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Question: my 44 yo son has was just diagnosed w/high blood pressure. Additionally, he has had pain in his side and back for several weeks and has dark urine. He was just sent to the er on the advice of an urgent care doctor. What are your thoughts --- re diagnosis? what questions should he ask doctor? Pat
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that high blood pressure can be related to different disorders, including an infection, inflammation, thyroid dysfunction, kidney or liver disease, chronic anemia, etc..
So, it is important performing some tests to investigate for the possible underlying causes.
The fact that he has back pain and dark urine can be indicative of an urinary tract infection.
That is why I would recommend consulting with his doctor and performing some tests:
- an abdominal ultrasound to examine his kidneys
- complete blood count
- kidney and liver function tests
- blood electrolytes
- PCR, ESR
- fasting glucose
- thyroid hormone levels
- a urine analysis
- a urine bacterial culture.
If any of the above causes is found, it should be treated properly in order to help normalize his blood pressure values.
Otherwise, if all the tests result normal, anti-hypertensive treatment should be started.
Hope to have been helpful!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that high blood pressure can be related to different disorders, including an infection, inflammation, thyroid dysfunction, kidney or liver disease, chronic anemia, etc..
So, it is important performing some tests to investigate for the possible underlying causes.
The fact that he has back pain and dark urine can be indicative of an urinary tract infection.
That is why I would recommend consulting with his doctor and performing some tests:
- an abdominal ultrasound to examine his kidneys
- complete blood count
- kidney and liver function tests
- blood electrolytes
- PCR, ESR
- fasting glucose
- thyroid hormone levels
- a urine analysis
- a urine bacterial culture.
If any of the above causes is found, it should be treated properly in order to help normalize his blood pressure values.
Otherwise, if all the tests result normal, anti-hypertensive treatment should be started.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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