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I Am A ESRD Patient With PD,and My Boold Presurre

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Posted on Fri, 13 Dec 2019
Question: I am a ESRD patient with PD,and my boold presurre is unstable in the winter . If i take my rutine medine but my presurre is still 170/95 in the midnight , should I need to go to ER? Or just wait my next appointment? 
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Answered by Dr. Ilir Sharka (9 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome to 'Ask A Doctor' service!

Regarding your concern, I would explain that these spikes in blood pressure values are likely to be related to renal disease.

These blood pressure values, do not impose the need to go to the ER, but I would recommend consulting with your attending physician as soon as possible for a physical exam and discussing the optimization of your antihypertensive therapy, in order to have better management of blood pressure values.

In this regard, increasing the dose of your actual therapy or adding new antihypertensive drugs will help avoid these spikes in blood pressure values.

Hope you will find this answer helpful!
Let me know if I can assist you further.

Wishing all the best,

Dr.Ilir Sharka,
Cardiologist

Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9533 Questions

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I Am A ESRD Patient With PD,and My Boold Presurre

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome to 'Ask A Doctor' service! Regarding your concern, I would explain that these spikes in blood pressure values are likely to be related to renal disease. These blood pressure values, do not impose the need to go to the ER, but I would recommend consulting with your attending physician as soon as possible for a physical exam and discussing the optimization of your antihypertensive therapy, in order to have better management of blood pressure values. In this regard, increasing the dose of your actual therapy or adding new antihypertensive drugs will help avoid these spikes in blood pressure values. Hope you will find this answer helpful! Let me know if I can assist you further. Wishing all the best, Dr.Ilir Sharka, Cardiologist