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What Causes Facial Flushing, Dry Face And High BP In An Elderly Woman?
Question: My 75 year old mother has episodes of facial flushing, hot face, dry feeling face. Bp does go up and she gets rapid pulse. After the episode she dumps a lot of water through urination. She is on bp meds but this is a new set of symptoms. She had rooster comb injection several weeks back and started on the cpap mask three weeks ago. Any disorders that cause the flushing with immediate frequent irination?
Brief Answer:
A step by step approach needs to be taken.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone very carefully through the provided details. However a clinical examination was very important but that is beyond the scope of this online discussion. In such a case a step by step method needs to be adapted. A few tests need to be done and you need to provide certain other details as well.
* Please mention the blood pressure and how long it has been there. Also mention how long she has been on BP medicine.
* Please mention if she has diabetes. If not tested within the last few months, I would insist you to get the blood sugar (fasting) checked and to share the reports. Diabetes could lead to frequent passage of urine.
* Get an ECG done. Rhythm irregularities need to be checked for sicne there is intermittent rise in heart rate.
* The facial flushing and the other complaints could arise from hormone deprivation which can be seen in post menopausal age. In such a case hormone replacement therapy (HRT) needs to be considered. Discuss with her gynecologist.
* An evaluation of her chest is required in order to understand about the condition for which she requires CPAP.
Feel free to write back to me.
Regards
A step by step approach needs to be taken.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone very carefully through the provided details. However a clinical examination was very important but that is beyond the scope of this online discussion. In such a case a step by step method needs to be adapted. A few tests need to be done and you need to provide certain other details as well.
* Please mention the blood pressure and how long it has been there. Also mention how long she has been on BP medicine.
* Please mention if she has diabetes. If not tested within the last few months, I would insist you to get the blood sugar (fasting) checked and to share the reports. Diabetes could lead to frequent passage of urine.
* Get an ECG done. Rhythm irregularities need to be checked for sicne there is intermittent rise in heart rate.
* The facial flushing and the other complaints could arise from hormone deprivation which can be seen in post menopausal age. In such a case hormone replacement therapy (HRT) needs to be considered. Discuss with her gynecologist.
* An evaluation of her chest is required in order to understand about the condition for which she requires CPAP.
Feel free to write back to me.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
She has been on bp meds since the 1980's. She now takes lopressor 25 mg twice daily and amlodapene once per day along with aspirin regime. She had her sugar checked but not fasting blood sugar. It was 91 at 2 am. She doesn't have diabetes. In the 80's she had a soccer ball size and grapefruit size non cancerous tumors on her ovaries resulting in total hysterectomy. She has never been on HRT ever. She usually always has very low pulse from 45 to 56. A recent episode of rapid pulse and palpitations sent her to the ER. They took her off atenolol and put her on lopressor. This concerned me due to her chronic, persistent, low pulse. Now she gets hot flushing face and increased heart rate and elevated or high bp. I recommended hormone cream but she didn't think she needed it at her age. She had other symptoms years earlier of burning feet. No pain but burning. She has a cpap machine but can't tell what info you need on that. Thank you so much
Brief Answer:
Thanks for sharing the details.
Detailed Answer:
Thanks for writing back. Atenolol is known to lower heart rate and also keep the rhythm irregularities at bay. The low heart rate due to atenolol is not a cause for concern. I would favor this medicine and discuss about it with your treating physician.
The symptoms seem to be due to hormonal deprivation and hormonal creams should help in part. More relief would come from hormone replacement therapy.
About the use of CPAP, I do not have specific queries. It is apparent that she has some sort of lung pathology. The details however do not concern the complaint concerned.
Her urine needs to be tested to rule out urinary tract infection as a possible cause of the increase in urinary frequency. It can be assumed that she is non-diabetic.
Let me know specifically how I could help.
Regards
Thanks for sharing the details.
Detailed Answer:
Thanks for writing back. Atenolol is known to lower heart rate and also keep the rhythm irregularities at bay. The low heart rate due to atenolol is not a cause for concern. I would favor this medicine and discuss about it with your treating physician.
The symptoms seem to be due to hormonal deprivation and hormonal creams should help in part. More relief would come from hormone replacement therapy.
About the use of CPAP, I do not have specific queries. It is apparent that she has some sort of lung pathology. The details however do not concern the complaint concerned.
Her urine needs to be tested to rule out urinary tract infection as a possible cause of the increase in urinary frequency. It can be assumed that she is non-diabetic.
Let me know specifically how I could help.
Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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