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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Best Treatment For Hyper Tension?

i m 43 yr, @ 17 yrs,lebled as HTN, in 2010, with DMSA & TDPA, diagnosed as ch. phylonopritis , imaging , reveal as CORTICAL SCARRING, Crt clr @85ml, s,crt always remain inbetween 0.9 ~1. electrolyte bal OK, Urine, Ok(only for last 01 yrs, 02 time reported as PROTEINE TRACE) getting antihypertensive treatment. What treatment best for me? how i can recover from this desease?
posted on Fri, 14 Mar 2014
Twitter Mon, 20 Nov 2017 Answered on
Twitter Tue, 21 Nov 2017 Last reviewed on
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General & Family Physician,  's  Response
Hi thank you for querry.
As you mentioned you have a patient of Hypertention along with chronic pyelonephritis and ocassional protienurea.
Hypertention and protienurea are due to chronic pyelinephritis.
hypertention with such
age factor and protienurea the strongly recommended drug is ACEI like Enalapril or Ramipril it controll hypertention along with protienurea.
Dosage is titrated according to BP reading started from 5 mg PO Once a day.
prompt antibiotic therap required such as amoxicilline,cephalexin,septran or nitrofurantion.
So consult your nephrologist for proper treatment.
Hope the answer will help you in understanding the disease process and decision making for consultation.
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What Is The Best Treatment For Hyper Tension?

Hi thank you for querry. As you mentioned you have a patient of Hypertention along with chronic pyelonephritis and ocassional protienurea. Hypertention and protienurea are due to chronic pyelinephritis. hypertention with such age factor and protienurea the strongly recommended drug is ACEI like Enalapril or Ramipril it controll hypertention along with protienurea. Dosage is titrated according to BP reading started from 5 mg PO Once a day. prompt antibiotic therap required such as amoxicilline,cephalexin,septran or nitrofurantion. So consult your nephrologist for proper treatment. Hope the answer will help you in understanding the disease process and decision making for consultation.