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Severe headache,dizziness,blurry vision and recurrent UTI - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 2685 Questions
User :   I am a 58 year old woman currently suffering with severe headaches, dizziness, light headedness, blurry visiton, and repeated UTIs - I am currently taking my fifth set of antibiotics since March. I have a duplex kidney. I am also on treatment for high blood pressure which, despite treatment, still fluctuates with diastolic readings of 90 to 115 and systolic readings of 140 to 210. Could my symptoms be linked to the duplex kidney and infections be casued by refux?
Doctor :   Hi
Doctor :   Iam .Dr.,,,
Doctor :   please let me read your p
Doctor :   Are you diabetic?
Doctor :   headaches dizziness may be due to high blood pressure
User :   not as far as I'm aware
User :   could the high blood prssure be linked to the UTIs?
Doctor :   no
Doctor :   it is the high blood sugar
Doctor :   that causes it
User :   sorry I don't understand that...
Doctor :   Many duplex kidneys are incidental findings and are not the cause of symptoms although duplex kidneys are more prone to urinary infection, reflux and obstruction.
Doctor :   high blood sugar means diabetes
Doctor :   The ureter from the upper element of a duplex kidney is often ectopically inserted in boys into the posterior urethra or in girls distal to the bladder neck or in the vagina.
Doctor :   Ultrasound is sensitive to the diagnosis of duplex kidneys when there is dilatation of one or other elements.
Doctor :   so UTI is due to duplex kidney
User :   what would you advise me to do?
Doctor :   An ectopic ureter observed in a patient with complete ureteral duplication can present in the early stage, especially in female patients. This is because the ectopic ureter may insert below the sphincter or outside of the urinary tract (eg, vagina).
Doctor :   since your bp is fluctuating
Doctor :   it is the first thing to be brought under control
Doctor :   since infection can be easily treated
Doctor :   do you get good sleep?
Doctor :   do you have any cardiac disease?
User :   My bp has been a problem for many years - 35 - I had pre=eclampsia twice with babies of 2lb and llb12oz. I do not sleep well...
User :   No cardiac disease as far as I am aware...
Doctor :   ok
Doctor :   which are the medicines you8 take for bp?
User :   telmisartin 180mg, also called micardis, and diuretics
Doctor :   are you on regular follow ups?
Doctor :   ok
Doctor :   since when you take these?
User :   I have been taking these for about ten years, but others since bp started 35 years ago
Doctor :   ok
User :   yes seeing gp regularly, although recent change of gp so she is possibly not aware of complete history
Doctor :   are you on diet control?
Doctor :   do you take alcohol?
Doctor :   do you smoke?
Doctor :   any recent mental stress?
User :   No alcohol, not smoking, eating reasonably healthy
Doctor :   good
Doctor :   so the fluctuations can be easily controlled
User :   yes, recent stress through mother having dementia and bullying at work
Doctor :   by good rest for a week
Doctor :   ok
User :   have been off work since March and resting - symptoms still persisting
Doctor :   so try to do some relaxation exercises,relaxation
Doctor :   ok
Doctor :   do you get good sleep?
User :   medication - citalopram 30mg - is helping a bit with sleep but still nto good
Doctor :   Consider lifestyle modifications.
Doctor :   ok
User :   give up work?
Doctor :   if sleep is bad bp will shoot up
Doctor :   As the cardiovascular disease risk factors are assessed in individuals with hypertension, pay attention to the lifestyles that favorably affect blood pressure level and reduce overall cardiovascular disease risk.
Doctor :   A relatively small reduction in blood pressure may affect the incidence of cardiovascular disease on a population basis
Doctor :   A decrease in blood pressure of 2 mm Hg reduces the risk of stroke by 15% and the risk of coronary artery disease by 6% in a given population.
User :   bp does go up overnight, almost always, and sometimes lowers as the day goes on
Doctor :   are you overweight?
Doctor :   ok
Doctor :   so do take sleep medicines for some time
Doctor :   Lose weight if overweight. This can be accomplished with the DASH (Dietary Approaches to Stop Hypertension) diet, which is rich in fruits and vegetables and encourages the use of fat-free or low-fat milk and milk products.
Doctor :   Increase aerobic activity (30-45 min most days of the week).
Doctor :   Reduce sodium intake to no more than 100 mmol/d
Doctor :   Maintain adequate intake of dietary potassium (approximately 90 mmol/d).
Doctor :   Maintain adequate intake of dietary calcium and magnesium for general health.
Doctor :   Treatment for duplex kidney includespyeloplasty, pyeloureterostomy, endoplyelotomy or heminephrectomy.
Doctor :   Is there anything else i can help you with now?
User :   Hi
User :   hello, got cut off and had to re--pay...
User :   Are yyou there?
User :   yes
User :   quite a lot of advice - is it possible to take copy of that so I can look further?
User :   It seems you have moved out of the chat window. Please log in back if you have medical queries
Doctor :   Hi
Doctor :   Are you there?
User :   i got cut off?
Doctor :   ok
Doctor :   so did you understand what i said
Doctor :   for bp reduction
Doctor :   lifestyle changes are necessary
Doctor :   fro the duplex kidney
Doctor :   the surgical options are considered
User :   should i be considering surgetry
Doctor :   when the uti are recurrent
Doctor :   and is causing scar on kidneys
Doctor :   leading to decreased kidney function
User :   how is that diagnosed
Doctor :   that has to be decided after
Doctor :   blood tests
Doctor :   and sonography
Doctor :   by an experienced surgeon
Doctor :   WWW.WWWW.WW
User :   ok
Doctor :   you may ask expert opinion from dr chandan
Doctor :   who is a world renowned dr
Doctor :   in this
User :   thank you thats helpful
Doctor :   if you like
Doctor :   Thanks
Doctor :   Is there anything else i can help you with now?
User :   but you think not linked to bp and headaches though?
Doctor :   high bp, lack of good sleep causes headaches
User :   do you think lifestyle changes combined with medicaiton will bring down?
Doctor :   good rest and some life style changes will do wonders for you
User :   i am thinking of giving up work...
Doctor :   you can take some leave
User :   what do you think?
Doctor :   and relax for some time
Doctor :   till you feel healthy
Doctor :   and go out for some good vacataions
User :   I have been off work since march and still have headaches and dizziness - how long do you think it would take?
User :   ok...
Doctor :   vacations i mean
Doctor :   and relax your mind body and soul......
User :   any other advice?
Doctor :   Various interventions can be implemented to treat uncontrolled hypertension.
User :   what like?
Doctor :   These interventions include the following: (1) self-monitoring, (2) educational interventions directed to the patient, (3) educational interventions directed to the health professional, (4) health professional (nurse or pharmacist)â??led care, (5) organizational interventions that aim to improve the delivery of care, and (6) appointment reminder systems.
Doctor :   these interventions are associated with large net reductions in blood pressure and that health professional (nurse or pharmacist)â??led care may be a promising way of delivering care
Doctor :   Prevention of hypertension may be achieved by the following interventions: Doctor :   * Weight control
* Increased physical activity
* Moderated sodium and alcohol intake
* Increased potassium intake
* A dietary pattern rich in fruits and vegetables and low-fat meat, fish, and dairy products
Doctor :   Hypertension is a lifelong disorder. For optimal control, a long-term commitment to lifestyle modifications and pharmacological therapy is required. Therefore, repeated in-depth patient education and counseling not only improve compliance with medical therapy but also reduce cardiovascular risk factors.
Doctor :   Hope you understood some points...
Doctor :   Thanks for consulting..............
Doctor :   Bye for now..................
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