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What causes blurry vision, low BP, constant headache and chest pain?

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Posted on Wed, 25 May 2016
Question: I am trying to find out whats wrong with my dad. He is a 54 yr old veteran at 5'11 260 pds with no insurance and the VA is not helping. For the last two weeks he has gotten worse with his symptoms, they are:
Blur vision with distance - only can see 5 feet away
super low blood pressure 70 over 50 with high heart rate at 117
constant thirst and dryness
at night jaw and right side of neck have pain
stinging constant headaches
head hurts when cough
slight chest pain with cough
off and on alot- lightheaded and dizziness

Please if you could help us in the right direction i would really appreciate it !!
doctor
Answered by Dr. Shuba Hariprasad (2 hours later)
Brief Answer:
Symptomatic Pituitary adenoma

Detailed Answer:
Hello Mr. XXXXXXX
I am Dr. Shuba Hariprasad and I hope to help you out today.

I have a few points I would like to clarify based on your query.
1) How was his Blood pressure monitored (at home or by medical prefessionals)?
2) Is he able to do walk about?
3) Does he have frequent urination or large quantities of urine?
4) Any swelling anywhere on the body?
5) any hair loss or unusual sensitivity to cold?

His symptoms of headache, dizziness indicate a possible SOL (space occupying lesion ) in the brain and correlating this with the dryness and blurred vision suggests a pituitary tumor (usually benign).
The pituitary is a small gland that controls many endocrine functions in our body. it is located closed to the optic nerve in the anterior (front) part of the brain.
Any pituitary tumor can cause compression of adjacent organs and symptoms depend on how big the tumor is and what structures it compresses.
The endocrine functions include the thyroid, adrenal, gonadal hormone regulation, vasopressin (anti diuretic hormone)control among others. Vasopressin deficiency induced loss of water in the form of diluted urine and increased thirst all day

Most of his symptoms are explained by this. The giddiness and blurred vision could result from compression of the vestibulo cochlear apparatus (responsible for balance) and the optic nerves ,respectively ,by the tumor.

His B.P reading is too low to maitain basic bodily functions. If this is right, it is a miracle if he is up and about. If you can feel his pulse at his wrist (radial pulse) or if hands and legs are pink and warm, his systolic pressure is atleast 90 mmHg.

I would recommend seeing a physician/neurologist team right away to have a work up (CT scan or MRI of the brain), blood work a chest xray with Electrocardiogram and echocardiogram.

Decompressing the tumor (surgically), with supportive medical management to treat his associated symptoms and complications is the mainstay of treatment.

A clinical exam with a chest xray will help to exclude a lung infection or airway spasm (painful cough).

It is vital to seek medical attention right away to prevent life threatening complications.

Hope I've been helpful. I'd be happy to answer any further queries you may have.
Wish you both good health
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
Answered by
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Dr. Shuba Hariprasad

General & Family Physician

Practicing since :2002

Answered : 1087 Questions

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What causes blurry vision, low BP, constant headache and chest pain?

Brief Answer: Symptomatic Pituitary adenoma Detailed Answer: Hello Mr. XXXXXXX I am Dr. Shuba Hariprasad and I hope to help you out today. I have a few points I would like to clarify based on your query. 1) How was his Blood pressure monitored (at home or by medical prefessionals)? 2) Is he able to do walk about? 3) Does he have frequent urination or large quantities of urine? 4) Any swelling anywhere on the body? 5) any hair loss or unusual sensitivity to cold? His symptoms of headache, dizziness indicate a possible SOL (space occupying lesion ) in the brain and correlating this with the dryness and blurred vision suggests a pituitary tumor (usually benign). The pituitary is a small gland that controls many endocrine functions in our body. it is located closed to the optic nerve in the anterior (front) part of the brain. Any pituitary tumor can cause compression of adjacent organs and symptoms depend on how big the tumor is and what structures it compresses. The endocrine functions include the thyroid, adrenal, gonadal hormone regulation, vasopressin (anti diuretic hormone)control among others. Vasopressin deficiency induced loss of water in the form of diluted urine and increased thirst all day Most of his symptoms are explained by this. The giddiness and blurred vision could result from compression of the vestibulo cochlear apparatus (responsible for balance) and the optic nerves ,respectively ,by the tumor. His B.P reading is too low to maitain basic bodily functions. If this is right, it is a miracle if he is up and about. If you can feel his pulse at his wrist (radial pulse) or if hands and legs are pink and warm, his systolic pressure is atleast 90 mmHg. I would recommend seeing a physician/neurologist team right away to have a work up (CT scan or MRI of the brain), blood work a chest xray with Electrocardiogram and echocardiogram. Decompressing the tumor (surgically), with supportive medical management to treat his associated symptoms and complications is the mainstay of treatment. A clinical exam with a chest xray will help to exclude a lung infection or airway spasm (painful cough). It is vital to seek medical attention right away to prevent life threatening complications. Hope I've been helpful. I'd be happy to answer any further queries you may have. Wish you both good health