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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fluctuating BP Readings

My father is 94 years old. He is experiencing big blood pressure swings within a day consistently: 70/120 in the morning, 75/165 between 4-5pm and 70/120-130 after 7pm. When blood pressure is high in the late PM, his energy level is very low. I am wondering what the underlying issues might be and what, if any medication he should be on.
posted on Sat, 3 Mar 2018
Twitter Sun, 24 Jun 2018 Answered on
Twitter Wed, 27 Jun 2018 Last reviewed on
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Regarding your concern, I would explain that these blood pressure fluctuations could be related to different metabolic disorders (anemia, thyroid gland dysfunction, kidney or liver dysfunction, etc..) or primary hypertension. Is he taking anti-hypertensive drugs actually? In such case, some changes are needed to his therapy, in order to have a better control on his blood pressure values. Some blood lab tests are necessary too (complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, thyroid hormone levels, etc..).

Hope I have answered your query. Let me know if I can assist you further.
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Suggest Treatment For Fluctuating BP Readings

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Regarding your concern, I would explain that these blood pressure fluctuations could be related to different metabolic disorders (anemia, thyroid gland dysfunction, kidney or liver dysfunction, etc..) or primary hypertension. Is he taking anti-hypertensive drugs actually? In such case, some changes are needed to his therapy, in order to have a better control on his blood pressure values. Some blood lab tests are necessary too (complete blood count, fasting glucose, kidney and liver function tests, blood electrolytes, thyroid hormone levels, etc..). Hope I have answered your query. Let me know if I can assist you further.