
Suggest Treatment For Hyperthyroidism And Anxiety

Had an ambulator put for 24 hrs . Results are as follows:
Avg daytime 138.3/85.4
Avg nighttime 100/22.2
Diff in day/ night avg. -17.1/-22.6
Sys bp min 101, XXXXXXX 252!!
Dia bp min 53 XXXXXXX 196!!
Heart rate 50 XXXXXXX 98
These readings look alarming to me.
Also got an mri brain done 3 yrs ago and it said acute is hemiec foci on the left side. Im wondering if this has a connevtion.
All night readings are very low , while the day readings are alarmingly high.
Can u pls advice if i am sustebile to a stroke and what really is happening
Blood pressure is normally lower at night. This is called nocturnal dipping
Detailed Answer:
Hi XXXXXXX welcome back. I reviewed you previously.
Blood pressure is normally lower at night. This is called nocturnal dipping. Yes your fluctuations are more.
I will suggest you switch to metoprolol XL 25 at night and Amlodipine 2.5 in the morning. Metoprolol is more safe for the heart, sugar and lipids than Atenolol. By adding a small dose of Amlodipine your fluctuations in blood pressure and pulse can be controlled.
Can you tell me your latest TSH, B 12, Vitamin-D and lipid values?
Prothiaden should definitely be withdrawn although very gradually.
You are young and should get into a vigorous exercise program to combat your anxiety.
I think there is still a minor hormonal imbalance, fluctuating Blood pressure and anxiety.
If you take care of your lipids and blood pressure, your chances of stroke are low.
Please revert back.
Regards

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