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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What are the possible treatments for hypertension?

name :sheetal c kudale,pune.
hypertention since 6 yrs.,no diabeties
no urinary complaints,BP still 110/70-100/80
USG+Dopper:RK 8.7,LK 9,there is evidance of bialateral chronic renal parencymal disease
(17/11/11)Renal biopsy:coarsely granular mesangial IGa (+++),IGM(+),&faint C3 in mesangium.IGM is negative.
(25/11/11)uear:225.0,creat:4.3,sodium:129,potassium:3.8,chlorides:94,uric acid:7.6
Biopsy report:-show cores of renal tissue with 2 glomeruli of which 1 is globally sclerosed. The remaining shows matrix expansion & mild thickening of capillary wall. there are mild to moderate interstitial of lymphocytes. plasma cell,mild tubular atrophy & mild fibrosis. there is arteriosclerosis & hyaline arteriolosclerosis.
Thu, 9 Jun 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the reports you have mentioned.
You are having hypertension secondary today chronic kidney disease.
This is secondary type of hypertension.
And in this type of hypertension, angiotensin receptor blocker (ARB) and angiotensin converting enzyme (ACE) Inhibitors are the treatment of choice.
ARB s like telmisartan, losartan etc are available.
ACE inhibitors like enalapril, lisinopril, captopril etc are available.
So consult cardiologist and discuss all these these.
You will have to start any of these drugs.
Along with drugs, strict salt restrictions in diet and high protein diet are advisable.
Don't worry, you will be alright.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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