Q. I was recently prescribed Ramipril 2.5mg to treat high blood pressure. After taking it for 9 days I started having diarrhoea, which has persisted for 4 days now. This is listed as a possible side effect but I’m worried about the longevity of it. Is it normal to last this long as my body adjusts to the drug, or is it a concern?I had blood tests taken yesterday that came back normal.

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

It's understandable to be concerned about the persistent diarrhea you're experiencing after starting Ramipril. While diarrhea is a listed side effect, having it last for four days warrants a consultation with doctor. Here's a breakdown of the situation:

Ramipril and Diarrhea:

  • Ramipril is a medication commonly used to treat high blood pressure.
  • Diarrhea is a known side effect, but it typically resolves within a few days of starting the medication or adjusting the dosage.

 

Possible Causes of Persistent Diarrhea:

  • Ramipril: While less common, your diarrhea could be a persistent side effect of Ramipril.
  • Other Causes: There's a possibility the diarrhea is unrelated to Ramipril and could be due to a different cause like:

 

Why Your Blood Tests Might Be Normal:

Normal blood tests are a good sign, but they don't necessarily rule out Ramipril as the cause of your diarrhea. Blood tests are typically used to assess overall health and may not pinpoint the exact source of digestive issues.

What to Do:

  1. Consult Doctor: Discuss the persistent diarrhea with your doctor. Explain the duration, severity, and any other symptoms you might be experiencing.
  2. Mention Normal Blood Tests: Inform them that your recent blood tests were normal.
  3. Explore Alternatives: Your doctor might recommend:
    • Lower Ramipril Dosage: A lower dose might be sufficient to control your blood pressure and potentially reduce side effects.
    • Switching Medications: There are other medications for high blood pressure, and your doctor might suggest trying a different one with a lower risk of causing diarrhea.
    • Supportive Measures: They might suggest over-the-counter medications to manage diarrhea while your body adjusts to Ramipril or until an alternative medication is chosen.

 

Here are some additional tips:

  • Stay Hydrated: Diarrhea can lead to dehydration. Drink plenty of fluids to replenish electrolytes and prevent complications.
  • Dietary Changes: Consider bland foods like bananas, rice, and toast to ease digestion. Avoid foods high in fiber, dairy, or grease, which can worsen diarrhea.
  • Monitor Symptoms: Keep track of your symptoms, including frequency and severity of diarrhea, and any changes in your stool.

Always consult doctor for personalized guidance regarding your medications and side effects. They can determine the best course of action based on your individual situation and medical history.

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.

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