Suggest Treatment For High Blood Pressure

Posted on Mon, 6 Jun 2016

Question: Worst day I have had so far since diagnosed with ms I truly felt like I was dying. The pain was so bad. There was nothing that didn't hurt. Never experienced anything like it. Scared me!!!!! Couldn't bend fingers, walk, breath and lost sight off and on. My head felt like it was going to explode. I don't think I've ever been so scared. Bp was irregular 171/153 135 pulse. At 6 pm was 198/180 pulse 80. Being in bed all day. Has been irregular and high all day.

Answered by Dr. Ilir Sharka (6 hours later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome back on HCM!

Your blood pressure values are really high. Are you taking any drugs? Are you taking and steroids or disease modifying therapies for MS?

I would recommend going to the ER for a careful physical exam, and some tests to investigate for possible causes of secondary hypertension:

- resting ECG
- chest X ray study
- complete blood count
- thyroid hormone levels
- PCR, sedimentation rate for inflammation
- kidney an liver function tests
- blood electrolytes

The pain in all your body could be partially explained by high blood pressure, but sometimes high blood pressure can be a physiological reaction to the pain too.

A new brain MRI is necessary to exclude possible activation of MS. Body pain is not a typical sign of multiple sclerosis, but the lost of sight, is a typical sign.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar