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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Headache With Elevated BP?

Hi Doctor, Im 43 years old and I noticed that before my mentruation, I have this heck pain..if not, I experienced headache. My blood pressure awhile ago is 160/100. The last few days, the ringing of my left ear is loud than before. Sometimes, my arm is also aching. I already take paracetamol awhile ago and massage the back of the neck with ointment. What do you think., is being 43 already means I need to have doctors checkup at least twice a year?
Wed, 30 Sep 2015
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that at your age you should start having periodically scheduled check ups every 6 months.

Your headache seems to be related to high blood pressure. You should know that it is one of the most common symptoms of high blood pressure.

Regarding to back and shoulder pain, it may be related to a cervical disk problem or to chronic degenerative changes to your back bone.

I recommend you to closely monitor your blood pressure, different times during the day at home (in sitting position, after 15 minutes of total relax) and refer these values to your GP.

It is necessary to perform a complete check up by your GP including: a careful physical examination, a resting ECG, a chest x ray study, a cervico -thoracic spine x ray study and some blood lab tests (complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, inflammation tests, etc).

If your blood pressure is above 130/90 mm Hg most of the time (and non episodic), you should discuss with your doctor the possibility of starting an antihypertensive therapy.

Meanwhile, some modifications to your lifestyle would help reduce your blood pressure:
- a balanced diet (low salt intake, avoid caffeine)
- physical activity (walking, aerobics, recreational activity)
- weight loss.

Hope to have been helpful!

Greetings!

Dr. Iliri
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How To Treat Headache With Elevated BP?

Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that at your age you should start having periodically scheduled check ups every 6 months. Your headache seems to be related to high blood pressure. You should know that it is one of the most common symptoms of high blood pressure. Regarding to back and shoulder pain, it may be related to a cervical disk problem or to chronic degenerative changes to your back bone. I recommend you to closely monitor your blood pressure, different times during the day at home (in sitting position, after 15 minutes of total relax) and refer these values to your GP. It is necessary to perform a complete check up by your GP including: a careful physical examination, a resting ECG, a chest x ray study, a cervico -thoracic spine x ray study and some blood lab tests (complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, inflammation tests, etc). If your blood pressure is above 130/90 mm Hg most of the time (and non episodic), you should discuss with your doctor the possibility of starting an antihypertensive therapy. Meanwhile, some modifications to your lifestyle would help reduce your blood pressure: - a balanced diet (low salt intake, avoid caffeine) - physical activity (walking, aerobics, recreational activity) - weight loss. Hope to have been helpful! Greetings! Dr. Iliri