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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High Blood Pressure, Chest Pain, Hot Flashes, No Sweating, Tiredness, Eye Pain. Side Effects Of Medicines?

I have been having problems with my bp being high and bad reactions to bp medicines for two years. everytime i go to the ER they say they do not think it is my heart . Blood good. My BP has been running 160 over 110 to 115 for the last week. lot of pain in my chest last two days. hot feeling like i m flushed but not sweating...extremely tired and eyes hurt. i think i might be having bad reactions to either labeterlol or nitrostat. don t know...at a loss. any thoughts
Wed, 14 Nov 2012
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General & Family Physician,  's  Response
Dear Concerned.,
Thanks for writing to us.
You have been suffering from uncontrolled Hypertension.BP of 160/110 is definitely a c/o Hypertension.
That too the average has been for over a week.
Have you been stopping the medicines off and on. One of the causes could be irregular medications.How about your salt intake/smoking/drinking/diet/lifestyle such as daily excercises.
Have you been on lipid lowering statins/not?
How about your Reports?
Routine --Blood including Lipid profile Blood Urea Nitrogen/Creatinine and Urinalysis /Chest X-ray/EKG/Echo-Cardiogram/any Holter Monitoring of BP done in the past.Any abdomino-pelvic ultrasound done to rule out secondary Hypertension due to renal causes.
Kindly get all the above investigations done and consult a Cardiologist and get the Anti-Hypertensive Dosage adjusted to keep your average BP at 120/80at the minimum and 140/90 maximum average at any circumstances.
Long Term Side Effects of increased BP will be Target Organ Damage ie.Brain(Stroke),Heart(MI/Myopathy/Failure),Eyes(Retinopathy),kidneys(Nephropathy and failure),Thats why Hypertension is termed a silent killer.
In view of the above, your taking the best possible evidence based treatment is mandatory.
Wish you a speedy recovery.
Best Regards.,
Dr Lt Cdr ASN Bhushan.
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High Blood Pressure, Chest Pain, Hot Flashes, No Sweating, Tiredness, Eye Pain. Side Effects Of Medicines?

Dear Concerned., Thanks for writing to us. You have been suffering from uncontrolled Hypertension.BP of 160/110 is definitely a c/o Hypertension. That too the average has been for over a week. Have you been stopping the medicines off and on. One of the causes could be irregular medications.How about your salt intake/smoking/drinking/diet/lifestyle such as daily excercises. Have you been on lipid lowering statins/not? How about your Reports? Routine --Blood including Lipid profile Blood Urea Nitrogen/Creatinine and Urinalysis /Chest X-ray/EKG/Echo-Cardiogram/any Holter Monitoring of BP done in the past.Any abdomino-pelvic ultrasound done to rule out secondary Hypertension due to renal causes. Kindly get all the above investigations done and consult a Cardiologist and get the Anti-Hypertensive Dosage adjusted to keep your average BP at 120/80at the minimum and 140/90 maximum average at any circumstances. Long Term Side Effects of increased BP will be Target Organ Damage ie.Brain(Stroke),Heart(MI/Myopathy/Failure),Eyes(Retinopathy),kidneys(Nephropathy and failure),Thats why Hypertension is termed a silent killer. In view of the above, your taking the best possible evidence based treatment is mandatory. Wish you a speedy recovery. Best Regards., Dr Lt Cdr ASN Bhushan.