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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For High Blood Pressure And Chest Pain?

about 3 days ago my blood preasure went to200/180 and then lowered to an average of 175/110 i went to the er at which time my head in the back hurt with a lot of preasure the o2 was 94% with a blood preasure of 172\109 i was set up to wait but after over a half hour i was hurting so bad i walked out. i come home took a pain pill and extra blood preasure pill my blood preasure felt as if it was down but i began having mild chest pain but not bad enough to consider a heart atack i have continued to feel week and my ears now feel congested and i can feel my heart beating in my chest i have listent to my heart with a scope and my lungs my left lung has a gurgling sound when i exhale and my back hurts as well i week and modey and sweet badley even in the ac. if i go out to do something i get dizzy and sweet very badly the head ache has reduced but i feel very uncomfortable and have anger over the slightest issues. my musles are hurting i have louder than usual ringing in my ears and im nerves are on edge my stomach gets upset when i eat but the most anoyning thing is feeling my heart beat
Fri, 5 May 2017
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Pulmonologist 's  Response
Hello
Thanks for posting at HCM.
Your symptoms are suggestige of high blood pressure and its subsequent effect on the heart.
BP remains persistently higher called accelerated hypertension so you have to be started on BP medications. If you are already on some BP medications, they can be changed or added.
The chest gurgling sounds can be because of some fluid accumulating in the lungs due to indirect consequences of high blood pressure.
Also since you have got mild chest pain addition to theabove there is a suspicion of heart disease. You should be worked up for heart disease and hypertension.
Please do an ECG, chest X ray, 2D echo and cardiac enzymes. If the above tests show no abnormalities and BP control is acheived, a treadmill test is recommended after 4 days.

Please revert back with the above test results.
Wishing you good health
Regards
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What Is The Treatment For High Blood Pressure And Chest Pain?

Hello Thanks for posting at HCM. Your symptoms are suggestige of high blood pressure and its subsequent effect on the heart. BP remains persistently higher called accelerated hypertension so you have to be started on BP medications. If you are already on some BP medications, they can be changed or added. The chest gurgling sounds can be because of some fluid accumulating in the lungs due to indirect consequences of high blood pressure. Also since you have got mild chest pain addition to theabove there is a suspicion of heart disease. You should be worked up for heart disease and hypertension. Please do an ECG, chest X ray, 2D echo and cardiac enzymes. If the above tests show no abnormalities and BP control is acheived, a treadmill test is recommended after 4 days. Please revert back with the above test results. Wishing you good health Regards