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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Was The Episode Of Extreme Hotness,high BP And Disorientation?

I felt very hot today and I had a spike in my blood pressure. It was very high. It is usually 110/70. I was extremely hot. I was confused and disoriented for about 3 minutes. I felt a little dizzy and had a weird feeling all over. My blood pressure went down during the course of the day and now I feel fine. Could this be a symptom of perimenopause. I am 49 years old. Should I be concerned that it was a mini-stroke?
Fri, 31 Oct 2014
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Psychiatrist,  's  Response
Hi welcome to HCM
Eventhough perimenopause causes hot flushes it will not cause disorientation.You seem to have Transient ischeamic attack secondary to accelerated hypertension .Get a CT/MRI brain to rule out any infarcts.Drugs like Anti platelets ,antihypertensives will helpful in your case .Get an ECG,2dimensional Echo of your heart, lipid profile , complete blood picture, chest x ray as a part of routine screening of your heart. high protein, low salt, fat restricted diet is advisable . consult your neurophysician and cardiologist for further queries and expert management.
Thankyou.
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What Was The Episode Of Extreme Hotness,high BP And Disorientation?

Hi welcome to HCM Eventhough perimenopause causes hot flushes it will not cause disorientation.You seem to have Transient ischeamic attack secondary to accelerated hypertension .Get a CT/MRI brain to rule out any infarcts.Drugs like Anti platelets ,antihypertensives will helpful in your case .Get an ECG,2dimensional Echo of your heart, lipid profile , complete blood picture, chest x ray as a part of routine screening of your heart. high protein, low salt, fat restricted diet is advisable . consult your neurophysician and cardiologist for further queries and expert management. Thankyou.