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Suggest Treatment For High BP
Posted on
Fri, 31 Oct 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 31 Oct 2014
Answered on
Mon, 24 Nov 2014
Last reviewed on
Question : Hello,
I am a 47 year old male with uncontrollable high blood pressure. I also suffer from shortness of breath., chronic fatigue, loss of memory, balance at times and concentration as of the past 2 months. I am currently on 5 different medications to control my bp as well as 3 beta blockers and paxil. i have had a stress test several ekg's, a heart XXXXXXX an mri on my chest and brain, i have had a breathing test as well. I end up in the er about once a month for shortness of breath dizziness and chest pain. I have seen a general practicioner, 2 cardiologists, a neurologist and a nephrologist. all talk about treating my bp but none sem to have an idea of what the root cause of all my symptoms are. Please help. what can cause all these symptoms. I have been out of work for 4 months trying to get well and im still at square one
XXXX
I am a 47 year old male with uncontrollable high blood pressure. I also suffer from shortness of breath., chronic fatigue, loss of memory, balance at times and concentration as of the past 2 months. I am currently on 5 different medications to control my bp as well as 3 beta blockers and paxil. i have had a stress test several ekg's, a heart XXXXXXX an mri on my chest and brain, i have had a breathing test as well. I end up in the er about once a month for shortness of breath dizziness and chest pain. I have seen a general practicioner, 2 cardiologists, a neurologist and a nephrologist. all talk about treating my bp but none sem to have an idea of what the root cause of all my symptoms are. Please help. what can cause all these symptoms. I have been out of work for 4 months trying to get well and im still at square one
XXXX
Brief Answer:
Renal doppler should be done in your case.
Detailed Answer:
Hello,
As you have underwent many investigations, lastly I suggest renal doppler.
Uncontrolled hypertension in your age group may be due to atherosclerotic plaques in renal arteries.
Renal arteries should be carefully examined near origin for narrowing of vessels. Peak velocity in renal arteries should be compared.
Renal angiography can be done if needed.
Proper treatment depend upon findings. I presume you must be following dietary restrictions for hypertension.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Renal doppler should be done in your case.
Detailed Answer:
Hello,
As you have underwent many investigations, lastly I suggest renal doppler.
Uncontrolled hypertension in your age group may be due to atherosclerotic plaques in renal arteries.
Renal arteries should be carefully examined near origin for narrowing of vessels. Peak velocity in renal arteries should be compared.
Renal angiography can be done if needed.
Proper treatment depend upon findings. I presume you must be following dietary restrictions for hypertension.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Answered by
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