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Suggest Treatment For High Blood Pressure

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Posted on Tue, 19 Aug 2014
Question: I have a question concerning blood pressure. 14 months ago I gave birth to beautiful daughter, upon giving birth I developed high blood pressure. My bp was fine before and during pregnancy. Why would I now develop this condition. I would also like to note I am 5 feet, 9 inches tall and weight 160 lbs. As well I lead a very active life style.
doctor
Answered by Dr. Anshul Varshney (45 minutes later)
Brief Answer:
Systemic Hypertension.

Detailed Answer:
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
If a female who was previously normotensive develops high BP during pregnancy we call it as Pregnancy induced Hypertension (PIH)
See a lot many females with PIH get back to normotensive state after delivery. Then they don't require any medicine. But if they continue to have high blood pressure after delivery we prescribe them medicines for BP control.
Now since you have developed high BP after delivery it is not PIH. We call it Systemic Hypertension. But at your age we should rule out other causes of Hypertension in young.
I would advise you to get:
1. Kidney function tests.
2. Fasting Lipid profile.
3. Fasting Blood sugar.
4. Urine examination
5. Ultrasound abdomen
6. Thyroid function tests.
If you have any other query feel free to ask me.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (26 minutes later)
I have had those tests done including the 48 hour urine to look at cortisol levels and all came back normal. I have also had a number of heart tests done and all came back normal. I'm just very puzzled to why I would all of a sudden develop this condition. I feel that I'm pretty healthy and a little young to have high bp. Is there anything I can do to bring it down other then medication, and will I have this for the rest of my life?
doctor
Answered by Dr. Anshul Varshney (2 minutes later)
Brief Answer:
Detail follows.

Detailed Answer:
Dear Friend.
Please tell me your Blood pressure readings and pulse rate.
Stay healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (14 minutes later)
Before medication bp 170/105 resting hr 74
On medication bp 115/75 resting hr 74
Additionally my bp rises during menstruation 150/94 resting heart 74
Also on meds during this time. BP returns to normal 2. Day before menstruating ends
doctor
Answered by Dr. Anshul Varshney (11 hours later)
Brief Answer:
Detail follows.

Detailed Answer:
Dear Friend.
At this high BP you should take the medicines properly as advised by your physician.
Here I would again emphasize on getting a Doppler of Renal Arteries and A kidney function test.
If they come out to be normal then we would treat you simply as a case of Primary Systemic Hypertensive.
I am emphasizing on investigations a lot because many times there are secondary causes of Hypertension.
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
doctor
Answered by
Dr.
Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest Treatment For High Blood Pressure

Brief Answer: Systemic Hypertension. Detailed Answer: Dear Friend. Welcome to HCM. I am Dr Anshul Varshney. I understand your concern. If a female who was previously normotensive develops high BP during pregnancy we call it as Pregnancy induced Hypertension (PIH) See a lot many females with PIH get back to normotensive state after delivery. Then they don't require any medicine. But if they continue to have high blood pressure after delivery we prescribe them medicines for BP control. Now since you have developed high BP after delivery it is not PIH. We call it Systemic Hypertension. But at your age we should rule out other causes of Hypertension in young. I would advise you to get: 1. Kidney function tests. 2. Fasting Lipid profile. 3. Fasting Blood sugar. 4. Urine examination 5. Ultrasound abdomen 6. Thyroid function tests. If you have any other query feel free to ask me. Stay Healthy.