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Suggest Treatment For Fluctuating BP
Question: I Have query regarding my father. He is 59 years old and a patient of High BP.From past 1 year he is getting some allergic reactions and his B.P gets very low in the range of 50/30 and he is then needed to hospitalized immediately. This condition happened 3 times in last year. Doctors have done all the tests and they are not able to diagnose the problem. Recently he was hospitalized last week with the same issue. Can you please help me on this. what should be my next course of action as I am really not able to decide what to do. Also please suggest which specialist to see to him
Brief Answer:
Get Ultrasound Kidney and Bladder.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney.
I understand your concern.
It seems your father has Hypertensive or Diabetic Nephropathy as his Serum Creatinine is high.
What happens many times is that, due to reduced excretion of the medicines, they accumulate and cause low blood pressure.
Another possibility is reaction to any of the drugs he is taking.
Best way out in such situations is to stop all the medicines, and re introduce each Medicine weekly and to notice that which Medicine is causing this Allergic reaction.
I use Amlodipine for blood pressure in such scenarios.
For blood sugar control use of Insulin is advisable adjusted according to daily blood sugar tested at home with Glucometer.
I will not advise to give him any oral medication for diabetes.
Also get his Ultrasound Abdomen to see for status of kidneys and get a Chest Xray done.
I am hopeful, slow and progressive introduction of medicines will help to control such life threatening incidents and will also help to identify the offending drug.
You should see an Internal Medicine Specialist (MD Medicine).
I hope this information helps you.
If you have any further query please ask me.
Stay Healthy.
I prefer
Get Ultrasound Kidney and Bladder.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney.
I understand your concern.
It seems your father has Hypertensive or Diabetic Nephropathy as his Serum Creatinine is high.
What happens many times is that, due to reduced excretion of the medicines, they accumulate and cause low blood pressure.
Another possibility is reaction to any of the drugs he is taking.
Best way out in such situations is to stop all the medicines, and re introduce each Medicine weekly and to notice that which Medicine is causing this Allergic reaction.
I use Amlodipine for blood pressure in such scenarios.
For blood sugar control use of Insulin is advisable adjusted according to daily blood sugar tested at home with Glucometer.
I will not advise to give him any oral medication for diabetes.
Also get his Ultrasound Abdomen to see for status of kidneys and get a Chest Xray done.
I am hopeful, slow and progressive introduction of medicines will help to control such life threatening incidents and will also help to identify the offending drug.
You should see an Internal Medicine Specialist (MD Medicine).
I hope this information helps you.
If you have any further query please ask me.
Stay Healthy.
I prefer
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr XXXXXXX
Thanks a lot for the reply.
My father is not diabetic, still he needs to go for insulin?
I will ask my father about your suggestions.
Regards,
XXXX
Thanks a lot for the reply.
My father is not diabetic, still he needs to go for insulin?
I will ask my father about your suggestions.
Regards,
XXXX
Brief Answer:
I have seen high blood sugar report.
Detailed Answer:
Dear Friend
I have seen in attached reports that his blood sugar is high. I have advised insulin because of that considering that he might be getting any medicine for his blood sugars.
You can get a repeat:
1. Fasting and 2 hour Post postprandial blood sugar.
2. HbA1c.
If these reports are normal, he will not require insulin.
Review with the reports.
If you have any further query, please ask me.
Stay Healthy.
I have seen high blood sugar report.
Detailed Answer:
Dear Friend
I have seen in attached reports that his blood sugar is high. I have advised insulin because of that considering that he might be getting any medicine for his blood sugars.
You can get a repeat:
1. Fasting and 2 hour Post postprandial blood sugar.
2. HbA1c.
If these reports are normal, he will not require insulin.
Review with the reports.
If you have any further query, please ask me.
Stay Healthy.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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