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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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My Dads BP Is 234/114, Complained Of Feeling Nauseous, What Should I Do ?

My dad has just measured 234 high and 114 low on his blood pressure readings. Just 30 minutes ago it read 221/112. I suggest that I take him to the hospital just incase, but he blatantly refuses, saying that he feels absolutely fine. However, not long ago, he complained of feeling nauseous. What should I do?
Wed, 17 Aug 2011
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  User's Response
's  Response
This could potentially be malignant hypertension which needs urgent medical management- if this reading is correct of course. Take your dad to the hospital or he must see his Doctor today. Do not leave it. You don't mention his age or whether or not he usually suffers from high blood pressure, what other medical conditions he has or if he is taking any BP medication? But none the less, malignant hypertension is a syndrome which we characterise by severe hypertension (e.g. systolic >200 and/or diastolic >130 mmHg) accompanied by nephropathy, or by papilloedema. Even accelerated hypertension or acutely elevated blood pressure can be indicative of haemorrhages. These more serious issues needs to be excluded. Edit Just to clarify. At this stage we cannot determine why his reading is high (or if indeed it really is that high), you must get your father evaluated today. It may not be an indication of anything serious but to be on the safe side, your father must see a Doctor today.
General & Family Physician,  Dr. Pragnesh Vachharajani's  Response
hi,thanks for query.please understand that this is emergency and in case of emergency patient do not have choice.This is a compulsory thing and no choice lies with the patient.His blood pressure is very high and can lead to complication any time.please take him to doctor.
wishing him good health.
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My Dads BP Is 234/114, Complained Of Feeling Nauseous, What Should I Do ?

This could potentially be malignant hypertension which needs urgent medical management- if this reading is correct of course. Take your dad to the hospital or he must see his Doctor today. Do not leave it. You don t mention his age or whether or not he usually suffers from high blood pressure, what other medical conditions he has or if he is taking any BP medication? But none the less, malignant hypertension is a syndrome which we characterise by severe hypertension (e.g. systolic 200 and/or diastolic 130 mmHg) accompanied by nephropathy, or by papilloedema. Even accelerated hypertension or acutely elevated blood pressure can be indicative of haemorrhages. These more serious issues needs to be excluded. Edit Just to clarify. At this stage we cannot determine why his reading is high (or if indeed it really is that high), you must get your father evaluated today. It may not be an indication of anything serious but to be on the safe side, your father must see a Doctor today.