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What Causes High BP And Bladder Infection While Recovering From Hemorrhaging Strokes?

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Posted on Mon, 27 Jul 2015
Question: I'm a little concerned while calmly eating lunch with my husband right now on the stop watch for one minute my pulse is 108 last night my blood pressure was 178 over 109 pulses 95 my blood pressure has come down to normal it usually runs a little lower than normal a couple weeks ago I had a bladder infection pretty bad a lot of water and cranberry juice I thought it went away I have
some milk thistle that I'm starting to
today our diet has been a little irregular I cant
go to the doctor don't have insurance don't have
money and I am sole caregiver for my husband who for the last 6 months is recuperating from the three hemorrhaging strokes I was wondering if there was any advice you can give me and what might be the cause of this I need to try to take care of it at home
doctor
Answered by Dr. Ilir Sharka (2 hours later)
Brief Answer:
I would recommend as follows :

Detailed Answer:
Hello XXXX!

Thank you for asking on HCM!

Seems that you are in a relatively difficult situation, taking care alone for your husband without a direct medical support.

This complex situation is naturally associated with a lot of stress and anxiety, leading to abnormally high blood pressure values and tachycardia.

Besides above issues, your recent urinary tract infection and large amount of fluids you have taken may have potentiated the adverse factors over blood pressure control.

Coming to this point, I would recommend you to keep monitoring closely your BP values.

If after a couple of days the average BP value is above 140/90 mmHg, then I would recommend you to start an antihypertensive therapy..

A thiazide (for example HCTZ 25 mg/morning daily) or a calcium channel blocker (like Amlodipin 10 mg/day) would be an acceptable therapeutical option, almost safe.

If after a couple of days, no steady hypertension has resulted, but just some separated bouts of high BP values, then treatment of triggering factors is advisable (especially anxiety).

I recommend to find the opportunity and check some lab tests before starting any treatment (complete blood count, thyroid hormone levels, liver and renal function tests, blood electrolytes, fasting blood glucose).

Hope to have been helpful to you!

Feel free to ask me whenever you need! Greetings! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9535 Questions

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What Causes High BP And Bladder Infection While Recovering From Hemorrhaging Strokes?

Brief Answer: I would recommend as follows : Detailed Answer: Hello XXXX! Thank you for asking on HCM! Seems that you are in a relatively difficult situation, taking care alone for your husband without a direct medical support. This complex situation is naturally associated with a lot of stress and anxiety, leading to abnormally high blood pressure values and tachycardia. Besides above issues, your recent urinary tract infection and large amount of fluids you have taken may have potentiated the adverse factors over blood pressure control. Coming to this point, I would recommend you to keep monitoring closely your BP values. If after a couple of days the average BP value is above 140/90 mmHg, then I would recommend you to start an antihypertensive therapy.. A thiazide (for example HCTZ 25 mg/morning daily) or a calcium channel blocker (like Amlodipin 10 mg/day) would be an acceptable therapeutical option, almost safe. If after a couple of days, no steady hypertension has resulted, but just some separated bouts of high BP values, then treatment of triggering factors is advisable (especially anxiety). I recommend to find the opportunity and check some lab tests before starting any treatment (complete blood count, thyroid hormone levels, liver and renal function tests, blood electrolytes, fasting blood glucose). Hope to have been helpful to you! Feel free to ask me whenever you need! Greetings! Dr. Iliri