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I Am Hypertension Male For The Past 20'years . I
Question: I am hypertension male for the past 20'years . I was taking Co-diovan 160/12.5 twice daily . I had no problems , despite the Bp was not always good , but no symptoms . 1 week ago , I started to have the following :
Facial flushing , headache at both sides of head just above the ears , back neck pain left , nausea without vomiting and mild pain and lower back left side . So I visited an internal doctor . I did CT SCAN of the brain and ultrasound of the abdominal . Results are fine with no abnormalities . Did blood test for kidney , liver and where ok . Did test for the eye nerve . Ok
Doctor told me it is the blood pressure . He started changing the medication . Added some calcium blocker medicine which I could not tolerated at all as the symptoms got worsen . I am back on my old medicine again with the addition of CONCOR and PHYSIOTENSE . Symptoms of are still there . I am doubting that these symptoms are not cause of hypertension as I have been hypertension for years and never experienced these . I did ECG for the heart after visiting a cardiologist . Results are ok . I do not know what to do or whom to see . Can you please advise ? . I feel these symptoms are not cause of hypertension but I do not know how to confirm. I know that I have been hypertension for long time with no pain . The pain in the neck is at the back and sometimes radiates to the left shoulder . The pain at the lower back left side is felt when walking only . Not when sitting . The headache is in the 2 sides of the head . Not central not forehead .
Facial flushing , headache at both sides of head just above the ears , back neck pain left , nausea without vomiting and mild pain and lower back left side . So I visited an internal doctor . I did CT SCAN of the brain and ultrasound of the abdominal . Results are fine with no abnormalities . Did blood test for kidney , liver and where ok . Did test for the eye nerve . Ok
Doctor told me it is the blood pressure . He started changing the medication . Added some calcium blocker medicine which I could not tolerated at all as the symptoms got worsen . I am back on my old medicine again with the addition of CONCOR and PHYSIOTENSE . Symptoms of are still there . I am doubting that these symptoms are not cause of hypertension as I have been hypertension for years and never experienced these . I did ECG for the heart after visiting a cardiologist . Results are ok . I do not know what to do or whom to see . Can you please advise ? . I feel these symptoms are not cause of hypertension but I do not know how to confirm. I know that I have been hypertension for long time with no pain . The pain in the neck is at the back and sometimes radiates to the left shoulder . The pain at the lower back left side is felt when walking only . Not when sitting . The headache is in the 2 sides of the head . Not central not forehead .
Brief Answer:
A number of causes
Detailed Answer:
Dear Yaser, hello again. I agree with your doubts that this is probably not related to your hypertension. However, these symptoms could be due to a number of causes that needs to be excluded. As I stated earlier this could be due to overproduction of cortisol or due to hyperthyroidism which could be excluded by a blood test for cortisol level and thyroid hormonal profile. I would also recommend that you get a ct scan on your neck to exclude cervical vertebrae disc prolapse and thyroid gland masses. If these came back normal then you should get an echocardiogram and a stress ECG test as regular ECG is not diagnostic in a lot of cases. I hope you find this helpful
A number of causes
Detailed Answer:
Dear Yaser, hello again. I agree with your doubts that this is probably not related to your hypertension. However, these symptoms could be due to a number of causes that needs to be excluded. As I stated earlier this could be due to overproduction of cortisol or due to hyperthyroidism which could be excluded by a blood test for cortisol level and thyroid hormonal profile. I would also recommend that you get a ct scan on your neck to exclude cervical vertebrae disc prolapse and thyroid gland masses. If these came back normal then you should get an echocardiogram and a stress ECG test as regular ECG is not diagnostic in a lot of cases. I hope you find this helpful
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you so much for the detailed reply . I did some tests today . I enclosed a copy for your kind review . Can we be certain that the symptoms I mentioned are due to high blood pressure only ?
Another question please , the high FERTINNI shown in results can have anything to do with the symptoms I am having ?
Your kind opinion will be highly appreciated . Thanks
Another question please , the high FERTINNI shown in results can have anything to do with the symptoms I am having ?
Your kind opinion will be highly appreciated . Thanks
Brief Answer:
Vitamin D3 deficiency
Detailed Answer:
Dear Yaser, hello again.
You seem to be suffering from vitamin d deficiency, this will require that you take vitamin D3 supplements 50,000 international units weekly once for 6 weeks and then repeat the test.
You also have high ferritin level , high hemoglobin level and RBC count but before going through these results please clarify if you have been taking any iron supplements lately and please also clarify your water consumption daily.
Kind regards
Vitamin D3 deficiency
Detailed Answer:
Dear Yaser, hello again.
You seem to be suffering from vitamin d deficiency, this will require that you take vitamin D3 supplements 50,000 international units weekly once for 6 weeks and then repeat the test.
You also have high ferritin level , high hemoglobin level and RBC count but before going through these results please clarify if you have been taking any iron supplements lately and please also clarify your water consumption daily.
Kind regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Thank you very much for your reply .
I do not take any iron supplements . I drink good amount of water daily but I am using the hypertension medication (Co-Diovan) which makes have high frequency of urination during the day .
Could the high ferritin along with high RBC indicate inflammation or something in the body that is giving me the feeling of hot flesh and neck back pain and headache at the two sides of the head near the ears ? I mean rather than the blood pressure ? If this is an inflammation , where can it be ? What to do ? . Your kind advise Will be highly appreciated .
Thanking you in advance
I do not take any iron supplements . I drink good amount of water daily but I am using the hypertension medication (Co-Diovan) which makes have high frequency of urination during the day .
Could the high ferritin along with high RBC indicate inflammation or something in the body that is giving me the feeling of hot flesh and neck back pain and headache at the two sides of the head near the ears ? I mean rather than the blood pressure ? If this is an inflammation , where can it be ? What to do ? . Your kind advise Will be highly appreciated .
Thanking you in advance
Brief Answer:
hello sir again,
Detailed Answer:
no sir, i can assure you that the ferritin level and RBCs have to do nothing with your the pain you suffer from or any inflammation, but the hemoglobin level can cause pain if it is high which you have. My suggestion to you is to try to donate blood to get this level comes down.
I hope you will find this answer helpful.
hello sir again,
Detailed Answer:
no sir, i can assure you that the ferritin level and RBCs have to do nothing with your the pain you suffer from or any inflammation, but the hemoglobin level can cause pain if it is high which you have. My suggestion to you is to try to donate blood to get this level comes down.
I hope you will find this answer helpful.
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
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