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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can numbness and hypertension with peripheral neuropathy be treated?

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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 6074 Questions

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Posted on Thu, 11 Oct 2018 in Hypertension and Heart Disease
Question: Hypertension with peripheral neuropathy and numbness of feet. Engored blood vessels in lower extremities upon rising from bed.
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Answered by Dr. Ilir Sharka 2 hours later
Brief Answer:

I would recommend as follows:

Detailed Answer:

Hello!

I passed carefully through your question and would recommend adding a calcium channel blocker (amlodipine or lercanidipine, etc.)to your actual therapy, to help improve the engorged blood vessels.

I would also recommend performing inflammation tests (complete blood count, PCR, ESR) and Rheumatoid factor levels to investigate arthritis, which could mimic this clinical situation.

You should discuss with your doctor on the above issues.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ilir Sharka 1 hour later
Thank-you very much for your detailed answer. I thought of having my Dr. order inflammation tests but did not think of calcium channel blockers. Interesting to say the lest. Once again thank-you.
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Answered by Dr. Ilir Sharka 2 minutes later
Brief Answer:

My opinion as follows:

Detailed Answer:

Hello,

I would recommend discussing with your doctor on the above issues.

You should know that calcium channel blocker can help vessel dilation.

I would also recommend checking vitamin D plasma levels for any possible vitamin D deficiency.

Hope I have answered your query.

Take care

Regards,
Dr Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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