How to control constant high blood pressure?

Q. My father has high BP with slurred speech, weakness and small vessel ischemia. Kindly help.

Answered by
Dr. Gursimran Singh
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Feb 03, 2021 and last reviewed on: Dec 13, 2023

Hello doctor,

My father has developed a hypertension crisis, BP not less than 180/120 mmHg, for a month. He has weakness on the left side and slurred speech. He also cannot control his emotions, such as crying and smiling. There is no total paralysis as he can still walk on assistance. MRI shows small vessel ischemia. I have attached the report.

He is currently on Amlopidine 10g BD, Hydralazine 25 mg BD, Telmisartan 80 mg BD, Bisoprol fumarate 10 mg OD, and Repace H OD. He also has high cholesterol of 6.44. He does not have diabetes. Please advise.

#

Hello,

Welcome to icliniq.com

What is the RFT of the patient? We need to give Arkamin to the patient, and this will help. The main problem is we need to rule out a stroke. Please get an NCCT (non-contrast computerized tomography) head done and let us know and start Arkamin 0.1 mg thrice daily.

Thank you doctor,

We have done MRI already. I went for NCCT they rejected to perform as the MRI is already done. I have attached the MRI report and RFT results as well. Should we also stop all other prescriptions and proceed with Arkamin alone or take it in combination with all other prescribed medicines?

#

Hi,

Welcome back to icliniq.com.

I saw the MRI report (attachment removed to protect patient identity), and his urea creatinine is unfortunately raised. Please do not stop other medicines. We need to add Arkamin and reduce other medicines. We cannot give Telmisartan, and Repace H has to be stopped. So stop Repace H and start Arkamin. Check his BP three to four times a day. Reduce the salt intake. You have to get an ultrasound abdomen done and urine routine analysis.

Thank you doctor,

So any intervention on high urea?

#

Hello,

Welcome back to icliniq.com.

Yes, you need to get the urine routine examination and ultrasound abdomen done and a repeat renal function after two weeks.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Can pain from splinter hemorrhages spread to other fingers and increase heart rate?

.. a possibility of limb ischemia that is obstruction of blood flow to your hand. As it is progressive, it is likely due to an embolus (clot) getting dislodged and landing in your hand or may be due to local clot formation.   Read full

Why is there pain from breast bone to shoulder and down the arm?

I am a six time MI patient and have had two light strokes ...   Read full

What are the symptoms of frontotemporal dementia?

.. carefully your question and would explain that fronto-temporal diagnosis is a very challenging diagnosis, which is determined by the neuro-psychological tests and the progression of the disease. Sometimes, the radiological findings are not typical of t   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Retinal Diseases in Children - A Complete Guide
Certain abnormalities can be present in the retina of some children. Continue reading to learn more about retinal diseases in children.  Read more»
Home Birth and Hospital Birth - Pros and Cons
The abstract provides an overview of the advantages and disadvantages of home birth and hospital birth.  Read more»
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.