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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Difficulty In Sleeping, Fatigue. High BP, SGPT 105, Inner And Outer Bill 1.88, Mild Enlargement Of Liver. ECG Clear. On Tri-omle And Liv 52. Any Other Tests And Medications?

Sir , my B.P. on 27.02.2013 was 120/80, on 06.04.13 it was 167/163, then on 08.04.13 it was abnormally high. Complete lever test, sonography , echo-cardio was done . in lever test SGPT was 105 and inner & outer bill was 1.88 , sonography indicates mild enlargement of lever. Echo-cardio reports shows all flow are clear.
i am taking Tri -omle 40mg for b.p & liv-52 , i have almost sleepless nights so feels tired and sometimes exetermely tired. kindly suggest any other test and other prescriptions.
A.K.Sahu
posted on Fri, 17 May 2013
Twitter Fri, 17 May 2013 Answered on
Twitter Mon, 20 May 2013 Last reviewed on
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Internal Medicine Specialist,  's  Response
Do serum b creatinine as most of the uncontrolled hypertension are secondary to renal problem
Change your drug to amlopress-at and old but affective drug. . Take this in combination of 5/50mg.
Your liver enzymes suggests that you may have fatty liver something called metabolic syndrome is building up. . Reduce weight.
Tell me if you have done viral markers to rule out a chronic liver disease yet. . And if you take alcohol on daily basis or not.
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Difficulty In Sleeping, Fatigue. High BP, SGPT 105, Inner And Outer Bill 1.88, Mild Enlargement Of Liver. ECG Clear. On Tri-omle And Liv 52. Any Other Tests And Medications?

Do serum b creatinine as most of the uncontrolled hypertension are secondary to renal problem Change your drug to amlopress-at and old but affective drug. . Take this in combination of 5/50mg. Your liver enzymes suggests that you may have fatty liver something called metabolic syndrome is building up. . Reduce weight. Tell me if you have done viral markers to rule out a chronic liver disease yet. . And if you take alcohol on daily basis or not.