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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden Rise In Blood Pressure Along With Tremors In Arms?

Hi. I am 61 yr old, female, asian. Sometimes when I sleep at night, I wake up to a spike in blood pressure, then both arms would tremor, half of my face would tinlgling, and I have difficulty speaking at times. These symptoms last for 15 mins then go away until a month or so later. I usually have normal blood pressure. All my labs are negative and negative MRI brain results. Can you tell me what s happening
Mon, 1 May 2023
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General & Family Physician 's  Response
Hi,

The symptoms you describe, including a sudden rise in blood pressure, tremors in the arms, facial tingling, and difficulty speaking, could be caused by a condition called a hypertensive crisis or hypertensive emergency. This occurs when blood pressure rises very quickly and reaches dangerously high levels, putting a strain on the heart and blood vessels.

Some potential causes of a hypertensive crisis include:
- Medication non-compliance or sudden discontinuation of blood pressure medication
- Kidney disease
- Endocrine disorders such as pheochromocytoma
- Obstructive sleep apnea
- Cocaine or other drug use

Since your labs and MRI are negative, it is important to rule out these underlying medical conditions as possible causes. You should speak with your doctor about monitoring your blood pressure regularly and potentially adjusting any medications you may be taking.

Additionally, you should make lifestyle modifications to reduce your risk of hypertension, including a healthy diet, regular exercise, and stress management techniques. If your symptoms persist or worsen, seek medical attention immediately as hypertensive emergencies can be life-threatening.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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What Causes Sudden Rise In Blood Pressure Along With Tremors In Arms?

Hi, The symptoms you describe, including a sudden rise in blood pressure, tremors in the arms, facial tingling, and difficulty speaking, could be caused by a condition called a hypertensive crisis or hypertensive emergency. This occurs when blood pressure rises very quickly and reaches dangerously high levels, putting a strain on the heart and blood vessels. Some potential causes of a hypertensive crisis include: - Medication non-compliance or sudden discontinuation of blood pressure medication - Kidney disease - Endocrine disorders such as pheochromocytoma - Obstructive sleep apnea - Cocaine or other drug use Since your labs and MRI are negative, it is important to rule out these underlying medical conditions as possible causes. You should speak with your doctor about monitoring your blood pressure regularly and potentially adjusting any medications you may be taking. Additionally, you should make lifestyle modifications to reduce your risk of hypertension, including a healthy diet, regular exercise, and stress management techniques. If your symptoms persist or worsen, seek medical attention immediately as hypertensive emergencies can be life-threatening. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician