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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For High Blood Pressure And NPH Problem

Hi, My father is 71 years old.from last 5 days his blood pressure has increased to 180/110.other sysmpotms He is passing urine unknowingly and is facing difficulties walking.consulted physician after checking his CT scan report said he might be facing NPH problem and to consult a neurologist.Want to know what are the tests,treatments avaliable? what is the safest treatment we can go for ? is it a risk to take treatment/ go for any surgery at his age?
Mon, 2 Jan 2017
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Cardiologist 's  Response
Hello and welcome to 'Ask a Doctor' service.

I have reviewed your query and here is my advice. Test to confirm the diagnosis is MRI and lumber puncture which is include removing some amount of fluid and looking for the improvement. This is the confirmatory test.

Treatment for this condition is surgery where is pipe is placed between brain and abdominal cavity to drain excess of fluid. Although surgery will more risk in elderly, it should be done otherwise condition is progressive and will lead to further deterioration like walking difficulty and memory loss of the patient.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sagar Makode
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Suggest Medication For High Blood Pressure And NPH Problem

Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. Test to confirm the diagnosis is MRI and lumber puncture which is include removing some amount of fluid and looking for the improvement. This is the confirmatory test. Treatment for this condition is surgery where is pipe is placed between brain and abdominal cavity to drain excess of fluid. Although surgery will more risk in elderly, it should be done otherwise condition is progressive and will lead to further deterioration like walking difficulty and memory loss of the patient. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sagar Makode