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Suggest Treatment For High BP

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Posted on Mon, 24 Nov 2014
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
doctor
Answered by Dr. Indu Kumar (8 hours later)
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
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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Suggest Treatment For High BP

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