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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Erratic BP And Vertigo

my husband is having erratic blood pressure, ranging from 130/75 to 225/110. He is also experiencing vertigo and is having problems with his stomach, acid and pain sometimes in the upper stomach or gallbladder. he has had ekg s, xrays, blood work, up GI...etc. They cannot find anything wrong. I m getting worried since sometimes he seems like he is really sick.
posted on Fri, 14 Mar 2014
Twitter Tue, 22 Nov 2016 Answered on
Twitter Wed, 23 Nov 2016 Last reviewed on
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Cardiologist,  's  Response
Hello!

Thank you for asking on HCM!

I carefully passed through your question and would explain that these blood pressure fluctuations can be related to an adrenal gland dysfunction.

I recommend some tests for this purpose (if you have not performed them yet):

- cortisol and aldosterone plasma levels
- urinary metanephrines for possible pheochromocytoma
- thyroid hormone levels to exclude possible thyroid dysfunction.

The vertigo can be explained with the peaks in blood pressure values. Anyway, a Doppler ultrasound of the cervical vessels would help exclude possible narrowing of the cervical arteries, which can also lead to vertigo.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
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Suggest Treatment For Erratic BP And Vertigo

Hello! Thank you for asking on HCM! I carefully passed through your question and would explain that these blood pressure fluctuations can be related to an adrenal gland dysfunction. I recommend some tests for this purpose (if you have not performed them yet): - cortisol and aldosterone plasma levels - urinary metanephrines for possible pheochromocytoma - thyroid hormone levels to exclude possible thyroid dysfunction. The vertigo can be explained with the peaks in blood pressure values. Anyway, a Doppler ultrasound of the cervical vessels would help exclude possible narrowing of the cervical arteries, which can also lead to vertigo. Hope you will find this answer helpful! Kind regards, Dr. Iliri