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High blood pressure, kidney pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   did you see what I wrote already?
User :   I am a 48 year old male
Doctor :   No, please proceed with your query.
User :   my blood pressure has been a problem for years
Doctor :   Ok
User :   this morning i have back pain that could be kidney pain
Doctor :   Ok
User :   my blood pressure is extremely high like 150/110
Doctor :   Ok
User :   it is higher on the right arm than left
Doctor :   Ok
User :   i am wondering if i should go to the hospital
Doctor :   Can you describe about the pain?
User :   in the lower to midportion of my back
Doctor :   Is the pain along the spine?
User :   yes
User :   i can put my knuckle into it and it helps
User :   temporarily
User :   the back pain has eased since the middle of the night
Doctor :   Can you describe the nature of the pain - is it spasmodic in nature?
Doctor :   I mean is it like cramping?
User :   it is hard for me to tell if it is a true spasm
User :   not cramping
Doctor :   Ok
User :   steady ache
Doctor :   Do you have any problem while passing urine?
User :   no problem
Doctor :   Such as pain while urination, burning sensation while passing urine?
User :   no
Doctor :   Have you had similar symptoms in the past?
User :   i have had back troubles before for sure
Doctor :   Did the pain start after you woke up from a sleep, or following lifting?
User :   no lifting, it started in the middle of the night and i woke up feeing awful
Doctor :   Ok
User :   i just got up and walked around and the back pain is much better
Doctor :   Ok
User :   i am reallly worried about the blood pressure
User :   it is so high i am scared
Doctor :   Do you have any other medical problems such as diabetes/ high cholesterol levels?
User :   i think i may have a sinus infection is the last time i had this
User :   my cholestorol is mildly high and under control with meds
Doctor :   Ok
Doctor :   let me brief you.
User :   i take a low dose of atenolol
User :   daily
Doctor :   High blood pressure which is noticed all of a sudden is termed as accelerated hypertension.
User :   ok
Doctor :   Your diastolic blood pressure reading (the lower reading) is slightly high and does come into this category.
User :   agreed
Doctor :   An accelerated hypertension most often comes down with relaxation and bedrest.
User :   that was my plan, i have been burning the candle at both ends
User :   and too much alcohol consumption
User :   and caffeine
Doctor :   Only if the accelerated hypertension readings are persisting or if there are symptoms of the accelerated hypertension such as headache, blurring of vision, urination problems, you would need to seek medical advice.
Doctor :   Hence I suggest you rest for a while and recheck the blood pressure readings.
Doctor :   If they are still the same or if they have increased, you may see your doctor.
User :   thanks - will do
Doctor :   Anxiety and stress can make your readings go more.
Doctor :   So a proper rest is advisable.
User :   i have way 2 much stress right now
User :   thank you
Doctor :   That along with pain you had last night, and reduced sleep during the night may have caused
User :   does the difference in blood pressure between arms concern you
Doctor :   the high readings.
Doctor :   Hence do not worry about it.
User :   ok
Doctor :   Rest for a while and recheck your reading.
Doctor :   I mean your BP.
User :   thanks again
Doctor :   If they remain, high you can consult your GP.
Doctor :   Do you have any other query?
User :   no thanks again
Doctor :   Thanks for consulting me. Bye for now.
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