HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Ways To Lower High BP Levels

default
Posted on Sun, 3 Jun 2018
Question: I have high blood pressure and last few days it was sometimes over 200/100. I am taking lisinopril and metoprolol, I am 76 years old female.
They seem not to help at all.
Last month it was discovered that my left kidney is not working, the stent was inserted and there is plan to remove this kidney.
I am desperate to lower the blood pressure, could not working kidney be a cause that the medicine does not bring relief?
Thank you,
Irene
doctor
Answered by Dr. Saumya Mittal (58 minutes later)
Brief Answer:
Suggestion

Detailed Answer:
Hello madam. You seem to be suffering from renal artery stenosis. I sincerely believe one needs to understand the disease process to understand the options.
Renal artery stenosis is a narrowing of arteries that carry blood to one or both of the kidneys. It affects older people, especially women with atherosclerosis.
It worsens over time and often leads to high blood pressure and kidney damage. The sensors in the body sense less blood reaching the kidneys and assume that the body faces low blood pressure. Thereafter there is the release of hormones from the kidney that cause an increase in blood pressure.
Renal artery stenosis usually does not cause any specific symptoms. Often, the patient of renal artery stenosis has high blood pressure that is extremely hard to control.
The condition may require many different groupe of medicines to control high blood pressure. Patients may also be asked to take other medications, such as cholesterol-lowering drugs and aspirin.
Some medications commonly used to treat high blood pressure associated with renal artery stenosis include:
Angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs)- you are on lisinopril.
Beta blockers and alpha-beta blockers-you are on metoprolol.
Diuretics and Calcium channel blockers can be added by your nephrologist.
Intervention such as stenting may be recommended.

To answer your question directly, yes the affected kidney and the stenosis can cause the BP to rise. I have suggested 2 added groups of medicines that your nephrologist may consider.

I have tried to make it as simple as possible. feel free to contact us for more information.
Best of luck. Dr Mittal
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Saumya Mittal (1 hour later)
Thank you Doctor Mittal for the explanation and an advice
Have a wonderful New Year
Regards,
Irene
doctor
Answered by Dr. Saumya Mittal (10 hours later)
Brief Answer:
Best wishes

Detailed Answer:
Wishing you a wonderful new year too and a speedy recovery.
Dr Mittal
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2897 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Ways To Lower High BP Levels

Brief Answer: Suggestion Detailed Answer: Hello madam. You seem to be suffering from renal artery stenosis. I sincerely believe one needs to understand the disease process to understand the options. Renal artery stenosis is a narrowing of arteries that carry blood to one or both of the kidneys. It affects older people, especially women with atherosclerosis. It worsens over time and often leads to high blood pressure and kidney damage. The sensors in the body sense less blood reaching the kidneys and assume that the body faces low blood pressure. Thereafter there is the release of hormones from the kidney that cause an increase in blood pressure. Renal artery stenosis usually does not cause any specific symptoms. Often, the patient of renal artery stenosis has high blood pressure that is extremely hard to control. The condition may require many different groupe of medicines to control high blood pressure. Patients may also be asked to take other medications, such as cholesterol-lowering drugs and aspirin. Some medications commonly used to treat high blood pressure associated with renal artery stenosis include: Angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs)- you are on lisinopril. Beta blockers and alpha-beta blockers-you are on metoprolol. Diuretics and Calcium channel blockers can be added by your nephrologist. Intervention such as stenting may be recommended. To answer your question directly, yes the affected kidney and the stenosis can cause the BP to rise. I have suggested 2 added groups of medicines that your nephrologist may consider. I have tried to make it as simple as possible. feel free to contact us for more information. Best of luck. Dr Mittal