopted so I have no family health history to lean on.
Age 25ish-30: I became pescatarian (vegetarian + seafood) after a year of a disturbed gut. It worked! I started dating my now husband. We’d eat out a lot. When we got married, we moved to a big city. We both dealt with extreme stress and overworking at our jobs so eating out most nights was not only convenient but also a retreat in a way. It started catching up with us in weight. But I noticed I was gaining significantly more than him.
Age 31-33: was only going to urgent care when “little illnesses” would arise (Covid, flue, etc). Nurses would mention my blood pressure was high but thought it was probably nerves. Wasn’t going to doctor for a physical yearly, like I should’ve been, because I felt fine. Did get migraines often. Noticed blurry vision sometimes, so eye doctor prescribed low prescription glasses. Noticed sometimes wounds in my feet or legs wouldn’t heal as quick and leave scars. Had a weird itchy/flaky patches of skin on my back and sides of breasts but dermatologist blamed sweating and gave me treatment that didn’t work. I had dry heels that cracked bad too.
Age 34 (7 months ago): we move again and have a calming, stress-free change in lifestyles with our jobs. Giving us time to focus on life and health. We start eating Keto. Found a primary doctor. They ran routine bloodwork and I got a call with my Dr saying “has anyone told you that you have type 2 diabetes?”. In shock, I said no and she basically said “watch the consumption of candies, cakes, and things like white rice and we will follow up soon.” She gave me Metformin and Lisinopril (for high blood pressure) and said she’d see me in 2 months. I obviously freaked out and cried thinking I was dying or doomed because I didn’t know anything about t2d.
After diagnosis: I did TONS of research trying to find a way to heal instead of cope/deal with it. Began Metformin and Lisinopril. The first 2 weeks were hell on earth. Lisinopril made me have to sleep every other hour and I had a foggy brain all the time. Couldn’t drive. Metformin was fine for a minute but then I ate something heavy with tomato paste and literally lived in the bathroom toilet+throwing up) consistently for 6 hours. Truly thought I was going to die. Found out (for me) highly acidic foods, especially at night, would make me have these issues while taking Metformin. Then everything regulated and I was good for the most part. I kept a log of what I’d eat each meal, plus my blood pressure and glucose readings. Highly recommend! Below I’ll share what ended up working.
Now: Since diagnosis (7 months ago) I have lost over 50 lbs. Here’s what worked for me: *started at 210lbs // now 157lbs (my non diabetic husband also lost 40lbs so it reassured that Metformin helped me start regulating my glucose but not be my cause of weight loss) *high blood pressure is now sustained to normal levels at all times *starting A1C was 8.5 // now 5.4 *my fasting glucose is usually 85-97, but usually in the 80s. *exercise: walk my dog 2-5 miles a day trying to do hills where I can. Going to the gym when I can to do resistance training on my full body of muscles for overall strength. I like to walk after meals when I can to reduce glucose spikes. *food: This was key for me. We enjoy lots of good, hearty, carb-friendly meals but focusing on keeping saturated fats at 0 or very, very low. Avoiding refined carbs like white flour and white rice. Avoiding things with “added sugar” (refined sugar). But equally important, we say yes to high fiber (especially when eating carbs), whole carbs (brown rice, whole wheat, etc.), lots of veggies and fruits prepared in all different ways, beans, and some healthy fat fish. I still drink coffee, tons of water, sparking water, and unsweet tea. When shopping for food, knowing to look for low saturated fat and no refined sugar as the base of finding good foods made it easy and way less stressful.
My relationship with food has totally changed. I don’t feel bound to what I’m eating next. I don’t crave sugar like I did. I don’t feel guilt about my meals or if I treat myself on a special occasion or an event with a slice of cake or some French fries - and my body has gone into remission so my glucose says level, even after those treats now. I just challenge myself “is this treat worth it? Something you just have to have”? And reflect on my past few weeks - if I’ve had other treats or meals like that. Because it can add up if you’re not thinking about it. Plus we don’t buy things like that to bring home and eat. I don’t have THAT much self control 😂 but it’s so easy to say “no” now, while still saying “yes” to other times. I love it.
Come July, for my check-in, hopefully I’ll be fully off Metformin and Lisinopril! 🤞🏻oh - and about 1 month ago, I started reducing my Metformin to 1 pill per day instead of two because I think it was working too hard and causing veryyy slow digestion and constipation (I was miserable with gut trouble for a few months). So for anyone out there experiencing the opposite trouble that Metformin causes with digestion, here you go. It’s now much better since the reduction. I’m also curious if it’s causing this eczema on my hand. Hmm.
Hope this was helpful and encouraging for someone out there! Happy to answer any questions!

How bad is the death because of gallstones and fatty liver disease? Is it a slow death or fast once it happens? My mother just died because she has gallstones but she never told us about it. She had only stayed to me on Friday of back pain so I touched it n she said it hurt but she was fine, so l gave her 5mg oxy n she said it helped n next day said she felt better. I dropped her off at home Saturday around 230pm. I didn't hear anything from my mom til Wednesday because her job called me saying she hasn't gone to work, so l rushed to her home 30-40 min away n called cops to do a welfare check. I got there n looked thru the window n saw her phone n purse and I knew right away she was gone. (o Sunday morning k spoke to her via text and then she never responded to me, so I figured she past away Sunday since she left work early via her job that told me due to pain. But a friend of hers called n said they spoke on Monday at 444pm n mom couldn't breath or speak very well n told her to call 911 or go get checked but my mom said no l'll drink some tea. My mom died and suffered alone. Coroner said it looked like a Gl bleed, plus she had jaundice, she was not a drinker but my understanding now that I know of her health issue, is that it was due to diet she was overweight n was taking lisinopril and thyroid medication. They said blood n stuff was on floor n that's why they said cause of death was that of the gallstones hepatic si- something. They said her face was yellow like jaundice and the friend that spoke to her on Monday said she said she was struggling to breath and speak. So how painful was her death? My understanding is that is severely painful and a horrible way to go. Cops also found 6-7 shots of pure tequila shots so l'm guessing she was in so much pain she just took them, she was not a drinker, she would drink 1 beer or like a margarita. Someone just tell me the truth please

How bad is the death because of gallstones and fatty liver disease? Is it a slow death or fast once it happens? My mother just died because she has gallstones but she never told us about it. She had only stayed to me on Friday of back pain so I touched it n she said it hurt but she was fine, so l gave her 5mg oxy n she said it helped n next day said she felt better. I dropped her off at home Saturday around 230pm. I didn't hear anything from my mom til Wednesday because her job called me saying she hasn't gone to work, so l rushed to her home 30-40 min away n called cops to do a welfare check. I got there n looked thru the window n saw her phone n purse and I knew right away she was gone. (o Sunday morning k spoke to her via text and then she never responded to me, so I figured she past away Sunday since she left work early via her job that told me due to pain. But a friend of hers called n said they spoke on Monday at 444pm n mom couldn't breath or speak very well n told her to call 911 or go get checked but my mom said no l'll drink some tea. My mom died and suffered alone. Coroner said it looked like a Gl bleed, plus she had jaundice, she was not a drinker but my understanding now that I know of her health issue, is that it was due to diet she was overweight n was taking lisinopril and thyroid medication. They said blood n stuff was on floor n that's why they said cause of death was that of the gallstones hepatic si- something. They said her face was yellow like jaundice and the friend that spoke to her on Monday said she said she was struggling to breath and speak. So how painful was her death? My understanding is that is severely painful and a horrible way to go. Cops also found 6-7 shots of pure tequila shots so l'm guessing she was in so much pain she just took them, she was not a drinker, she would drink 1 beer or like a margarita. Someone just tell me the truth please

Age 62
Sex female
Height 5’1
Weight 230
Race Mexican
Duration of complaint 3-4
Location USA
Any existing relevant medical issues thyroid and high blood pressure
Current medications lisinopril and generic synthroid
Include a photo if relevant
How bad is the death because of gallstones and fatty liver disease? Is it a slow death or fast once it happens? My mother just died because she has gallstones but she never told us about it. She had only stayed to me on Friday of back pain so I touched it n she said it hurt but she was fine, so l gave her 5mg oxy n she said it helped n next day said she felt better. I dropped her off at home Saturday around 230pm. I didn't hear anything from my mom til Wednesday because her job called me saying she hasn't gone to work, so l rushed to her home 30-40 min away n called cops to do a welfare check. I got there n looked thru the window n saw her phone n purse and I knew right away she was gone. (o Sunday morning k spoke to her via text and then she never responded to me, so I figured she past away Sunday since she left work early via her job that told me due to pain. But a friend of hers called n said they spoke on Monday at 444pm n mom couldn't breath or speak very well n told her to call 911 or go get checked but my mom said no l'll drink some tea. My mom died and suffered alone. Coroner said it looked like a Gl bleed, plus she had jaundice, she was not a drinker but my understanding now that I know of her health issue, is that it was due to diet she was overweight n was taking lisinopril and thyroid medication. They said blood n stuff was on floor n that's why they said cause of death was that of the gallstones hepatic si- something. They said her face was yellow like jaundice and the friend that spoke to her on Monday said she said she was struggling to breath and speak. So how painful was her death? My understanding is that is severely painful and a horrible way to go. Cops also found 6-7 shots of pure tequila shots so l'm guessing she was in so much pain she just took them, she was not a drinker, she would drink 1 beer or like a margarita. Someone just tell me the truth please

First, thanks to this sub for all the helpful information I've been able to take from all your posts. Grateful for this resource and practical experience from you all. This is my first post here, but wanted to share my story in hopes it might calm someone down who is starting their process.
In early March I went to the ER with dangerously high BP (pics attached) I was frightened and thought only the worst possible outcomes were possible. I actually broke one of those big, fancy BP machines at the urgent care. My BP there was 282/177!!
Fast forward to today, roughly a month later, and my BP has totally normalized; aside from the much discussed white coat syndrome.
I'm taking LISINOPRIL 10 MG, AMLODIPINE BESYLATE 10 MG, and 20 mg paxil.
Before the ER incident, I spent the last 2 years starting a lifestyle change that surely has helped. I've lost 70lbs (from 260 to 190) changed to a healthier diet, started hiking, and regular walking daily, plus a Qi Gong practice. I've also been doing transcendental meditation for the past 6 years.
My HBP was discovered when I had a tooth abscess and went to the dentist.
Hopefully this gives someone else some hope. I'm also thankful for a caring physician who listens.
Good luck to you all and thank you

Summary:
Age 51, recent reductions in cholesterol and weight after 30 years of sedentary lifestyle. CAC score of 1100 1400.
Question:
What should I expect to happen next?
Background:
I'm 51 years of age. I retired 3 years ago after company I worked for IPOed and have recently started to care about health. OSA and Diabetes and Hypertension for 15 years. Weight recently reduced from 320 to 245lbs with Mounjaro and diet changes. Exercising 3-4 times per week cardio and strength. Cholesterol has improved dramatically:
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Table of certain medical test results/measurements over 3 years:
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Marker	~3/2021	~3/2024
Weight	320	245
LDL-P	2698	741
LDL-C	135	53
Triglycerides	294	82
HDL-C	28	44
Cholesterol Total	208	113
Lipoprotein (a)	n/a	23.9
Apo B	n/a	52
A1C	9.5%	5.3%
Glucose	226	106
Blood Pressure	160/80	160/80
Body Fat	32%	27%

Medications:
Currently on Mounjaro and Metforming for Diabetes, Lisinopril, Carvedilol, Amlodipine and Hydrochlorothiazide for Blood Pressure, and 5mg Rosuvastatin for Cholesterol. I take about 15 supplements ranging from Vit. D/K2 to NMN to L-Arginine etc.
Food:
I'm a strict vegetarian since 2009 with high intake of eggs and cheese and milk. Recently diet has reduced carbohydrates and trans fats but prior had much.
Other Measurements:
I had a stress-EKG where I hit 105% of reference max heart rate, and the tech said I was the in the lower 5%-ile for heart risk based on my stress EKG.
I did a VO2 max earlier this week and results were poor but okay, specifically Anaerobic threshold at 135bpm, with a VO2 at 32.2 mlO2/kg.
My impression is that while I've stopped circulating bad cholesterol, the damage is done and the arteries have collected the plaque. So now what?
Calcium Score:
Calcium scores reported as:
Total Calcium score - 1443 -

• Left Main Coronary Artery - 0
• Left Anterior Descending Coronary Artery (LAD) - 689 - [PCP says 1 of 2 primary concerns)
• Right Coronary Artery - 587 - (Other primary concern)
• Left circumflex coronary Artery - 167

The cardiologist my PCP recommended is no longer accepting new patients and we are discussing who else he might recommend. My wife's cardiologist isn't available for 60 days and they referred me to the earliest availability with an Invasive Cardiologist (foreign MD, USA residency/fellowships) who finished his fellowship in 2021. Should I see him? Is my problem routine and banal, or should I look for someone with more breadth of experience?
As I understand it, next steps after consultation w/ cardiologist are either a non-invasive angiograph or a sedated Angiogram which could allow a stent to be put in if necessary as part of the investigative die catheterization. Worst case is a bypass, but I guess this is all premature speculation until they look and see how blocked the arteries are?
Princeton Radiology article suggests statins and other interventions can lower plaque:
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What to Do After the Results
As mentioned earlier, the test is a wake-up call to take better care of your heart. If your score was zero, keep working hard to maintain it that way. When it is between 100 and 300, immediate action is necessary, which mostly involves lifestyle changes. Those at a very high risk of getting heart problems may get prescriptions that help lower the risks. The drugs help unclog the arteries, reduce cholesterol levels, and strengthen the heart muscles.

I was under the impression that once the plaque is there, the body doesn't get rid of it.
I had previously had an LDL score of 19 when I was on 10mg or 20mg of rosuvastatin. My Metabolic Dr. felt that was too low, so we reduced the Rosuvastatin. Would it make sense to go whole hog on lowering LDL and raising HDL and add Zettia or other cholesterol reducing meds in consulation with my doctor?
I'll see the Cardiologist and consult with my PCP, but I'd love to hear thoughts from folks more informed than me on what you'd do if you were in my shoes. Hopefully most of you are smart enough not to end up in my shoes.
Thank you for reading and thoughts!

Was diagnosed with high BP at urgent care last year couldn’t get into see my GP for several months ended up finding a new GP and a much smaller practices that doesn’t take on very many patients (essentially friends of friends only).
Urgent care and previous GP had me on Lisinopril which managed my BP great! Unfortunately I developed that cough related to ACE inhibitors.
New GP then swapped me to Losartan which doesn’t seem to be doing much (Still in the mid 140s over mid 90s) so this week she added in Hydrochlorothiazide to the mix.
How long does it take for the Hydrochlorothiazide to start changing my BP? Days? Weeks?
Some background; I’ve been overweight since midway through Covid (257lbs 5’10) and have reduced my weight significantly (224 as of this morning). And I’m a bit bummed that it isn’t having more of an effect on my high BP.
Additionally, I think my caffeine intake may be too high? I have about 10 to 13 glasses of unsweetened black ice tea per day… plus a reign energy drink.

Hi all, I don’t know if this is the right place but I’m running out of ideas. This will be extremely long. Any advice that would be helpful is greatly appreciated. I’m 27F nonbinary afab, 350lbs, 5’6”, previous smoker, I take dual advil, lisinopril 10mg, omeprazole 40mg as needed and skyrizi every 3 months. The only chronic conditions I’ve ever had consistently in my life is Psoriasis, mildly elevated high blood pressure and evidence of EDS. As of 2017, I’ve become chronically sick with a mystery illness. The symptoms I have everyday are fever (99 to 102F), extreme fatigue, torso pain (from my intestines to my stomach) that feels like there is a blender going through me. It’s better some days, or it’s more localized to the left side of my stomach into my bladder region. I also have a cyst on my ovary that developed after getting the previous one removed. Only on the left side. A cyst has also developed on my cervix. I had a month and a half where moving felt like agony and nothing made me feel comfortable, I peed blood one day and saw a urologist as a result. We did a CT and found that my left kidney was fine but the right has a lot of cysts in it as well as kidney stones. He asked if I have had a lot of UTI’s growing up and I’ve never had one, ever. He said my kidney looks very scarred and was being pulled inwards. My latest CT scan said something about my kidney as well but I can’t remember what exactly, essentially just to keep an eye on it. That same CT showed thickening in my colon as well. As of recently (September) my lymph nodes in my armpits have started to swell and become extremely tender. It started with the lymph nodes in my left armpit closest to my breast becoming enlarged. The pain gets worse with any pressure and with eating. Sometimes the pain is so bad that it makes my arm have this incredible numbing pain. This also travels to my collarbone and sometimes to the side of my neck. My lymph node behind my jaw on my left side also became so swollen that I thought it was going to burst if I moved a certain direction. It’s gone down but it’s not back to normal. The same situation is happening on the right armpit now, exact same lymph node. However the pain only goes to my back on that side, not down my arm. The lymph node on the back of my jaw on that side has also become swollen, but is not as painful as the left side was. I also deal with chronic dry eyes/eye irritation, constantly high WBC, pain that goes from the left side of my stomach to the right side of my rib cage. I don’t have a gallbladder bladder. Also no periods and low vitamin D. I see my PCP, rheumatologist, OBGYN, and gastro. Now a breast care specialist as well. I am due for a lymph node biopsy coming up, but she is not convinced it’s anything malignant. I have had two endoscopy/colonoscopies, a pill capsule endoscopy, cystoscopy, genetic testing, all the blood work checking my CBC, vitamins, cholesterol, thyroid.. everything normal except my ESCRP and platelet count being high sometimes , plus WBC’s being high most of the time. My a1c is also normal. I move around, I dont over eat, I drink water and eat balanced meals, I sleep as best as I can (I get night sweats. For my lymph nodes I’ve tried ice, heat, voltaren gel, massages (doctors suggestion). I also take 2-3 dual Advils everyday or else functioning is a nightmare. I’ve seen an allergist, been gluten free, did the elimination diet.
I don’t know what else to do. If my biopsy comes back normal I then go to an orthopedic dr again. Thanks for reading.

I'm 21 years old with hypertension that ranges between high to super high, it's been times I've hit 200/120. A good chunk of times when I went to the ER I'm usually 180/120. I'm a nervous wreck behind this and I fear for my health 24/7 which isn't helping it in the slightest. I'm worried about my chestpains and headaches now more then ever, I've had a CT scan of my head and I've also had almost every heart test in the book. Countless Ekgs and Xrays plus I've had a chest CT Scan and a Echo. My heart works at 50% Instead of the normal 65% and I also have a mild muscle. I don't know what kind of muscle it is but they don't seem all that concerned about it. They didn't really go into depth about it, but the thing is I feel like I should have asked questions now. I take 20MG of lisinopril for the high blood pressure, I'm just honestly scared of sudden cardiac arrest, or stroke or heart attack. But they said I wouldn't have either a stroke or heart attack but what about the sudden cardiac arrest?

Was just diagnosed with AFIB and have had two ECG’s confirm, along with my Apple Watch which has been going off for a few months.
I’ve had high blood pressure since I was 12, now a 35 y/o male.
What can I expect? I’m on Eloquis, Lisinopril, and Carvedilol and still currently, as of Sunday, in very consistent Afib. What will the cardiologist do? What are normal restrictions? My BP was through the roof at the ER on Sunday. 165/95 and ended up coming down to a 95/80 as I rested. I’m super scared about the Eloquis, my insurance isn’t going to cover it either. (Blue Cross) I can’t afford the $587 dollars a month out of pocket until I hit my deductible.
Just a little scared and worried about this new curveball.