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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is elevated blood pressure level after kidney transplantation a sign of organ rejection?

I had a Kidney transplant 1/27/17. My recovery has been superior. My blood pressure is in the range of 130/75. I take it am and pm pre-meds. Today my pressure is 150/87. Could this be a sign of rejection? All other vitals excellent. No ankle swelling, urine out put and fluid input consistent and retention is excellent. Thank you, Mark
Fri, 1 Jun 2018
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doctor1 MD

My husband is 57 years old, had a kidney transplant in 2006 and is doing well, as far as the kidneys are concerned. He goes to Transplant clinic on regular basis. The last few days he has been having issues with his blood pressure being high often. 160/85-90 range. He takes BP meds (Lisinopril, Hydralazine, Motoprolol, Clonodine and Minoxidil) 3 x day, (6:00am, 2:00pm and 9:00pm) and it usually comes down after he takes meds, but gets high again before he takes next dose. He also has trouble breathing when he lays down. He says any little bit of activity makes him short of breath. If this is not something you are comfortable giving info on via email, please tell me what type of doctor I need to make an appt with. He has an appt with transplant clinic on 4/24, but I would like for him to schedule an appt before then with the correct type of doctor. He doesn t have a GP. He also takes (Levimir flex pen) insulin and Glipizide tablet for diabetes, which is brought on by some of the meds he takes for transplant. (Myfortic, Prograf, and Prednisone) He also takes Crestor for high cholesterol, and Magnesium Oxide.

doctor1 MD

Hi Doctor, I have recently had a kidney transplant and everything is going well so far. Just now I have realised that after drinking 3 litres of water I have not urinated as much as I have done since having My transplant. I checked my blood pressure and its high, and also checked My sugar levels and they were low. Should I Wait till morning to call transplant co ordinater or should I wait till morning? Kind regards

doctor1 MD

Yes, thank you. On my last checkup with my surgeon my blood pressure was measured as being VERY high in the lab session before I talked with my surgeon. Things had been going very well -- I check my blood pressure very methodically and record every measure with notes if anything seems out of line. In this case the pre-check in the lab (echo cardiogram) registered my BP at 180/??. This was probably the highest BP measurement I ve ever had (if it was a real measure -- the circumstance were unusual). There s a reason My BP had jumped in the lab but I just said that couldn t have been a valid BP of mine. Never the less, my surgeon doubled the dosage of the medication I was taking and added a statin . . .about a week later my right kidney started hurting (I thought I had strained a back muscle). Two days later my left kidney started hurting, and . . . prior to this, my left eye developed a problem. Filled with blood and a few days later I had a huge blur in my left eye. I stopped taking the meds and went to a Retina Specialist. I stopped all medication on June 14th, the day after my left kidney started hurting. All kidney pain stopped within a week. I continue to monitor my BP and record each measure along with any issues. At this time my BP is very normal -- averaging about 127/85 .. about 150 measures over a week ... with standard deviation and Pulse pressure averages. PP runs ~ 44. There s more to the tale, but I m wondering . . . is this is common? I ve never taken medication (other than aspirin or Ibuprofen ) unless it was an antibiotic or for some temporary ailment. Any thoughts? Im trying hard to stay healthy . . . so far. Thanks, William K. Spence, Ph.D (HDCS) WKSpence@ Spenc.com BTW . . . I m 79 ... and I work at staying healthy Leving my desk for a few minutes . .. .