SAY ni DOK | Sanhi at kung paano maiiwasan ang hypertension, ating alamin!
SAY ni DOK | Sanhi at kung paano maiiwasan ang hypertension, ating alamin!
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00:00 Now, after the next meal,
00:04 I'm sure many of us have eaten a lot
00:08 and the food we ate was very fat.
00:11 Or what they call "potok-batok" food
00:14 that can result in high blood pressure.
00:18 I'm guilty of that, Dianne.
00:19 I think all of us ate a lot during the holidays.
00:23 Some of us,
00:25 until now, we still have to go to different places.
00:29 The other places are still full.
00:31 You're right.
00:32 That's why here in Sine,
00:34 we have a free segment about hypertension.
00:37 We have Dr. Luigi Pierre Segundo with us.
00:40 Good morning, Dr. Luigi, and happy new year to you.
00:44 Good morning, happy new year, Dianne, and Dr. RJ.
00:49 Okay, Doc.
00:50 When it comes to hypertension,
00:53 aside from eating fat
00:55 or high cholesterol food,
00:58 what other possible symptoms of hypertension?
01:01 You know, Audrey,
01:05 high cholesterol, or fat,
01:07 we treat it with hypertension.
01:11 But if we look at food,
01:13 what really increases blood pressure
01:16 is salt or what we call sodium.
01:19 Those are also fat foods.
01:22 Usually, if you're Filipino,
01:23 it's really salty to season food.
01:25 There's even sauce, right?
01:27 Aside from that, after the holidays,
01:29 alcoholic drinks.
01:31 Alcoholic drinks also contribute to hypertension.
01:35 This includes lack of physical activity.
01:37 We're all busy during Christmas.
01:39 We might forget to exercise.
01:41 We're all eating and partying.
01:44 Those things all contribute to high blood pressure.
01:47 That's a good match.
01:51 Alcoholic drinks,
01:52 and you're going to eat salty food at the same time.
01:55 That's a good combination.
01:57 Eric, what is considered normal blood pressure?
02:01 And what is considered high blood pressure?
02:05 140 is the systolic,
02:11 the number at the top.
02:12 And 90 is the millimeters,
02:15 the mercury,
02:16 is the measurement at the bottom.
02:18 So again, 140 and above
02:21 is systolic blood pressure.
02:23 And 90 and above is diastolic blood pressure.
02:26 That's abnormal.
02:28 What we really want is normal.
02:30 120 is the highest in systolic.
02:34 And 80 in diastolic.
02:37 In between,
02:38 if it's 130 or 139,
02:42 over 80 to 89,
02:43 that's prehypertension.
02:46 We want to monitor that.
02:47 And maybe we can avoid taking medicine
02:50 if we have a healthy diet and lifestyle.
02:53 Okay, Doc, what are the symptoms
02:59 that a person might experience
03:01 when they have hypertension?
03:03 Is this the type of person
03:05 who is dizzy,
03:06 has a sore throat,
03:08 or sometimes we feel a lump in our stomach.
03:12 Are those the signs?
03:15 Audrey, actually, unfortunately,
03:19 we don't know if we have hypertension.
03:22 Because the truth is,
03:24 you won't feel anything
03:25 in the lower ranges
03:28 of abnormal blood pressure.
03:30 In fact,
03:31 in the case of pressure,
03:33 the Philippine Heart Association,
03:34 our partner in the Makati Medical Center,
03:36 Dr. Sison,
03:37 our latest research,
03:39 among Filipinos,
03:40 37% already have high blood pressure.
03:44 And unfortunately,
03:46 18% here are unaware
03:48 because you don't feel it.
03:50 Your blood pressure is already high.
03:52 And you'll only know this
03:53 if you have a blood pressure test.
03:56 So let's emphasize
03:57 that it's good to have a checkup
03:58 even if you don't feel anything.
04:01 If you feel anything,
04:02 usually, there might be complications
04:04 that are related to hypertension.
04:08 But in reality,
04:09 as we can see,
04:10 when we did a spot check
04:13 and we measured the blood pressure,
04:14 the patient didn't feel anything.
04:16 And they're still dizzy.
04:17 "Doc, I don't feel anything."
04:19 There are many patients,
04:21 many Filipinos,
04:23 who have high blood pressure
04:25 but don't feel anything.
04:27 So let's emphasize
04:28 to have a checkup.
04:29 Have a checkup.
04:30 Not all the time,
04:32 there are symptoms.
04:33 And there are no clear symptoms
04:35 that are really associated
04:37 with high blood pressure.
04:38 So you recommended,
04:40 "Doc, since the year has started,
04:42 since there's a lot of food during the holidays,
04:45 let's have a checkup for our countrymen."
04:48 Yes, it's good, right?
04:51 We have a New Year's resolution.
04:53 Let's include that.
04:55 Let's consider it healthy diet and lifestyle
04:58 to avoid sickness.
05:00 So if we have hypertension,
05:02 "Diane, Audrey,
05:03 some people avoid taking medicine."
05:05 If it's said to maintain,
05:07 it's really necessary to continue the medications
05:10 to maintain normal blood pressure
05:14 and avoid complications.
05:16 Okay, Doc, isn't hypertension or high blood pressure
05:19 still considered when we eat fat?
05:22 For example,
05:23 you ate a lot of meat.
05:25 It's delicious.
05:26 Later, you'll feel dizzy.
05:29 Isn't that so?
05:31 No.
05:33 In fact,
05:34 any symptom
05:37 can cause distress.
05:39 For example, you're hurt,
05:40 you're in pain,
05:41 you're nervous.
05:42 For a short period of time,
05:44 the blood pressure will increase.
05:46 This might be called physiologic.
05:48 It's like when we do a stress test,
05:50 with exercise, the blood pressure will increase.
05:53 But we consider a patient
05:56 who is hypertensive,
05:57 if he's relaxed,
05:59 at least one hour
06:00 from the last physical activity.
06:02 If there's coffee,
06:04 alcoholic drinks,
06:05 one hour has passed
06:07 but the blood pressure is still high.
06:09 That's what we consider hypertensive.
06:12 So we need to consider these factors
06:16 when we check blood pressure.
06:18 What we feel after eating
06:21 a lot of oily food,
06:23 maybe high cholesterol,
06:25 it's just a reminder
06:27 that we ate a lot.
06:29 But not all of the time,
06:31 the blood pressure increases.
06:33 After that.
06:35 I remember when we ate a lot of seafood.
06:37 My head would hurt.
06:39 Those are the things I felt.
06:41 But you said earlier
06:43 that there are complications
06:45 related to hypertension.
06:47 Are there heart problems
06:49 that can be a complication
06:51 of hypertension?
06:53 Yes, Dianne, Audrey,
06:57 the most common disease
06:59 in the Philippines,
07:01 even during COVID,
07:03 is coronary artery disease.
07:05 It's a heart artery disease.
07:07 Its symptoms are chest pain,
07:09 the so-called angina.
07:11 If you have uncontrolled
07:13 high blood pressure for a long time,
07:15 you don't have a check-up,
07:17 you don't take medicine,
07:19 it can lead to coronary artery disease
07:21 for the heart artery.
07:23 The same goes for the brain artery.
07:25 It can also get infected.
07:27 So if the blood pressure is uncontrolled,
07:29 it can cause a stroke.
07:31 Aside from that, the kidneys.
07:33 It can cause many diseases,
07:35 such as dialysis, stroke,
07:37 and possibly a heart attack.
07:39 How can we take medicine
07:41 or reduce the blood pressure?
07:43 How can we avoid
07:45 increasing the blood pressure?
07:47 What can we do?
07:49 Healthy diet and lifestyle.
07:53 When it comes to food,
07:55 we don't isolate it,
07:57 we just use blood pressure.
07:59 But what directly contributes
08:01 to our diet?
08:03 We mentioned salt earlier.
08:05 The recommendation is
08:07 not to exceed the limit.
08:09 Salt has sodium.
08:11 We should not exceed 2 grams
08:13 in a day.
08:15 We should be conscious
08:17 and read the label of food,
08:19 especially processed food.
08:21 We should look at the sodium level.
08:23 It's hard to estimate,
08:25 but for a teaspoon,
08:27 it should be less than 1/3.
08:29 It should be less than 1/3.
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