Brief Answer:
needs thorough medical review again
Detailed Answer:
Hi,
It is true that, we have to rule out the underlying cause for your
hypertension. You have been diagnosed as having
adrenaline sensitive, had undergone
cardiac catheterization. Did your doctor rule out any
adrenal glands abnormality and pituitary disorders? Your
overweight could also be due to these
hormonal disorders. In addition, Sheehan's syndrome, which is
adrenal gland disease, is more common after delivery.
I would advise you to consult your Doctor again, discuss these issues if not ruled out already.
Your Drug combinations also need to be reviewed again. Are you taking all of them simultaneously?
You also need to be hospitalized for observations for your BP readings, and for dipping of BP in night, and 24 hours Holter's monitoring.
Do you have family history of hypertension, and Heart disease?
In most of the cases, Hypertension is Idiopathic, runs in families and we call it essential, but by seeing your case, I feel there must be secondary cause of HT.
I would also advise you to do your best to avoid Acidity, so that you do not have to take Nexium for prolong period.
I am not comfortable with your drug combination, though do not do any change without asking your treating Doctor. You should be under close supervision of your Doctor.
You are welcome for any further question.
Dr H Hamdani
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