Conversation: The conversation between human and AI assistant.
[|Human|] i am 38 yrs old my wieght is 230 i am 6 ft tall my father has heart problems my blood preasure runs around 130 or 140 over mid 90 when i am at work but when i am home it runs 125 overlow 80 or high 70 my dr. wants me to start 160mlg of diovan do you thing this is a good thing to start
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. In young patient like you, before starting to treat hypertension It's important to exclude secondary hypertension. There are different factors that might be responsible for secondary hypertension like endocrine problems, renal disease, cardiovascular anomalies etc. So, if I was your treating doctor I will recommend some examination like a cardiac echo, a full blood analyze, your urinary catecholamine, an abdominal echo to evaluate renal structure and a holder pressure monitoring to evaluate mean values. Only after excluding secondary factors than we can judge how to treat it depending on mean values. Diovan is a good treatment, but the dosage depends on your mean values not in a sporadic value. Normaly we start with lower dosage, 80 mg and than increase it., depending on mean values. Hope I was helpful. Best regards, Chat Doctor.