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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment To Control Blood Pressure

I have been on multiple blood pressure medicines for several years, since I was 35 years old. I am now 58 years old female. I check my blood pressure at least every other day to monitor. My average bp has been 148/95. However over the last several months I have been experiencing what I will refer to as BP spikes. I have had BP rages from the average (stated above) to now having BP readings of 170/100. I feel terrible. I have not been able to determine a pattern or trend with these spikes. I am having on occasion nose bleeds and severe headaches where I am nauseated and have vomited. My doctor has increased one of the BP medications, but I am seeing little to no change. I am a possible candidate to have a stroke?
Tue, 16 Jul 2019
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Internal Medicine Specialist 's  Response
Hi,

Your BP is uncontrolled. Ideally, BP should be 130/80 mm Hg or below. Yes, high BP is the most important risk factor of stroke. Your BP needs to be controlled even with multiple drugs, if necessary. Your doctor will be the best judge to combine drugs and dose adjustment as per the response. Ambulatory blood pressure measurement (ABMP) by automated devices in one's own home is helpful to monitor the response.

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

Regards,
Dr. Tushar Kanti Biswas, Internal Medicine Specialist
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Suggest Treatment To Control Blood Pressure

Hi, Your BP is uncontrolled. Ideally, BP should be 130/80 mm Hg or below. Yes, high BP is the most important risk factor of stroke. Your BP needs to be controlled even with multiple drugs, if necessary. Your doctor will be the best judge to combine drugs and dose adjustment as per the response. Ambulatory blood pressure measurement (ABMP) by automated devices in one s own home is helpful to monitor the response. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist