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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Elevation In BP Levels Despite Taking Hydrochlorothiazide?

Recently my doctor increased my hydrochlorothiazide to 25mg from 12.5mg due to blood pressure being too high. Average sys 155 dia 75. He said because of my triple by-pass it should be below 120. It has been 21 days since increase and blood pressure still high. Should I be concerned?
Wed, 27 Apr 2016
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General & Family Physician 's  Response
Hello dear Greetings
Regarding your inappropriate increase in blood pressure despite the triple bypass surgery i am suggesting you have the following differential diagnosis

Intraocular hypertension
Renal artery stenosis
Portal hypertension

In view of this please do the following test
Fundoscopy
Renal function test
Liver function test

Meanwhile see your cardiologist specialist with the results and for further expect clinical assessment and adequate drug prescription

Perhaps you will need a antihypertensive in addition to the hydrochlorothiazide

I hope helps Regards
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What Causes Persistent Elevation In BP Levels Despite Taking Hydrochlorothiazide?

Hello dear Greetings Regarding your inappropriate increase in blood pressure despite the triple bypass surgery i am suggesting you have the following differential diagnosis Intraocular hypertension Renal artery stenosis Portal hypertension In view of this please do the following test Fundoscopy Renal function test Liver function test Meanwhile see your cardiologist specialist with the results and for further expect clinical assessment and adequate drug prescription Perhaps you will need a antihypertensive in addition to the hydrochlorothiazide I hope helps Regards