Common "Uncontrolled Hypertension" queries answered by top doctors | iCliniq

Uncontrolled Hypertension

When the pressure exerted by the blood on the walls of blood vessels remains high and untreated, it can lead to uncontrolled hypertension. Constant high blood pressure can exert a lot of pressure on the heart and other organs, resulting in several complications. The common complications include heart attack, stroke, heart failure, aneurysm, dementia, etc.

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I have high blood pressure readings. Please help.

Query: Hello doctor, I am a 43-year-old female. I have recently been diagnosed with hypertension, and my blood pressure readings consistently exceed the recommended range. I am interested in understanding how lifestyle factors, such as diet, exercise, and stress, may be contributing to my hypertension. Wh...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. I understand your concern. Increasing sodium in the diet increases blood pressure. Consume a low salt diet such as the DASH (dietary approaches to stop hypertension) diet and Mediterranean diet, do regular exercise, and avoid stress. Stress increases stress hormones, w...  Read Full »

Will Azilsartan lower BP in my brother with kidney issues?

Query: Hi doctor, A few months ago, my elder brother was diagnosed with renal insufficiency, and his creatinine level was 7 at that time. After receiving treatment from the hospital, his creatinine level has reduced to 2.1 in the past few months. However, the major concern is that he continues to experienc...  Read Full »


Dr. Sandeep Varma

Answer: Hi, Welcome to icliniq, and thank you for choosing us as your provider for health care. I have gone through all your details and appreciate your concern. From what I understand, your brother experienced an acute worsening of renal function following an episode of accelerated hypertension. It is l...  Read Full »

Why did my blood pressure all of a sudden went high to 200/110?

Query: Hi doctor, My blood pressure had all of a sudden went high last month, like 200/110. I have been taking Lisinopril 20 mg, Clonidine 0.1 mg, and Metoprolol 100 for ten years. I have tried Lisinopril 40 mg and then Lisinopril 40 mg with Clonidine 0.2 mg. It worked for a week, and then it did not last ...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, you have been suffering from uncontrolled HTN or high blood pressure despite taking antihypertensive medications like Lisinopril and Clonidine. According to your lipid profile, your Cho...  Read Full »

Can I switch from Losartan to Telmisartan along with Metformin?

Query: Hello doctor, I have high blood pressure 171/90 with pulse rate 79, blood sugar under control after medication (fasting is 120 and PP is 146). I am taking high blood pressure medicine Losartan Potassium 50 mg. Can I start Telmisartan and Cilnidipine tablets instead of Losartan Potassium with my bloo...  Read Full »


Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to icliniq.com. From what you mentioned, you have uncontrolled elevated blood pressure which requires upgrading of your medication. Losartan has the same efficacy as Telmisartan as both are from the same group. I suggest that you change Losartan to Telmisartan or Cilnidipine as the...  Read Full »

Does high blood pressure affect the kidneys?

Query: Hi doctor, My mom is 65 years old. Her blood pressure is 180/90 mmHg. She is suffering from urine infection and her serum uric acid is 7.6 mg/dL. I have attached her other reports for your reference. She is currently on Norflox 400 twice daily, Ciploric 300 one tablet daily at night, Telma AM one ta...  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to icliniq.com. This is due to high blood pressure. Her urine culture and sensitivity report attached (attachment removed to protect patient identity) is negative, meaning there is no known pathogen in her urine that may have caused the infection. Her uric acid levels are not that mu...  Read Full »

I have uncontrolled high blood pressure, and medication is not working. What to do?

Query: Hello doctor,I am a 31-year-old individual weighing approximately 172 pounds. Recently, I was diagnosed with high blood pressure. My current medication includes Aldomet (250mg) three times a day, Amlodipine 5 mg once daily, Atorvastatin 20 mg, and Hydroxide. Despite taking these drugs, my blood pres...  Read Full »


Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. I have reviewed your query and understand your concern. In addition to medications, it is important to focus on proper diet control and exercise. I suggest reducing salt and coffee intake as much as possible. Incorporating daily walks after meals can also help in lowering...  Read Full »

What does my CT scan indicate?

Query: Hello doctor, My computed tomography (CT) scan impression is as follows: hypodensity seen in right external capsule - infarct. Diffuse cerebral atrophy. Lacunar infarcts in bilateral basal ganglia, corona radiata and centrum semiovale. What does this mean?   Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. Regarding your concern, I would explain that these CT (computed tomography) scan findings indicate repeated small ischemic strokes related to uncontrolled high blood pressure. I would recommend performing a Doppler ultrasound of the carotid arteries to exclude any pos...  Read Full »

What is the reson for high Erythrocyte Sedimentation Rate (ESR)?

Query: Hi doctor, My father is 72 years old. His ESR is 102. All kidney, liver and hemoglobin are in the range along with clear chest x-ray. Recently, he had right ribs and collar bone fracture. Also, he was diagnosed to have hemopneumothorax and chest tube was given for that. What may be the possible cau...  Read Full »


Dr. Naresh Kumar M.

Answer: Hello, Welcome to icliniq.com. Based on the information provided, the elevated ESR (erythrocyte sedimentation rate) indicates that there may be an ongoing internal issue, but it does not pinpoint the specific problem or its location. It could be related to an infection, inflammation, or low hemoglo...  Read Full »

Why do I get elevated BP readings even after medication?

Query: Hello doctor, I started to experience hypertension for the past few days, which started after my father's death. Then I visited a local cardiologist and then decided to start on Nebilet 5 and Diovan 80. Even while taking the medication for unknown reasons, my blood pressure started uncontrolled agai...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. I have read your query and all your lab reports (attachment removed to protect patient identity) and found all are normal. I can understand your concerns and worries and pain you are going through. Your doctor wanted to dig the secondary cause of uncontrolled blood p...  Read Full »

Why am I not able to control my BP with medicines?

Query: Hi doctor, I have a resistant hypertension. Even five drugs failed with a lot of side effects. I was safe on Methyldopa for 2 years with Hydrochlorothiazide. Now, there is no supply of this medicine. I started Nebivolol 5 mg with Chlorthalidone last night. I have the feel of chest tightening and sli...  Read Full »


Dr. Rishu Sharma

Answer: Hi, Welcome to icliniq.com. With all your details, you come under stage 3 - severe hypertensive group. First, I would suggest you to look for the cause of grade 3 hypertension. Conditions like pheochromocytoma can lead to resistant hypertension. To rule out pheochromocytoma an MRI of the abdomen ...  Read Full »

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