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Dr. Andrew Rynne

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hi my name is Marcia im 58yearsold I have high

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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 5998 Questions

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Posted on Sat, 29 Dec 2018 in Hypertension and Heart Disease
Question: hi my name is Marcia im 58yearsold I have high blood pressure, have blurred vision and my arms and legs are experiencing feelings of weakness. Also I cannot walk. I am also experiencing shaking in my arms and legs

                                                       
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Answered by Dr. Ilir Sharka 3 hours later
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello Marcia,

Welcome on icliniq!

I understand your concern and would explain that your symptoms could be related to a metabolic disorder or peripheral neuropathy.

I would also like to know your current therapy because these symptoms could also be related to drug adverse effects.


Coming to this point, I would recommend consulting with your attending physician and performing some tests:

- complete blood count for anaemia
- a resting ECG and cardiac ultrasound to examine your heart function and structure
- fasting glucose
- kidneys and liver function tests
- vitamin D levels and vitamin B12 levels for possible deficiency
- blood electrolytes
- thyroid hormone levels for thyroid dysfunction
- a Doppler ultrasound of the carotid arteries.

If all these tests result normal, I would recommend performing nerve conduction studies to investigate for possible peripheral neuropathy.

In the meantime , it is also necessary to closely monitor your blood pressure ( low blood pressure, could mimic this clinical situation)

You should discuss with your doctor on the above tests.

Hope you will find this answer helpful!

Kind regards,

Dr.Ilir Sharka, Cardiologist

Above answer was peer-reviewed by : Dr. Nagamani Ng
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