Hello doctor, My husband is 43 years old. He has an irregular pulse, 40-60 is his daytime heartrate, borderline BP managed through diet for a few days. He complains of lightheaded feeling at wakeup, increased systolic BP 143-153 mmHg, and mild nausea with occasional mild back pain on the right side. He takes one pill of Omega men every day. Can the problem be a renal or cardiac issue?
Hello. From symptoms, it does not look like a cardiac issue as a cause of pain, it is likely due to gastritis and reflux. Does he also have upper abdominal pain, bloating, burping, an increase in pain on food, sour water feeling in the throat or chest burning? These are the other symptoms and may be associated. He should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Take lots of green leafy vegetables, and fruits. Avoid smoking and alcohol if any.  He should get prescribed tablet Pan DSR (Pantoprazole) 40 mg once a day for two weeks. If not adequately relieved, then you should add syrup Sucral O (Sucralfate) or Gelusil two teaspoons three times a day for a week.  Also, his blood pressure is on a higher side. He should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have a low salt diet and monitor his blood pressure regularly thrice a day for one week then, once or twice a week. If BP is persistently more than 140/90 mmHg, then you should be on medicines for it. This can be a cause for his high BP. Do regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and five days a week. Try to achieve weight loss and BMI (body mass index) within 23. Get his ECG (echocardiogram), lipid profile, sugars, and renal function test done once. I hope this helps.