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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Very High BP, Pain In The Chest And Stomach?

Hello doctor last week my father BP is very high . BP was 197/110 I took him hospital but there was no problem found by any doctor they done all types od check up like ecg, ECO,ECG and Angiography and there is another problem occurred that time. problem was pain in chest and stomach pls advise me
Wed, 20 Apr 2016
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Internal Medicine Specialist,  's  Response
Thanks for asking at Healthcare Magic. I read your question and I understand your concern.
High BP and Pain in chest & stomach are two separate problems.
High BP with normal investigations and especially old age is due to either atherosclerosis or essential hypertension( 95 Percent Hypertension is of essential type). However single reading is not sufficient in the absence of end organ damage like stroke, MI or acute renal failure; this condition is called emergency . If first reading was more than 220/135 then it's called urgency and patient is started on long term antihyertensive therapy.
Both urgency and emergency needs long term antihypertensive therapy.
Occasional rise of blood Pressure needs atleast weekly measurement of Blood pressure for atleast 4 weeks. If it is persistently above 140/90 then patient should be started on long term antihypertensive therapy.
Pain in chest & stomach is due to gastritis. Take PPI like esomeprazole 40mg daily for atleast 15 days and Syrup Sucrulfate (ulsanic) 2 TSF three times a day for atleast ten days.
Drink atleast 8-12 glasses of water per day. Sleep in prop up position. Take dinner early in the evening.
Hope it helps best.
Don't forget to rate this answer.
Take your best care.
Regards
Dr Ejaz
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What Causes Very High BP, Pain In The Chest And Stomach?

Thanks for asking at Healthcare Magic. I read your question and I understand your concern. High BP and Pain in chest & stomach are two separate problems. High BP with normal investigations and especially old age is due to either atherosclerosis or essential hypertension( 95 Percent Hypertension is of essential type). However single reading is not sufficient in the absence of end organ damage like stroke, MI or acute renal failure; this condition is called emergency . If first reading was more than 220/135 then it s called urgency and patient is started on long term antihyertensive therapy. Both urgency and emergency needs long term antihypertensive therapy. Occasional rise of blood Pressure needs atleast weekly measurement of Blood pressure for atleast 4 weeks. If it is persistently above 140/90 then patient should be started on long term antihypertensive therapy. Pain in chest & stomach is due to gastritis. Take PPI like esomeprazole 40mg daily for atleast 15 days and Syrup Sucrulfate (ulsanic) 2 TSF three times a day for atleast ten days. Drink atleast 8-12 glasses of water per day. Sleep in prop up position. Take dinner early in the evening. Hope it helps best. Don t forget to rate this answer. Take your best care. Regards Dr Ejaz