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Suggest Treatment For Lightheadedness And Elevated BP

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Posted on Tue, 13 Dec 2016
Question: I have had these symptoms for 5 months and they are now getting worse. I had been limited by extreme lightheadedness, attributed ti diabetes. The Lightheadeness has now turned to be Likke a "pressur" feeling in my head. When I walk from My kitchen to my chair and sit, I have the pressure feeling and also an extreme weakness feeling in my chest all down my upper body. It is so extreme that I have sometimes urinated in my pants. Also when I try to walk, (say into a store), I have a tired feeling in my lower back and as I continue walking I must lower and lower my body. When I walk with a cart It is o'k. My BP is 160/80 and trmp 97.6. My AIC 5.6
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Answered by Dr. Suresh Heijebu (6 hours later)
Brief Answer:
Need to rule out cardiac issues first

Detailed Answer:
Hello Sir.

As per your symptoms, the possibility of autonomic dysfunction is high.

At this point since you have an elevated blood pressure, a complete cardiac evaluation is mandatory.

For this, advise you to take a 24 Holter ECG and a 2D echo of your heart.

Based on your test results, further management can be planned out.

Thank you.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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Suggest Treatment For Lightheadedness And Elevated BP

Brief Answer: Need to rule out cardiac issues first Detailed Answer: Hello Sir. As per your symptoms, the possibility of autonomic dysfunction is high. At this point since you have an elevated blood pressure, a complete cardiac evaluation is mandatory. For this, advise you to take a 24 Holter ECG and a 2D echo of your heart. Based on your test results, further management can be planned out. Thank you.