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Dr. Andrew Rynne

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Exp 50 years

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Suggest treatment for high blood pressure

I have had high blood pressure since I was 14, and now im 18. I am not fat, I eat healthy for the most part. I do not smoke or drink at all or take any illegal drugs. I am on Lisinipril 20mg and hydrochlorithyzide 25mg. My doctors are baffled because they have checked my heart, my kydneys, and continious blood work. My blood pressure on a calm day is 150/95 they keep doubling my medicine, but i do not lose any points what could possibly be the secondary cause, and if it is hereditary why can the levels not go down. My second problem is I am suspected to have internal bleeding. Once a week I get these crippling feelings in my lower abdomin. I have to go to the bathroom immediately and the stool is almost pure liquid filled with dark red blood. After I go to the bathroom my pain is gone.
Thu, 25 Apr 2019
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Internal Medicine Specialist 's  Response
Hi,

At a young age, hypertension is usually secondary hypertension-commonest renovascular cause renal artery stenosis due to fibromuscular dyplasia. You might also be having gastrointestinal vascular malformations (VM) or vascular ectasias, hemangiolymphangiomas (HLA) or small-bowel varices which are some of the common causes of obscure GIB (gastrointestinal bleeding).

VMs were more frequently associated with gastrointestinal bleeding-could be related to surge of high BP.

Hope I have answered your query. Let me know if I can assist you further.

Thank you.

Regards,
Dr. Tushar Kanti Biswas
Internal Medicine Specialist
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