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What Causes Fluctuations In BP Levels While Having Lupus Nephritis?
Question: i need to consult a rheumotologist for lupus nephritis
, my wife is in full remission as per tests since 4 years now after going through a chemo therapy. she as also hashimoto but her TSH seems under control. she is taking thyroxine
when her bp fluctuates reaching 160/100. we raise the doses until she goes back to normal 120/80
but still this happens every few months, reasons we dont know
, my wife is in full remission as per tests since 4 years now after going through a chemo therapy. she as also hashimoto but her TSH seems under control. she is taking thyroxine
when her bp fluctuates reaching 160/100. we raise the doses until she goes back to normal 120/80
but still this happens every few months, reasons we dont know
Brief Answer:
Blood pressure variation
Detailed Answer:
good evening
thank you for writing on health care magic
I have gone through her reports and her Kidney functions still seem to be high...Maybe a bit of scarring has been left earlier on the kidneys
As for the blood pressure, I would like to know what medications is she taking??
2. Are the medicines being taken on continous basis or on intermittent??
3. Did she have blood pressure medicine before as well???
4. Is she taking Hydroxychloroquine for her Lupus??
Do let me know these queries and I would guide you further from here
Regards
Dr Naval
Blood pressure variation
Detailed Answer:
good evening
thank you for writing on health care magic
I have gone through her reports and her Kidney functions still seem to be high...Maybe a bit of scarring has been left earlier on the kidneys
As for the blood pressure, I would like to know what medications is she taking??
2. Are the medicines being taken on continous basis or on intermittent??
3. Did she have blood pressure medicine before as well???
4. Is she taking Hydroxychloroquine for her Lupus??
Do let me know these queries and I would guide you further from here
Regards
Dr Naval
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
her kidney function is much better than before , she had severe lupus nephritis in 2013 , of course there scarring but she is in full remission
her bp Med
amlor 2.5 mg we raise to 5 mg in case of bp
concur 2 mg or 5 mg
diovan 80 mg
most of time her bp is 120 / 80
but from time to time is fluctuates and we don't know why
she is taking also plaquinel 2 tabs per day
her bp Med
amlor 2.5 mg we raise to 5 mg in case of bp
concur 2 mg or 5 mg
diovan 80 mg
most of time her bp is 120 / 80
but from time to time is fluctuates and we don't know why
she is taking also plaquinel 2 tabs per day
Brief Answer:
Blood pressure management
Detailed Answer:
Good evening
Sorry for the late reply..Had a long duty yesterday
Well, as for the blood pressure variation, some patients do suffer from Labile Hypertension, that is they will have intermittent shooting up of the blood pressure...But just to be sure there are no pathological cause for it, I will advise a few blood tests:
1. Get a repeat REnal Doppler done..They may have done the ultrasound but one needs to look at the blood flow as well..Kidneys are a common cause of BP
2. 24 hour urine for VanylMandelic Acid and Metanephrines
3. Also get a 24 hour BP monitoring done...it will record her BP over 24 hours and we will know if she keeps getting these intermittent spikes every now and then...So we can adjust her medicines accordingly...
As for Plaquniel, I feel she can cut down the dose to 1 tablet( 200 mg daily ) as well since she has been on it for a while
Hope the information was useful
Do let me know for more queries
Regards
Dr naval
Blood pressure management
Detailed Answer:
Good evening
Sorry for the late reply..Had a long duty yesterday
Well, as for the blood pressure variation, some patients do suffer from Labile Hypertension, that is they will have intermittent shooting up of the blood pressure...But just to be sure there are no pathological cause for it, I will advise a few blood tests:
1. Get a repeat REnal Doppler done..They may have done the ultrasound but one needs to look at the blood flow as well..Kidneys are a common cause of BP
2. 24 hour urine for VanylMandelic Acid and Metanephrines
3. Also get a 24 hour BP monitoring done...it will record her BP over 24 hours and we will know if she keeps getting these intermittent spikes every now and then...So we can adjust her medicines accordingly...
As for Plaquniel, I feel she can cut down the dose to 1 tablet( 200 mg daily ) as well since she has been on it for a while
Hope the information was useful
Do let me know for more queries
Regards
Dr naval
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr
if these mentioned tests will show some case of untreatable condition in the kidneys,,why she put her in this stress
if these mentioned tests will show some case of untreatable condition in the kidneys,,why she put her in this stress
Brief Answer:
Further Course
Detailed Answer:
Good evening Sir
Could you please re frame the question...I could not comprehend what you wanted to ask here...
Regards
Dr naval
Further Course
Detailed Answer:
Good evening Sir
Could you please re frame the question...I could not comprehend what you wanted to ask here...
Regards
Dr naval
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
dear Dr naval
the tests that you suggested above regrading her kidney function,, if they will result in a non curable diseases ,, I don't want to go through this trail .
if i should wait 24 hrs for each answer , this is the last time i will use your services
the tests that you suggested above regrading her kidney function,, if they will result in a non curable diseases ,, I don't want to go through this trail .
if i should wait 24 hrs for each answer , this is the last time i will use your services
Brief Answer:
Investigations
Detailed Answer:
good evening
Well, these are the causes which are reversible...That is why we should look into these to see why there is labile hypertension... Most of the times, one can find the cause and hence we need to cope up with whatever the situation comes...24 hour BP monitoring will give us an exact clue at what time the BP shoots up and during what activity, so we can time the medicines accordingly....
I am sorry if waiting is such a problem for you cause I do have my Hospital services to attend as well, and I try to reply as soon as I can...
Sure, you can switch to someone else....
Take care
Regards
Dr Naval
Investigations
Detailed Answer:
good evening
Well, these are the causes which are reversible...That is why we should look into these to see why there is labile hypertension... Most of the times, one can find the cause and hence we need to cope up with whatever the situation comes...24 hour BP monitoring will give us an exact clue at what time the BP shoots up and during what activity, so we can time the medicines accordingly....
I am sorry if waiting is such a problem for you cause I do have my Hospital services to attend as well, and I try to reply as soon as I can...
Sure, you can switch to someone else....
Take care
Regards
Dr Naval
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Above answer was peer-reviewed by :
Dr. Remy Koshy
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