Hi,I am Dr. Prabhakar Koregol (Cardiologist). I will be looking into your question and guiding you through the process. Please write your question below.
Here is what is happening or happened: - Blood pressure keeps spiking to 167/90 throughout the day - The past week my BP has been going from 146/80 to 167/90 - Woke up around 3:00 am with huge pressure in head and I can feel that BP was up, when measured it was 167/90. - During the day it spikes , I do not measure but can feel it especially in head. - After waking from sleep with BP raised my arms feel as if I was sleeping on them. - Ringing in ears. - Very real dreams every now and then. - Sex drive normal. - Difficulty sleeping because of the above symptoms. - Sometimes will wake up from a very real dream and feel the pressure etc but when measured has been around 138/86, today was the first time I woke up from sleep with pressure in head and elevated BP. I am taking 25Mg Metoprolol twice daily early morning and early evening. I am also taking Lisinopril 40Mg once a day. I have not started the diarectic as not sure what is going on and feel it may make things worst.
I would explain that considering your situation, it is important performing some tests in order to investigate for a possible metabolic disorder:
- complete blood count, PCR, ESR for inflammation - thyroid hormone levels for thyroid gland dysfunction - kidney and liver function tests - blood electrolytes.
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What Causes Fluctuation In The BP?
Hello, I would explain that considering your situation, it is important performing some tests in order to investigate for a possible metabolic disorder: - complete blood count, PCR, ESR for inflammation - thyroid hormone levels for thyroid gland dysfunction - kidney and liver function tests - blood electrolytes. Increasing the dose of metoprolol or adding a calcium channel blocker (amlodipine, lercanidipine) to your therapy may be needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist