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

question-icon

What Causes Headache And Sleeplessness Along With High BP?

default
Posted on Tue, 28 Oct 2014
Question: I have been having high blood pressure all week its been 158/116 or higher. I've also had really bad headaches with this and sleeplessness with it. I have been in the er 3 times this week and all they do is treat my headache and send me home. Then the next day its the same thing. I am really tired and sick of not getting any answers. What do I do? I need help!
doctor
Answered by Dr. Suresh Heijebu (1 hour later)
Brief Answer:
MRI brain with EKG for follow up

Detailed Answer:
Hi XXXXXXX
I have carefully read your query and understand your concern.

First and the foremost thing you need to do have a baseline EKG of your heart to determine the duration and severity of hypertension followed by one non contrast MRI -fast spin echo scan of your brain.

This scan is extremely sensitive to detect changes in the blood vessels secondary to hypertension.

In case if MRI is non available, a plain CT scan of brain is sufficient to rule out any organic brain pathology.

Antihypertensive drugs like ace inhibitors or beta blockers should be the main therapy in your case.

Beta blockers have the added advantage of reducing the headaches associated with Hypertension directly .

Based on the test results I would like to give you my final validated impression on your current health issue,

I hope this is helpful to you at the moment.
Take care,
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 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
What Causes Headache And Sleeplessness Along With High BP?

Brief Answer: MRI brain with EKG for follow up Detailed Answer: Hi XXXXXXX I have carefully read your query and understand your concern. First and the foremost thing you need to do have a baseline EKG of your heart to determine the duration and severity of hypertension followed by one non contrast MRI -fast spin echo scan of your brain. This scan is extremely sensitive to detect changes in the blood vessels secondary to hypertension. In case if MRI is non available, a plain CT scan of brain is sufficient to rule out any organic brain pathology. Antihypertensive drugs like ace inhibitors or beta blockers should be the main therapy in your case. Beta blockers have the added advantage of reducing the headaches associated with Hypertension directly . Based on the test results I would like to give you my final validated impression on your current health issue, I hope this is helpful to you at the moment. Take care,