Brief Answer:

Most important thing "to do" is to get a medical examination appointment

Detailed Answer:

Hello,

Previously identified as POSSIBLE ACEPHALGIC MIGRAINE vs. secondary effects of EXCESSIVE MEDICATION effects causing overly stringent control of blood pressure based on your description of the symptoms.

Here are several concrete suggestions that can be considered by your doctor in terms of evaluating this condition in order to determine the need for further diagnostic tests or therapeutic interventions.

I would highly recommend seeking the services of a NEUROLOGIST or HEADACHE SPECIALIST if you've already seen primary care providers without success.

1. Speak with your doctor about reducing or eliminating some of the high powered antihypertensives being used and allow the BP reading to rise without concern in order to see the response.

2. Use of the MODIFIED AMINOFF ORTHOSTATIC BLOOD PRESSURE TEST as a way of assessing whether or not the medication load related to the blood pressure medications may be responsible for the symptoms of the blurry vision, etc.

3. Documentation of episodes could also be very useful to your doctor in terms of what might be going on at the time these episodes come on as well as another accompanying phenomenon such as difficulties with movement of the limbs, speech, thought processes, nausea, ringing in the ears, spinning sensations (vertigo)/dizziness, flashing or scintillating spots, etc.

Don't forget to document the exact timing of how long these episodes last, and how many may occur within a 24 hr. period.

Other than what I've stated above I don't see any other things to be "done" since there is no diagnosis yet.

Feel free to print these discussion points and have the doctor go over them with you. Hopefully, they will have the "time" to go over the suggestions.

Hope I have answered your query.

Take care

Regards,
Dr Dariush Saghafi, Neurologist

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