Home readings reviewed by a physician, medication titrated on data, and the causes most people never get checked. Online consultations across India with Dr. Sowmya Josyula, MD, MPH.
A cuff in a clinic, a tablet, and a return visit in six months. Nobody checks whether the dose is working on a Tuesday evening, whether it is working too well and making you dizzy at night, or whether the reason your pressure is high is a sleep disorder, a painkiller you take regularly, or a thyroid problem nobody looked for.
We work from your home readings, tracked over weeks, because that is the number that predicts stroke and heart disease.
Your home blood pressure log and how it behaves across the day. Kidney function and urine protein. Electrolytes, thyroid and, where the pattern warrants it, screening for secondary causes such as obstructive sleep apnea or primary aldosteronism, which are common and routinely missed. Your full medicine list, since NSAIDs, decongestants and some supplements raise blood pressure. Salt, alcohol, sleep and weight, handled as clinical variables rather than as lecture material.
For most adults a reading below 120/80 mmHg is considered normal, and hypertension is generally diagnosed at 140/90 mmHg or above on repeated measurement, though your personal target depends on your age, your kidney function, your diabetes status and your overall cardiovascular risk. A single high reading in a clinic is not a diagnosis.
Sit with your back supported and your feet flat on the floor, rest for five minutes first, keep your arm supported at heart level, use a validated upper-arm cuff rather than a wrist device, and take two readings a minute apart, morning and evening. Record them. Home readings taken properly are more informative than any single clinic reading.
Not always. Some people can reduce or stop medication after sustained weight loss, salt reduction, treatment of sleep apnea or removal of a contributing medicine. Others have a genuine need for lifelong treatment, and stopping causes real harm. The decision is made on your readings over time, never on how you feel on a given day, and never without your doctor.
Because high blood pressure usually causes no symptoms at all until it has damaged something. That is precisely why it is dangerous and why it is worth treating even when you feel completely well.
Yes. Hypertension is well suited to teleconsultation because management depends on home readings tracked over time, which you can share directly. We review your readings, titrate medication and investigate the causes that often go unchecked.
Bring a fortnight of morning and evening readings to your first consultation and we can make real decisions on day one.
Consultations by secure video. Initial consultation ₹1,500 · Chronic care program ₹2,500 per month.