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Is Blood Pressure Value Of 180/110 A Cause For Concern?

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Posted on Tue, 13 Sep 2016
Question: Hi, my 18 year old son has blood pressure of 180/110 today. He had a grand mal seizure this summer (1 month ago) and and abnormal EEG, but a normal MRI. He says he feels a discomfort around his heart and also near his right underarm/chest area. He is taking Lamectal gradually and is now at 125 mg. per day as an anti seizure med. He had high blood pressure at his physical about 2 months ago, but did not tell me until today. He has a pediatrician and a neurologist, but does not have a primary care/internal med. doctor for adults. Any suggestions/ next steps? He leaves for college on Monday.

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Answered by Dr. Sudhir Kumar (19 minutes later)
Brief Answer:
Need to treat his hypertension.

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist and would try my best to help you.

I have noted your son's medical details. His BP is high and he needs to be evaluated to determine the cause of hypertension (high BP). This would require blood tests and ultrasound of kidneys/renal doppler.

Also, in addition to anti-seizure medication, he should also be started on anti-hypertensive medication such as telmisartan or olmesartan.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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Is Blood Pressure Value Of 180/110 A Cause For Concern?

Brief Answer: Need to treat his hypertension. Detailed Answer: Hi, Thank you for posting your query. I am Dr Sudhir Kumar, Neurologist and would try my best to help you. I have noted your son's medical details. His BP is high and he needs to be evaluated to determine the cause of hypertension (high BP). This would require blood tests and ultrasound of kidneys/renal doppler. Also, in addition to anti-seizure medication, he should also be started on anti-hypertensive medication such as telmisartan or olmesartan. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in