Noticed Increase In Blood Pressure After Eating. Colonoscopy And CT Scan Normal. What Is The Cause?

Posted on Wed, 27 Nov 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 27 Nov 2013 Answered on

Thu, 19 Dec 2013 Last reviewed on

Question : My wife is 55 and has been having an issue for about 5 months...she has lost 20 lbs. After she eats anything and the digestive process works her blood pressure goes up extremely high. She sometimes get light headed. After about an hour her blood pressure goes back to normal. She has had a colonoscopy which was clear and has had two CT SCANS in the last 6 weeks and they are all clear. One doctor early this week things she has pancreatitus. They are going to do a scope on Friday. Her last blood work on Monday showed her pancreasus was up to something. Any Ideas

Answered by Dr. T Shobha Deepak (8 hours later)

Brief Answer: Suggest you to rule out Endocrine abnormalities Detailed Answer: Greetings of the day Pancreatitis or Pancreatic cancer is unlikely to cause alteration in blood pressure. Also she does not have other symptoms of either Acute or chronic pancreatitis like pain in abdomen, nausea/vomiting, stetorrhea because of fat malabsorption. In case of your wife, she has two basic complaints 1. Transiently elevated blood pressure 2. Weight loss in spite of good appetite(she has voluntarily decreased her intake but she still feels hungry) Her CT scan of abdomen did not reveal anything significant. Pancreatic cancers are picked up on scan. Therefore in this context I would like to rule out Endocrine abnormalities like Hyperthyroidism- Elevated Thyroid hormone as the cause of symptoms. I would suggest you to get your thyroid profile done if not already done. Do get back to me if you have any other query. I hope I have clarified your doubt. Wishing her a healthy life Take care Regards Dr T Shobha Deepak MBBS MD

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. T Shobha Deepak (6 hours later)

SHe know is experiencng sligt pain on her left side. Also when her blood pressure XXXXXXX she uget a violent rash. The rash does not occur any more but the blood pressure does rise before the digestive process arises......Could she have cancer in her stomach or smewhere else .....Agan all her blood work is clear with exception of a slight rise for her pancreatitus......We are gettng concerned........Again going scope down mouth tomorrow....At times she does feel nausca but does not vomit Thanks and happy Thansksgiving from Canada

Follow up: Dr. T Shobha Deepak (1 hour later)

My wife's bp also escalates before she voids especially if she has increased her fluid intake. She sometimes has pain down her left inner thigh and pain to her mid-uppe chest. her circulation has also changed, hands feet very cold red in colour. The only health issue my wife had previous to this was ongoing sciatic pain because of an L-4L-5 S1 pinched neve. Important pRT OF HISTORY is that she went to a pain clinic and received 2 prolozone injections and one ozone iv therapy from a md. anesthioligist, Fundamentalist, complementary medicine docter. She wanted to try this instead of narcotic pain control. She has not taken any nacotics but was taknd voltaren 1-2 tabs per day. The rash and digestive problemns, began with in 7 days following tis treatment. She has not taken any supplemet, vitamins or voltaren since July. He also gve her a thyroid support supplement which she took for two weeks back in July but has not taken since. I was mistaken the doctor stated she has lost 28lbs. to date. Thanks so much. This is quite a puzzle, but she has been feeling so poorly I am very concerned.

Answered by Dr. T Shobha Deepak (16 minutes later)

Brief Answer: acid peptic disease to be considered Detailed Answer: Namaste Greetings of the day It's unlikely to be malignancy of gastrointestinal tract. Differential diagnosis of rash depends on morphology and distribution of the rash. Voltarin that is diclofenac sodium is a NSAIDS and is a anti platelet and ulcerogenic agent. I would suggest you to discontinue use of the same. Pain in abdomen is likely to be due to acid peptic disease induced by stress and precipitated by valtarin. I hope platelet count and bleeding profile have been done and are within normal limit. Endoscopy will definitely pick up any gastric problem. It's not advisable to stop using thyroid supplements without consultation with doctor. I hope it helped Do get back to me if you have any other query Take care Regards Dr T Shobha

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. T Shobha Deepak (1 hour later)

do you know any of the potential side effects of prolozone injectons and ozone iv......

Answered by Dr. T Shobha Deepak (11 minutes later)

Brief Answer: no side effects Detailed Answer: Namaste Greetings Prolozone or ozone therapy uses oxygen, and it's used in management of chronic pain. Its side effects have not been studied properly in researches. Ozone is not considered safe when given iv. Drinking water is usually treated with ozone and ozonised water is used in dentistry and is considered safe. I hope I have clarified your doubt. Take care Regards Dr T Shobha MBBS MD

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. T Shobha Deepak (18 minutes later)

This acid peptic disorder, can it have an mpact on blood pressure spikes Also.. Cold XXXXXXX effects from Prolozone injections and ozne IV have any impact on this condition as well......Thanks for your responses

Answered by Dr. T Shobha Deepak (4 minutes later)

Brief Answer: Blood pressure unrelated to both Detailed Answer: Greetings Acid peptic disease has no direct or indirect effect on blood pressure. Any paroxysymal/intermittent hypertension one has to rule out Endocrine/hormonal causes. Ozone therapy is free from these side effects. Take care Regards Dr T Shobha

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. T Shobha Deepak (35 minutes later)

So in your opinion what do you think is causing tis blod pressure spike when the digestive process starts and when she also needs to go to the washroom....

Answered by Dr. T Shobha Deepak (12 minutes later)

Brief Answer: consider endocrine cause Detailed Answer: Greetings For a patient to be labelled as hypertensive ideally the blood pressure is to be recorded when the individual is at mental and physical rest. Ideally 15 minutes of rest after any physical activity is advisable. I have already given you my opinion that I would consider the possibility of endocrine abnormality like Thyroid or Adrenal. Take care Regards Dr T Shobha

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. T Shobha Deepak (2 hours later)

With my wife's back injury could one of her injured disc moved and be pinching the adrenal glane......which is causing all of this........Thanks....

Answered by Dr. T Shobha Deepak (4 minutes later)

Brief Answer: no such association Detailed Answer: Greetings It's highly unlikely that injured disc causing compression of adrenal or pressing on it. I have not encountered any such phenomenon. To the best of my knowledge, no such case has been reported. Take care Regards Dr T Shobha MBBS MD

Above answer was peer-reviewed by : Dr. Yogesh D