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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Disturbed Sleep Cause Heart Pounding, After Dinner. Taking Novasc, Aspirin, Have Hypertension. Doing Cholesterol, Liver, Kidney Tests

Hello doc, I when I eat late in the evening I wake up in the night betwen 12 midnight and 2am with my heart pounding. Am currently on Novasc 5mg. I take a pill of asprin 75mg as well. I was firsy diagnosed with hypertension at the age of 15years. My dad was hypertensive and died of stroke in 2004. I will be going for a thorough check up next week. Checks will be for cholesterol, liver and kidney functions, FBS. Iwill welcome any advice and lifestyle change.
Wed, 24 Apr 2013
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General & Family Physician,  's  Response
Hello
Was any investigations done to rule out what was the cause for hypertension? As essential hypertension (most common variety) usually affects elderly and has no identifiable cause. However hypertension at the 15yrs has a definite cause (called secondary hypertension). Investigations need to be done to find out about the cause of hypertension. Watch out for pheochromocytoma and thyroid disorders (which can cause hypertension and palpitations-heart pounding sensation)
Treating hypertension with medicines is not sufficient if it is secondary hypertension. Treatment should be aimed at thoroughly investigating the exact cause and treating the cause
Take care
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Have Disturbed Sleep Cause Heart Pounding, After Dinner. Taking Novasc, Aspirin, Have Hypertension. Doing Cholesterol, Liver, Kidney Tests

Hello Was any investigations done to rule out what was the cause for hypertension? As essential hypertension (most common variety) usually affects elderly and has no identifiable cause. However hypertension at the 15yrs has a definite cause (called secondary hypertension). Investigations need to be done to find out about the cause of hypertension. Watch out for pheochromocytoma and thyroid disorders (which can cause hypertension and palpitations-heart pounding sensation) Treating hypertension with medicines is not sufficient if it is secondary hypertension. Treatment should be aimed at thoroughly investigating the exact cause and treating the cause Take care