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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Sinus Tachycardia. Had Abnormal Pulse And BP, Pressure In Eye. Tried Ice Compress And Heating Pad. Suggestions

Hi I'm a 37 yr old F with history of sinus tachycardia, I was at the doctors today and my pulse was 141 and my BP was 151/102 I've had a headache behind my right ear for 24 hours that is painful when you press on it I can also feel my heart beat. It is worse laying down I've tried ice compress, heating pad, warm shower 800mg Ibu, caffeine, Tylenol and fioricet it won't go away and now my R eye has pressure behind it with floaters, also my right foot last two digits have warm hot sensation not sure if they go hand in hand. My Bp is always up and down. More up lately than not. As low as 120/78
Wed, 24 Jul 2013
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Radiologist 's  Response
Hello
Thanks for writing to HCM

Fluctuating B.P is seen in hypertensive patients in uncontrolled state.
Your B.P should be monitored in different times before starting antihypertensives. Ambulatory B.P monitoring can also be done.
You also needs chest X-ray(PA), Blood sugar(Fasting and PP),Lipid profile, RFT and LFT.
Ultrasound of abdomen should also be done
Avoid caffeine as it increases B.P.
Get examine of your eyes by ophthalmologist.

Take Care
Dr.Indu Bhushan
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History Of Sinus Tachycardia. Had Abnormal Pulse And BP, Pressure In Eye. Tried Ice Compress And Heating Pad. Suggestions

Hello Thanks for writing to HCM Fluctuating B.P is seen in hypertensive patients in uncontrolled state. Your B.P should be monitored in different times before starting antihypertensives. Ambulatory B.P monitoring can also be done. You also needs chest X-ray(PA), Blood sugar(Fasting and PP),Lipid profile, RFT and LFT. Ultrasound of abdomen should also be done Avoid caffeine as it increases B.P. Get examine of your eyes by ophthalmologist. Take Care Dr.Indu Bhushan