Worried about pains
I must sound like a hypochondriac for writing this, but here we go. I am seventeen years of age, 200 pounds, 5 feet 11 inches tall, and I have hypertension that is being treated with 7 milligrams of lisinopril taken once daily. I first discovered the hypertension when I complained to my doctor of chest pains. They preformed all of the usual tests, ekg, stress exercise(non-nuclear), renal ultrasound, echocardiogram, chest x-ray, and pulmonary testing, after which they declared me to be just peachy fit as can be. That's all well and good, and the pains seemed to disappear on their own after school let out and I stopped exercising as frequently or as strenuously, Now school is back and the pains have returned. They occur most frequently after heavy exercise in PE. Something like running three or four laps around the track or running around the gym for a while. Anything that gets my heart rate up a lot. The problem has on occasion occurred with intense stress or for no apparent reason,but that's not nearly as frequent. The problem is often associated with the feeling that I can breath fine, but the capacity of my lungs has suddenly diminished massively. No wheezing, just sudden lack of capacity, I recognize that at my age there really is not much chance at all that anything is wrong, but it can be a little disturbing to have a problem like this and I sort of feel a need to vent. I don't really think that it's an infection or something muscular because it was gone for so very long and it only really comes with heavy exercise or stress. I suppose it might be psychosomatic, because I have a very short temper and I'm frequently stressed, but again it only really happens with exercise and not much with stress. I don't really want to go and speak with any doctors again because the testing they put me through was rather unpleasant and I get the feeling that they would just dismiss me and say something like,"Oh don't worry. You're just overreacting." Well that's really all I have to say. If you have any advice please leave a comment.
auntblabby
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Joined: 12 Feb 2010
Gender: Male
Posts: 114,768
Location: the island of defective toy santas
one of the commonly reported side of effects of that drug [as well as other hypertension drugs] is shortness of breath on exertion, more so than without the drug. i had that with my atenolol as well. after a screening physical exam rules out everything else, the only thing left is poor aerobic conditioning, especially after a summer off from physical exertion. the only solution to which would be gradually ramped up aerobics training which slowly extends the amount of time and effort the heart and lungs can support in supplying the body. it took me a year to get my aerobic conditioning up to the point where i can ride my bike up hills. it was laborious training most every day, forcing my body to go a bit further each day, with many days of no progress in between days with progress. by all means your PE teacher and your doctor both need to know about your shortness of breath when it occurs, if they are smart cookies they will pay attention to you rather than have somebody keel over under their watch. be the squeaky wheel that gets the grease. also watch your body temperature and hydration when training on warm days. also, if you lost 20 pounds your heart would be less taxed when you exercise, and may find your blood pressure is lower as well, that was my case when i lost that amount- i felt loads better under exertion with 20 pounds less fat that my heart had to force blood through.
good luck.
auntblabby
Veteran

Joined: 12 Feb 2010
Gender: Male
Posts: 114,768
Location: the island of defective toy santas
i should mention that i had all of the signs of an overtaxed heart in the early stages of my aerobics capacity improvement project, such as radiating/remote pains including chest pain, faintness, transient diminishment of vision and hearing, roaring in the ears, fuzzy thinking, etc. this lasted for several months but gradually diminished as my arteries cleared out some of their gunk [also on low-cholesterol diet] and as my aerobic conditioning level improved glacially. keeping well-hydrated reduced some of these symptoms. but with beta blockers it is highly recommended that one not go off them without a doctor's thorough checkup and vetting beforehand, but it was precisely the beta blocker/water pill which contributed to some of my cardiac stress, due to insufficient fluid levels in the body/warped electrolytes, and insufficient cardiac pumping volume. the improved aerobic conditioning largely ameliorated these problems for me. i did proactively [due to lack of sufficient health insurance to pay for expensive doc office visits] gradually lower my level of my hypertension drugs to half their previous level, which helped me get even more fit. i wouldn't recommend that to anybody else, though. but my resting heart rate now is 50, and resting BP is 115/70. however, it needs to be mentioned, that it took me a year to get to this point. so don't be discouraged that your progress might seem too slow for you at this point. slow and steady finishes the race. don't be discouraged. you will get there, too.
my advice to you, should you choose to consider it, is to not rest during the summer but to continue your exercise regimen at the same level of intensity as what you experience in schooltime PE. also don't let them rush you on the running track, you must run at the pace at which you are able to run and not be overworked. train, don't strain. if you feel pain, BACK OFF! exercise should NOT hurt.
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