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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Increased Blood Pressure In Elderly

My husbands blood pressure has been going from the low 140s over 80 to90 in the morning to 160-170 over 80-90. He is not on blood pressure meds. He has an appointment for a physical in May. Should I make him go to the doctor now. He is not over weight and we eat pretty healthy most of the time. He is 63 years old
Fri, 5 Jun 2015
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Diabetologist,  's  Response
Hi,

Thanks for your question.

If your husband has no complaints like chest discomfort, dizziness, palpitation, sweating, giddiness, tingling, numbness you can wait for till his appointment otherwise he should visit ER immediately.

For the age of 63 targeted blood pressure control should be below 150/90.

It may be advisable to your husband.
1) Salt restricted diet: avoid taking top up salt, avoid bakery products.
2) Avoid spicy, fatty, fried food.
3) Regular exercise as tolerated at least 30min risk walk daily.
4) Take fruits, green leafy vegetables, salad in diet.

There may be need to evaluate effect of high blood pressure on heart, kidney and other organs of body.
For which following investigations may be advisable.
1) Blood tests like CBC, Kidney function test.
2) Urine examination for proteins.
3) ECG, 2DEcho of heart.
4) Ultrasound for kidneys.
5) Fundoscopy for retinopathy.

Hope this helps you, if so do vote.
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Suggest Treatment For Increased Blood Pressure In Elderly

Hi, Thanks for your question. If your husband has no complaints like chest discomfort, dizziness, palpitation, sweating, giddiness, tingling, numbness you can wait for till his appointment otherwise he should visit ER immediately. For the age of 63 targeted blood pressure control should be below 150/90. It may be advisable to your husband. 1) Salt restricted diet: avoid taking top up salt, avoid bakery products. 2) Avoid spicy, fatty, fried food. 3) Regular exercise as tolerated at least 30min risk walk daily. 4) Take fruits, green leafy vegetables, salad in diet. There may be need to evaluate effect of high blood pressure on heart, kidney and other organs of body. For which following investigations may be advisable. 1) Blood tests like CBC, Kidney function test. 2) Urine examination for proteins. 3) ECG, 2DEcho of heart. 4) Ultrasound for kidneys. 5) Fundoscopy for retinopathy. Hope this helps you, if so do vote.