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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Headaches And Memory Loss Long After Treating Hypertension?

Yes, 54 year old male with h/o hypertensive hemorrhage in 1994, DM2 in 2000 and HTN in 1994, now starting on atovastatin after seeing PCP one week ago, and starts having bladder urgency and incontinence. Had headaches 2-3 weeks ago and bp was 198/101. He is slow to answer questions and does not get lost, but does forget names occasionally. No longer interested in exercising and is somewhat dizzy and stumbles off and on. Forgets to take medications and sometimes is not interested in eating. Should he see a neurologist and get a mini memory test done along with a MRI or CT of the brain to rule out mini stroke. Also, should I request a nerve conduction study, a pulse oximetry test along with the MRI. He follows instructions and recalls adequately at times. Thank you for your time. I look forward to your advice
Wed, 23 May 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

that is a high value of arterial pressure for a patient who have had before a hypertensive hemorrhage and is diabetic ( his blood vessels are more sensible ). First give him something for hypertension if he has high values. I would recommend you to see a neurologist and do a MRI, because these new changes like bladder urgency and incontinence and forgetting taking meds etc might be a new thing that might need to evaluate.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Persistent Headaches And Memory Loss Long After Treating Hypertension?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. that is a high value of arterial pressure for a patient who have had before a hypertensive hemorrhage and is diabetic ( his blood vessels are more sensible ). First give him something for hypertension if he has high values. I would recommend you to see a neurologist and do a MRI, because these new changes like bladder urgency and incontinence and forgetting taking meds etc might be a new thing that might need to evaluate. Hope I have answered your query. Let me know if I can assist you further.