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Sudden High Blood Pressure Even with Medication

Dear Doc, My mother has been taking atenolol for a couple of years now. About a year ago, her bp was 210/108 suddenly, so we brought her to the emergency, as she was feeling fatigue and dizzyness. The EKG , blood test and vascular test was all normal, and she was send home. Her doctor increased her atentolol dose from 25mg to 50mg, and also started her on conversyl 4mg. Even with these medications, she still continued to have couple of these episodes for the last year, and again 4 nights ago. All the test showed nothing, I am really worried for her, as currently her bp has been varying between 150-176/81-92, and has been for the last couple of days. Is there other tests that her doctor could request that will help determine what is causing these high bp episodes? Should she ask her doctor to change the meds?
Asked On : Wed, 9 Mar 2011
Answers:  2 Views:  542
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General & Family Physician 's  Response
thank you for trusting healthcare magic.See you havent mentioned your mother's age.With growing age, our blood vessels lose its elasticity, this along with atherosclerotic (plaque deposits inside vessels) one tends to have high BP. Apart from this, there could be autonomic dysfunction playing important role,where there can be fluctuations in BP, generally seen in Diabetics. It could also be due to a thyroid problem.So get all tests pertaining to these done( thyroid profile, serum electrolytes/kidney function tests, urine microscopy,lipid profile, fasting blood glucose, a glycosylated hemoglobin level etc). You can make her follow a DASH (Dietary approaches to stop hypertension) diet.
Answered: Wed, 9 Mar 2011
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General Surgeon Dr. Swapnendu Sekhar Ghosh's  Response
welcome to health care magic
the bp first recorded was very high and it can cause any problem any moment
your mother should be under cardiologist's treatment through out
she must have been investigated already for high bp
any endocrine dis order should be excluded along with diabetes
follow doctor's advice regarding diet and medications with regular check up frequently to start with and once bp is controlled then interval of check incrased
hope your mother will be all right soon
Answered: Wed, 9 Mar 2011
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