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What Causes Dizziness, Headaches And Nose Bleeding When Suffering From Hypertension?

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Posted on Wed, 10 Sep 2014
Question: My brother suffers from lingering symptoms of high BP, dizziness, headaches, nose bleeds, swelling of the ankles, etc. after being admitted to the hospital for what was thought to be a heart attack, then a stroke, then a seizure. All scans, X-rays, etc. were negative so no firm diagnosis was given at time of discharge. He is being weaned off of seizure medication but the other symptoms remain. Any suggestion as to what we can do next? Getting him to another hospital at this point is going to be difficult if I can't come up with a possible illness with these symptoms that hasn't been considered to date.
doctor
Answered by Dr. Dr. Shruti Rijhwani (3 hours later)
Brief Answer:
Follows.

Detailed Answer:
Dear Sir ,

Thank you for posting your query on HCM.

Well looking into your problem I would like to tell you that all the symptoms that you have mentioned ca be due to hypertension itself , dizziness , nose bleeds , ankle edema can all be due to hypertension only .

By your history I am not able to make out why your brother was admitted to hospital , I mean what were the complaints at that time. There is something known as Hypertensive encephalopathy which can mimic a stroke or acute MI and can resolve on its own with control of blood pressure. In this entity most of the tests come back normal .

I would advise you to discuss this with your treating doctor .

Take care.

Dr. Shruti
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Shruti Rijhwani (13 hours later)
Thank you for your reply, doctor. Following are the reasons for hospital admission:
His wife found him on the floor where he apparently collapsed as the computer chair was overturned, eye glasses thrown across the room, etc. He recalls hearing the doorbell ring but was unable to crawl or stand to answer it He was most confused and unable to raise his legs, etc. at the time he was found. He complained of severe thirst and was incoherent most of the time, even upon arrival at the hospital where extreme fatigue set in and weakness in his legs. At this point they placed him on heparin because of the original heart attack diagnosis and admitted him to the PCC Unit. The next day the cardiologist ruled out a heart attack and called in a neurologist who ruled out a stroke and he was referred to another neurologist for possible seizures. No firm diagnosis was given but he was placed on increased dosages of BP meds, water pills and seizure meds.
Hopefully this information will give you more insight. He has periodic bouts of confusion, inability to concentrate, continued weakness and fatigue along with the symptoms previously given.
Prior to this, he was in good health. This was his first hospital admission ever.
Thanks so much!
doctor
Answered by Dr. Dr. Shruti Rijhwani (1 hour later)
Brief Answer:
Follows.

Detailed Answer:
Dear Sir,

Thanks for reverting back.

Well I think it was hypertensive encephalopathy as the symptoms have reversed completely , if it would have been anything else the tests would have shown some thing . Atleast thats what I feel after reading the entire history.

Dr. Shruti

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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What Causes Dizziness, Headaches And Nose Bleeding When Suffering From Hypertension?

Brief Answer: Follows. Detailed Answer: Dear Sir , Thank you for posting your query on HCM. Well looking into your problem I would like to tell you that all the symptoms that you have mentioned ca be due to hypertension itself , dizziness , nose bleeds , ankle edema can all be due to hypertension only . By your history I am not able to make out why your brother was admitted to hospital , I mean what were the complaints at that time. There is something known as Hypertensive encephalopathy which can mimic a stroke or acute MI and can resolve on its own with control of blood pressure. In this entity most of the tests come back normal . I would advise you to discuss this with your treating doctor . Take care. Dr. Shruti