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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Malignant Hypertension

Each night I lay down, my bed becomes a vibrating machine, beginning at my feet and traveling up my whole body to my neck (not in neck or head, but there, there is pulse rhythms I can hear in my pillow each time my heart beats). Also when I lie on my left side, it seems like my heart is right on the mattress beating outside the rib cage. I have CKD stage 4 and I also have either CHF or just heart disease. All due to Malignant Hypertension for years. (No found diabetes, though brother has that). Cholesterol is consistently good.
Fri, 7 Jul 2017
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General & Family Physician 's  Response
Hello, Thanks for posting your query on Healthcare Magic...
* Brief Answer: You need to check your blood pressure regularly if high , check with your physician to modify your drugs.
*Explanation: My opinion is that high blood pressure on many occasions is an indication for control .That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure.Then ,Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that dose not help, medications are a must .That is usually decided by your doctor according to your condition and comorbidities .Some drugs that are perfect for patients are not necessary good for others.Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started.hearing your heart sounds so strong at night ma be due to high blood pressure and that need to be controlled.
I suggest my patients the following : low salt diet , check your dry weight and ultrafiltration goal in your dialysis sessions.
The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about blood pressure readings also echocardiography data if there any.
*Conclusion: I suggest you consult your physician about your medication.
If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.
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Suggest Treatment For Persistent Malignant Hypertension

Hello, Thanks for posting your query on Healthcare Magic... * Brief Answer: You need to check your blood pressure regularly if high , check with your physician to modify your drugs. *Explanation: My opinion is that high blood pressure on many occasions is an indication for control .That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure.Then ,Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that dose not help, medications are a must .That is usually decided by your doctor according to your condition and comorbidities .Some drugs that are perfect for patients are not necessary good for others.Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started.hearing your heart sounds so strong at night ma be due to high blood pressure and that need to be controlled. I suggest my patients the following : low salt diet , check your dry weight and ultrafiltration goal in your dialysis sessions. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about blood pressure readings also echocardiography data if there any. *Conclusion: I suggest you consult your physician about your medication. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.