Hi doctor,
I am writing to seek your professional advice and expertise regarding a concerning issue with my 65-year-old father's health. He has always been in good health with no previous issues of high blood pressure or other medical conditions. However, over the past three days, we have noticed a sudden and significant increase in his blood pressure. Despite undergoing tests such as a CT scan, X-ray, and EKG, which all came back normal, his blood pressure remains elevated. At home, we have been monitoring his blood pressure, and on average, it reads 158/95 mmHg. This is considerably higher compared to his previous reading of 119/78 mmHg just two months ago. It is important to note that he is not currently taking any medication for blood pressure.
We are deeply concerned by this sudden change in his blood pressure levels, and we are unsure of the underlying cause. Could you please advise on possible reasons for this increase and recommend what steps we should take? We are concerned about his health and would greatly appreciate your guidance.
Kindly help.
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and understand your concern.
Considering his age of over 60 years, it is likely that he has essential hypertension, as approximately 50% of people in this age group are hypertensive. However, the sudden onset of hypertension requires further investigation. I would recommend conducting an ambulatory blood pressure monitoring for 48 hours to obtain a more comprehensive understanding of his blood pressure patterns. Additionally, it is important to ensure that his kidney function tests (KFT) are normal before initiating any treatment.
If the KFT results are normal, I suggest initiating treatment with Telmisartan 40 mg to manage his blood pressure. It is crucial to gradually decrease salt intake over time to support the overall management of hypertension. However, it is essential to rule out any underlying secondary causes of hypertension before finalizing the diagnosis of essential hypertension.
In summary, based on the available information, it appears to be essential hypertension, but further evaluation, including ambulatory blood pressure monitoring and KFT, is necessary. Treatment with Telmisartan 40 mg can be initiated if the KFT results are normal, along with gradually decreasing salt intake.
Thank you for consulting me.
You can always come back and reach me at icliniq.com.
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