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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Headache While Having High BP?

i am 40 year old uninsured woman who presented to er with pb 220/219 with severe pain in right side and severe headach. physician did a ct and sent me home with high bp and without a diagnosis, pain medication, valum, and muscle relaxer. it is three days later and headach is severe and I was told i need a MRI to see if i have a blead but hospital will not schedule it because I don t have insurancve
Mon, 25 Apr 2016
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Cardiologist,  's  Response
Hello and thank you for using HCM.I carefully read your question and I understand your concern.

I will try to explain you something and give you my opinion.
You should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values.

During a hypertensive crisis a person might experience headache, blurred vision, dizziness, nausea.A very hight bood preassure might couse neurological demages.
So, it is mandatory to treat high blood pressure.
My opibion is that you should not worry. You are experiencing headache only becouse of high values.If a neurological damage happens the situation is worse and acute.

If I was your treating doctor I will recommend some examination like a cardiac echo to evaluate heart function and walls, a full blood analyze to chek renal function, a holter pressure monitoring to evaluate your values during day and night.
After this I would recommend a good antihypertensive treatment and than we can do the MRI to chek the neurological situation.

Hope I was helpfull.
Best regards, Dr.Ervina
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What Causes Severe Headache While Having High BP?

Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values. During a hypertensive crisis a person might experience headache, blurred vision, dizziness, nausea.A very hight bood preassure might couse neurological demages. So, it is mandatory to treat high blood pressure. My opibion is that you should not worry. You are experiencing headache only becouse of high values.If a neurological damage happens the situation is worse and acute. If I was your treating doctor I will recommend some examination like a cardiac echo to evaluate heart function and walls, a full blood analyze to chek renal function, a holter pressure monitoring to evaluate your values during day and night. After this I would recommend a good antihypertensive treatment and than we can do the MRI to chek the neurological situation. Hope I was helpfull. Best regards, Dr.Ervina