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Suggest Treatment For High BP And Swelling On Legs, Feet And Hands
Posted on
Mon, 1 Jun 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 1 Jun 2015
Answered on
Mon, 29 Jun 2015
Last reviewed on
Question : My blood preasure has been over 2oo/100 all weekend. My face legs feet and hands are swollen. I'm also having trouble breathing when I lie down or exert myself. Is this something that needs er attention or can it wait?
Brief Answer:
You need immediate medical attention!
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern, and would like to explain that your clinical scenario seems to be compatible with a decompensated heart failure symptomatology dominated by congestion symptoms and signs.
Facing your uncontrolled hypertension (which may be a triggering factor for HF decompensation), and your aggravated heart failure condition, I would strongly recommend you to immediately seek medical attention.
You have to consult your attending cardiologist without delay (or the ER doctor in his absence), and investigate some clinical key points as follows:
First, a careful physical examination is necessary to confirm HF symptomatology.
Secondly, some medical tests are necessary: a cardiac ultrasound (to investigate overall cardiac performance and specific parameters deterioration), a screening of pacemaker function, and of course some lab tests to investigate probable renal function deterioration (BUN, creatinine), thyroid hormone levels, complete blood count, blood electrolytes, etc.
At the end, a medical therapy optimisation is necessary, adressing specific concerning issues.
Antihypertensive treatment modulation, as well as possible diuretics prescription to address congestion symptomatology are the main options to consider.
Hope to have been helpful to you!
Feel free to ask me whenever you need. Greetings! Dr. Iliri
You need immediate medical attention!
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern, and would like to explain that your clinical scenario seems to be compatible with a decompensated heart failure symptomatology dominated by congestion symptoms and signs.
Facing your uncontrolled hypertension (which may be a triggering factor for HF decompensation), and your aggravated heart failure condition, I would strongly recommend you to immediately seek medical attention.
You have to consult your attending cardiologist without delay (or the ER doctor in his absence), and investigate some clinical key points as follows:
First, a careful physical examination is necessary to confirm HF symptomatology.
Secondly, some medical tests are necessary: a cardiac ultrasound (to investigate overall cardiac performance and specific parameters deterioration), a screening of pacemaker function, and of course some lab tests to investigate probable renal function deterioration (BUN, creatinine), thyroid hormone levels, complete blood count, blood electrolytes, etc.
At the end, a medical therapy optimisation is necessary, adressing specific concerning issues.
Antihypertensive treatment modulation, as well as possible diuretics prescription to address congestion symptomatology are the main options to consider.
Hope to have been helpful to you!
Feel free to ask me whenever you need. Greetings! Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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