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Suggest Remedies For Constant High Pressure In Spite Of Medication
My husband is 53 and has been in the hospital for a week. They can't get his blood pressure down. They have tried all different typs of med. and it only get higher. This AM it was 217/96. He went to the hospital because he had a bad headache and pain in his back and chest on the right side. He also has numbness under his ritht arm. With testing they ruled out anything with his heart but so far have just tried med. to lower his blood pressure. To me it is not working and I feel they should be looking for another reason not just try to treat it with med. I worry that it has been so high for so long that major damage could result but I don't know what type of question I should be asking. He also has diabetes and is overweight. We have changed our diet at home and he has lost 22 lbs. in the last month. Can you help!
Wed, 21 Sep 2016
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that it is important investigating for possible secondary causes of high blood pressure (like kidney or liver disease, adrenal gland dysfunction, metabolic syndrome, diabetes, thyroid dysfunction, pheochromocytoma, etc.).
For this reason, I would recommend performing some tests to investigate for possible underlying causes:
- a chest X ray study
- complete blood count for anemia
- inflammation tests (PCR, sedimentation rate)
- thyroid hormone levels
- cortisol and aldosterone plasma levels
- fasting glucose and HbA1C
- urinary metanephrines
- kindney and liver function tests.
If all the above tests result normal, I would recommend making some changes to his antihypertensive therapy (add new drugs).
Some lifestyle modifications will also help control his blood pressure:
- reduce salt and caffeine intake
- avoid smoking contacts
- perform a lot of physical activity
- try to lose some other pounds.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that it is important investigating for possible secondary causes of high blood pressure (like kidney or liver disease, adrenal gland dysfunction, metabolic syndrome, diabetes, thyroid dysfunction, pheochromocytoma, etc.).
For this reason, I would recommend performing some tests to investigate for possible underlying causes:
- a chest X ray study
- complete blood count for anemia
- inflammation tests (PCR, sedimentation rate)
- thyroid hormone levels
- cortisol and aldosterone plasma levels
- fasting glucose and HbA1C
- urinary metanephrines
- kindney and liver function tests.
If all the above tests result normal, I would recommend making some changes to his antihypertensive therapy (add new drugs).
Some lifestyle modifications will also help control his blood pressure:
- reduce salt and caffeine intake
- avoid smoking contacts
- perform a lot of physical activity
- try to lose some other pounds.
Hope to have been helpful!
Kind regards,
Dr. Iliri
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