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Talk to General Physician on High Blood Pressure

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Asking for Mother, Female, 55 years old, Karachi

My mother's blood pressure is constantly above 160 (systolic).

Past:

Her BP was constantly above 175/95 in late January because of high pressure of work (wedding event). Fortunately all tests at Tabba hospital were clear in Feb 2020.

She was then taking concor 2.5 mg and ascard 75 mg in morning, sofvasc 10 mg in the evening. Her BP remained high.

She is taking Lamoretic 20/12.5 at 10 am and ascard 75mg since 2 weeks. Lamoretic resulted in diastolic: less than 80, but systolic is still above 160 Occasionally she gets both high.

Please help.

She is also diabetic, and her cholesterol was high last year. She takes lasix in morning if she find swelling on feets

General Physician in Lahore - Dr. Syed Khalid Hussain

pl post her latest lab results for further details

Member

Member


26th January 2020 Emergency Report "Tabba Heart Hospital":

HTN/DM/NO CAD
c/o fluctuating bp since 5 days, no chest pain, sob/pnd
O/E:
BP: 235/102
HR: 65bpm
SO2: 98% on RA
REFLO: 335mg/dl
Chest: Clear
CVS: s1 +s2 +0
DH: ascard 75mg, dioplus 5/160mg, concor 5mg
Follow up instruction: Increase dose of tab Dioplus 10/160
continue other medicine

Bicarbonate: 32
Creatinine: 1.57
eGFR: 34.33
High sensitive Troponine-I
26/01: 57.3
27/01: 56

ECG was normal at Tabba Heart
********************************

22nd November 2019 Results

Urine D/R (February 2020 Pus and Epithelial result was same) :

Protein: Trace
Pus: 2-4
RBCs: Nil
Epithelial cells: +

Urea: 55
Creatinine 1.7
Sodium, Potassium, Chloride: All within range
Bicarbonate: 25

Calcium: 8.2
Uric Acid 5.6
HbA1c 9.4
FBS 130

CBC ESR Profile
Hemoglobin 14.8
RBC 5.5
MCH 26.5
All other values within range


4 years ago

Member

Member


January, Feb Tests were conducted this year and November's test is from last year

4 years ago

General Physician in Peshawar - Dr. Syed Muhammad Zahid

Dr. Syed Muhammad Zahid - General Physician

MBBS, MCPS | Peshawar

review-stars

1 Positive Reviews

AOA
kindly tell me her Kidney status (urine r/e...RFT... eGFR) ....is she diabetic??

Member

Member


26th January 2020 Emergency Report "Tabba Heart Hospital":

HTN/DM/NO CAD
c/o fluctuating bp since 5 days, no chest pain, sob/pnd
O/E:
BP: 235/102
HR: 65bpm
SO2: 98% on RA
REFLO: 335mg/dl
Chest: Clear
CVS: s1 +s2 +0
DH: ascard 75mg, dioplus 5/160mg, concor 5mg
Follow up instruction: Increase dose of tab Dioplus 10/160
continue other medicine

Bicarbonate: 32
Creatinine: 1.57
eGFR: 34.33
High sensitive Troponine-I
26/01: 57.3
27/01: 56

ECG was normal at Tabba Heart
********************************

22nd November 2019 Results

Urine D/R (February 2020 Pus and Epithelial result was same) :

Protein: Trace
Pus: 2-4
RBCs: Nil
Epithelial cells: +

Urea: 55
Creatinine 1.7
Sodium, Potassium, Chloride: All within range
Bicarbonate: 25

Calcium: 8.2
Uric Acid 5.6
HbA1c 9.4
FBS 130

CBC ESR Profile
Hemoglobin 14.8
RBC 5.5
MCH 26.5
All other values within range


4 years ago

Member

Member


January, Feb Tests were conducted this year and November's test is from last year

4 years ago

Member of Marham-Forum

***PREVIOUS TEST REPORTS AS WE CAN'T TAKE HER FOR LAB TEST OR DOCTOR'S CLINIC IN LOCKDOWN***** KINDLY HELP

26th January (current year) Emergency Report Tabba Heart:

HTN/DM/NO CAD
c/o fluctuation bp since 5 days, no chest pain, sob/pnd
O/E:
BP: 235/102
HR: 65bpm
SO2: 98% on RA
REFLO: 335mg/dl
Chest: Clear
CVS: s1 +s2 +0
DH: ascard 75mg, dioplus 5/160mg, concor 5mg
Follow up instruction: Increase dose of tab Dioplus 10/160
continue other medicine

Bicarbonate: 32
Creatinine: 1.57
eGFR: 34.33
High sensitive Troponine-I
26/01: 57.3
27/01: 56

ECG was normal at Tabba Heart
********************************

22nd November (last year) Results

Urine D/R (February, this year,: Pus and Epithelial result was same) :

Protein: Trace
Pus: 2-4
RBCs: Nil
Epithelial cells: +

Urea: 55
Creatinine 1.7
Sodium, Potassium, Chloride: All within range
Bicarbonate: 25

Calcium: 8.2
Uric Acid 5.6
HbA1c 9.4
FBS 130

CBC ESR Profile
Hemoglobin 14.8
RBC 5.5
MCH 26.5
All other values within range


She is on insuline
She is also taking Kirkland formula for senior women (multivitamin) since March this year
She took lasix in March for 10 days when she had swelling on feet

General Physician in Peshawar - Dr. Syed Muhammad Zahid
Dr. Syed Muhammad Zahid - General Physician

MBBS, MCPS | Peshawar | Book Appointment

review-stars 1 Positive Reviews

Avoide salt and Ghee then check bp

4 years ago

General Physician in Peshawar - Dr. Syed Muhammad Zahid
Dr. Syed Muhammad Zahid - General Physician

MBBS, MCPS | Peshawar | Book Appointment

review-stars 1 Positive Reviews

Urea and creatinine raised...need opinion from cardiologist and diabetic doctor

4 years ago

Member

Member


Thank you doctor.
I have another concern. I just read that ACE inhibitors cause cough and my mother is having cough for the past 8-10 days. Is there any connection or remedy?

She catches cough mostly after using sour food items and gets fever every summer (that increases at night and decreases to 99.6 in daytime). Right now she is having 99.6° temperature as well.

4 years ago

Cardiologist in Karachi - Dr. Haris Chundrigar

Dr. Haris Chundrigar - Cardiologist

MBBS, FCPS (Cardiology) | Karachi

review-stars

1 Positive Reviews

can visit my Clinic for Consultation at North Nazimabad Block H

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