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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Having Fluctuating Blood Pressure And Should I Be Concerned?

I have fluctuating hypertension anywhere from 178/98 to 110/68 within a few hours. I m on Verapamil 24 bid, Coreg .25 bid and Lisinopril 10 mg bid for hypertension. I used to have very labile hypertension and it would get upwards of 280/160 at times. I was dx d with CRPS eventually, which seems to have affected my autonomic system. I have bouts of not feeling well and then my BP will be doing this. Should I be concerned? When is hypertension a medical emergency?
Thu, 28 May 2015
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Pathologist and Microbiologist 's  Response
Hi i did review your condition.
Labile hypertension and bouts of not feeling well can be due to pheochromocytoma a lesion of adrenal gland. It can be diagnosed by presence of metabolites of epinephrine in urine and a MRI scan of abdomen,
If you have not undergone this testing I would advice you to undergo the same.
CRPS generally does not cause labile hypertension.
I hope this helps
Wish you all the best.
Thank you for using healthcare magic.
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Why Having Fluctuating Blood Pressure And Should I Be Concerned?

Hi i did review your condition. Labile hypertension and bouts of not feeling well can be due to pheochromocytoma a lesion of adrenal gland. It can be diagnosed by presence of metabolites of epinephrine in urine and a MRI scan of abdomen, If you have not undergone this testing I would advice you to undergo the same. CRPS generally does not cause labile hypertension. I hope this helps Wish you all the best. Thank you for using healthcare magic.