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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High BP And Dizziness

About 6 weeks ago a close friend of mine passed away. Since then i have had high blood pressure for the first time in my life. It has always been perfect 120/80. I have been taking my blood pressure at home and my GP put me on Atacand 4 mg pd but yesterday when i showed her my readings she raised the dose to 8 mg pd. The last 3 days when i have been recording my BP it has been up and down: 170/98, 154/92, 136/77, 153/84, 153/89, 137/79, 154/92, 153/86, and today 169/89, 155/96. I feel dizzy about once a day and wake up with a slight headache. I am feeling very apprehensive and nervous and wondering if i should take another 8 mg this evening. Wondering what else i can do. Thank you, Suzanne age 69
Wed, 9 Aug 2017
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General Surgeon 's  Response
Hello and welcome to HealthcareMagic.

Feeling dizzy and having high bp is not a very specific finding, meaning it could be a manifestation of many different conditions, so more info or tests might be necessary. Also it is not clear since when have the issues appeared and whether you have had any tests.

One possibility for light-headedness would be anemia, which commonly manifests with dizziness andtiredness.

Heart rhythm and function abnormalities would also lead to insufficient blood supply to the brain and other organs so would also justify those symptoms.

Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well.

If the symptoms have appeared only very recently it might be a simple transitory viral infection which are generally transitory and need only rest and hydration.

So I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, EKG.

I remain at your disposal for other questions.
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Suggest Treatment For High BP And Dizziness

Hello and welcome to HealthcareMagic. Feeling dizzy and having high bp is not a very specific finding, meaning it could be a manifestation of many different conditions, so more info or tests might be necessary. Also it is not clear since when have the issues appeared and whether you have had any tests. One possibility for light-headedness would be anemia, which commonly manifests with dizziness andtiredness. Heart rhythm and function abnormalities would also lead to insufficient blood supply to the brain and other organs so would also justify those symptoms. Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well. If the symptoms have appeared only very recently it might be a simple transitory viral infection which are generally transitory and need only rest and hydration. So I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, EKG. I remain at your disposal for other questions.