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High BP, severe headaches, tingling in right arm - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor :   Hi
Doctor :   Dr here
Doctor :   How may ii help you?
User :   hello my name is XXXXXXXX and Im am inquiring for my wife
Doctor :   Ok proceed
User :   She is 47 years old, suffers from high blood pressure, has been complaining of severe headaches today, Her pressures are high, 183/113 pulse 80 at 12:45, 173/111 at 1:50 and 180/106 pulse 67 at 2:50. She was saying her right arm was tingley this morning. She also has sinuses and used some generic Sudafed product last night. Should we go to the ermergency room?
Doctor :   Give me a moment let me read your query
Doctor :   Is complaning of associated blurring vision/ giddiness?
User :   no nothing like that all. I should add that she is obese, 5' 7" 280lbs.
Doctor :   The symptoms you said are more related Hypertension only
Doctor :   And the concern i have is she has pretty high values and such values for prolonged time is a medical concern
User :   We think so and that is the reason for the inquiry
Doctor :   Because uncontrolled BP can lead to rupture of arteries leading to Strokes
Doctor :   And Is she in any kind of stress?
Doctor :   Is she regular on her BP meds
Doctor :   Did she skip her doses recently or modify?
User :   Yes but relatively minor, we just moved . Inconsistent on the BP meds
Doctor :   Thats not advisible once incosistent on BP meds will result in rebound hypertension
Doctor :   Which also a probable cause for high values
User :   I can mention that to her
User :   I gave her a bananna to get some potassium in her
Doctor :   But in your case associated With headaches we should get her examined
Doctor :   And control the Bp drastically to avoid any complications
Doctor :   And she will require hospitilization for the administration of the drug
User :   Im gertting a correction she tells me she has been consistent on the BP meds
Doctor :   Ok
Doctor :   Then she might have two reasons for uncontrolled Bp
User :   she is nauscious and dry heaving right now
Doctor :   1. The medicines doses or the group is ineffective
Doctor :   2. rise in cholesteroil values
Doctor :   3. Stress
Doctor :   Those are signs of cardiac stress
Doctor :   My advise is take her to a Hospital ASAP
Doctor :   Is she also asthmatic?
User :   no she is not asthmatic
Doctor :   Ok
Doctor :   Then it rules out lung signs and mostly related to cardiac stress only
Doctor :   So plz get her admitted and dose helping her reduce Bp
User :   could sinus congestion be causeing this?
Doctor :   But High BP values accompanying bothers me
Doctor :   When there is cardiac stress the inflow to lungs will decrese causing heaving
Doctor :   So considering her history i would suggest hospitilization and observation for the same
User :   ok thank you.
Doctor :   And numbness/ tingling on right hand is referred sign
Doctor :   Wishing her a speedy recovery
User :   gotta go thank you for your insight
Doctor :   Thanks for consulting me
Doctor :   Bye for now
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