What causes hand and shoulder pain and high BP?
Patient: Hi Dr. My age is 26 year,my weight is 93.5 KG & my height is 190cm. i have faced a mild chest pain and dizziness about 15 days ago.i am also facing lower back pain,pain in left hand and shoulder also.I have monitored my BP from last 15 days, it went upto 160/110 but on regular basis it is 90/140 from last few days.I have done all the test including TMT,ECHO test reports are normal except HDL and LDL.my HDL is 30 and LDL is 100.Doctor has recommended me HOPACE H5(Ramipril).I have started it from last 4 days,today my BP is 120/76.I want to know the reason of pain and high BP.Should i continues the BP medicine ? please suggest me alternative so that i can quit the medicine because doctor is saying that i have to continue this medicine life long. Doctor: Hello,High blood pressure do cause multiple pain spots in body as well as chest pain due to increase in cardiac work. At present I agree with your doctor in starting anti hypertensive medicines.  With this you should also do following to have relief and with time following will help in decreasing dose of your medicines:- Start doing meditation and yoga under supervision of an expert.- Start doing exercises and morning walk.- Avoid high fat diet and spicy food items.- Get frequent blood examination and health check up for your cholesterol. Hope I have answered your question. Let me know if I can assist you further.  Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon