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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can High Blood Pressure With Dizziness Be Treated?

My husband (50 years old) has high blood pressure, hes currently taking ramipril, doxisosin and amilodipine, (he stopped taking simvastitin as it was making his knee joints hurt) he drinks alcohol on the weekend only.He is about 14 stone 7. He has improved his diet, but his bp still hasnt come down. He is also getting dizzy spells and sometimes feels weak and cant move arms(this improves when he has food). what else can he do? Also is spicy food good or bad for his condition?
posted on Thu, 13 Mar 2014
Twitter Sat, 22 Apr 2017 Answered on
Twitter Mon, 24 Apr 2017 Last reviewed on
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Cardiologist 's  Response
Hello!

Welcome on HCM!

I carefully passed through your question and would explain that it important performing some tests to investigate for other secondary causes of high blood pressure:

- a chest X ray study
- thyroid hormone levels for thyroid dysfunction
- complete blood count for anemia
- liver and kidney function tests
- fasting glucose and HbA1C for diabetes
- blood electrolytes for possible imbalance
- cortisol and aldosterone plasma levels for possible adrenal gland dysfunction.

If all the above tests result normal, I would recommend discussing with his doctor on the possibility of making some changes to his actual therapy (increase the doses of add a new antihypertensive drug), in order to have a better control of his blood pressure values.

Regarding spicy food, I would not recommend them. I would also advice reduce salt and caffeine intake. A lot of physical activity (aerobics, swimming, etc.) can be helpful.

Hope to have been helpful!

Wishing all the best,

Dr. Iliri
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How Can High Blood Pressure With Dizziness Be Treated?

Hello! Welcome on HCM! I carefully passed through your question and would explain that it important performing some tests to investigate for other secondary causes of high blood pressure: - a chest X ray study - thyroid hormone levels for thyroid dysfunction - complete blood count for anemia - liver and kidney function tests - fasting glucose and HbA1C for diabetes - blood electrolytes for possible imbalance - cortisol and aldosterone plasma levels for possible adrenal gland dysfunction. If all the above tests result normal, I would recommend discussing with his doctor on the possibility of making some changes to his actual therapy (increase the doses of add a new antihypertensive drug), in order to have a better control of his blood pressure values. Regarding spicy food, I would not recommend them. I would also advice reduce salt and caffeine intake. A lot of physical activity (aerobics, swimming, etc.) can be helpful. Hope to have been helpful! Wishing all the best, Dr. Iliri