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Does Deficiency Of Sodium And Potassium Induce Fluctuating BP?
Question: In begining My father has got urine problem than stool was also not comig than doctor checked and find out that he is having difficency of sodium &potassium & than suggsuggested to diffuse 4 botles of sodium as since last 3yr he is having Blood pressure more than 170 in nnight & 140 in morning which is fluctuating since last 7 days kindly suggest what to do he is 63 yr old
Brief Answer:
Renal ultrasound and CT brain are a must in this case.
Detailed Answer:
Hi Sir.
I understand your query and concern.
Your father seem to have dyselectrolytemia probably because due to effects of long stand hypertension with secondary changes in the kidney function.
This might have caused the urinary problems.
The stool problem might have been due to the body sodium and potassium disturbances.
He correctly received the potassium and sodium supplementation.
Its now very important to adequately control his blood pressure and convulsive episodes as both can lead to renal failure if not promptly treated.
For this you need to have an renal ultrasound along with complete urine examination.
Blood pressure should be strictly under 130/80 mm of hg.
Correction of antihypertensive drug dosages is needed in your case after consulting your treating doctor.
A CT scan brain is strongly needed to evaluate the changes in brain due t convulsions and high blood pressure.
Thank you.
Renal ultrasound and CT brain are a must in this case.
Detailed Answer:
Hi Sir.
I understand your query and concern.
Your father seem to have dyselectrolytemia probably because due to effects of long stand hypertension with secondary changes in the kidney function.
This might have caused the urinary problems.
The stool problem might have been due to the body sodium and potassium disturbances.
He correctly received the potassium and sodium supplementation.
Its now very important to adequately control his blood pressure and convulsive episodes as both can lead to renal failure if not promptly treated.
For this you need to have an renal ultrasound along with complete urine examination.
Blood pressure should be strictly under 130/80 mm of hg.
Correction of antihypertensive drug dosages is needed in your case after consulting your treating doctor.
A CT scan brain is strongly needed to evaluate the changes in brain due t convulsions and high blood pressure.
Thank you.
Above answer was peer-reviewed by :
Dr. Prasad
Sir
His blood pressure was 210/90 so now we have admitted him in hospital so now blood pressure is 170/90 and still in hospital for under observations of Blood pressure as one urine test for keratinin & protin is done in which protin test has resulted+++ where as keratinin is negative but my father has become week we are nt able to get why he suddenly became so week within 15 days.
And kindly suggest to whom specialist doctor we should consult.
His blood pressure was 210/90 so now we have admitted him in hospital so now blood pressure is 170/90 and still in hospital for under observations of Blood pressure as one urine test for keratinin & protin is done in which protin test has resulted+++ where as keratinin is negative but my father has become week we are nt able to get why he suddenly became so week within 15 days.
And kindly suggest to whom specialist doctor we should consult.
Brief Answer:
Nephrologist consultation is mandate.
Detailed Answer:
Hi.
The high blood pressure in this case seems to be accelerated form of hypertension.
This could be due to impending renal failure and electrolyte disturbances.
You need to consult a nephrologist for further management.
He requires urgent lowering of blood pressure and renal artery status based on which stenting or haemodialysis can be chosen as options.
Thank you.
Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you a good health.
Nephrologist consultation is mandate.
Detailed Answer:
Hi.
The high blood pressure in this case seems to be accelerated form of hypertension.
This could be due to impending renal failure and electrolyte disturbances.
You need to consult a nephrologist for further management.
He requires urgent lowering of blood pressure and renal artery status based on which stenting or haemodialysis can be chosen as options.
Thank you.
Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you a good health.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Sir
Till , father is admitted in hospital they have balanced Blood pressure 140/80. As urine sensitivity test by reserving 24 hr & protein test is done . Both test shown negative for protein. &doctor is telling that earler test of protein which was done on 8p.m in the day of admitting was random so that was +++protein find out.
Kindly suggest for further treatment.
Till , father is admitted in hospital they have balanced Blood pressure 140/80. As urine sensitivity test by reserving 24 hr & protein test is done . Both test shown negative for protein. &doctor is telling that earler test of protein which was done on 8p.m in the day of admitting was random so that was +++protein find out.
Kindly suggest for further treatment.
Brief Answer:
24 hr urine protein values is more sensitive
Detailed Answer:
Hi Sir.
I understand your query and concern.
The blood pressure has now settled as per the readings given.
Regarding Proteinuria, certainly random samples can give false positive elevations.
24Hr urine estimation is more sensitive and specific.
If these are negative, there is nothing much to worry about.
He should improve from here on .is what I personally feel.
Its better if BP is just less than 130/80 mm of Hg.
All the electrolytes have to be maintained under normal range without fail.
Anti hypertensive drugs have to be now given on maintenance dosages.
Post your further queries if any.
Thank you.
24 hr urine protein values is more sensitive
Detailed Answer:
Hi Sir.
I understand your query and concern.
The blood pressure has now settled as per the readings given.
Regarding Proteinuria, certainly random samples can give false positive elevations.
24Hr urine estimation is more sensitive and specific.
If these are negative, there is nothing much to worry about.
He should improve from here on .is what I personally feel.
Its better if BP is just less than 130/80 mm of Hg.
All the electrolytes have to be maintained under normal range without fail.
Anti hypertensive drugs have to be now given on maintenance dosages.
Post your further queries if any.
Thank you.
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Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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