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Asking For Self, Female 26, Karachi
Assalam alaekum i m 26yrs, married woman, weight 53kg height 5.4 i had nephrectomy in 2015 because my left kidney was shrinked and was not working. my kidney lab were done in aug and they were all good as my neurologist said
my blood pressure reading are like systolic between 110-130 and diastolic between 80-100 matlb mera diastolic blood pressure ziada rehta hai pehle 80s ki reading ati thi but from 2 months its in 90s reading i m taking norvasc 5mg from 3 months after consulting doctor , mujhe har waqat sar bhari lagta hai sar main dard bhi rehta hai or sinay pay pressure feel hota. i need suggestions from respected specialist what should i do now whom should I consult a cardiologist or a neurologist ?
Go to some good cardiologist
aap walk karain Diastolic hypertension, where only your diastolic blood pressure is elevated, may be treated with lifestyle changes such as weight loss, reducing your sodium intake or alcohol consumption, and quitting smoking.
make a BP chart and show it to a general physician for optimizing your medicine
u will have to re check ur BP medicine again so consult ur nephrologist again and some lifestyle modifications may be helpful for u like walk and low salt diet and weightloss
What was the condition that led to your kidney shrinking? Did you have any genetic or cholesterol related problems? It could be signs of some serious complications. You need to definitely see a cardiologist.
Patient
Post Owner
there was no specific reason, surgeon ne bs itna kaha k kafi saal pehle apki kidney shrink ho gayi thi
2 years ago
How are your cholesterol levels? I am concerned that if it was for no ongoing problem, why did the surgeon remove the kidney, usually with simple atrophy it is left inside. And if there is an ongoing problem, then you cardiac, neurological and other systems should all be assessed regularly.
2 years ago
you should visit your primary physician
High Blood pressure can be managed by cardiologists and nephrologist(,Kidney specialist,) both.Even a primary physician can manage it well if it is uncomplicated hypertension.
Since you have only one kidney,you have to have a vigilant control of Blood pressure to save your existing kidney.Personally I find Losartan or Valsartan (ACE inhibitors or blockers) a better choice over Norvasc.
Ideal would be to see a nephrologist and optimize the dose and for follow up.
Also rule out Diabetes,dyslipedemia ,and other causes of secondary hyoertrnsio .
Dr Aizaz Mand,Dr Nauman Tareef *Fatima memorial hosp)are very well reputed nephrologists.
Go low on salt intake.
visit a physician for examination and tests regarding heaviness in chest as well as better management of BP either by medicine change or combination of medicine. adopt healthy life style. hope it helps
I am sure you will find a good physician to control your mildly elevated diastolic BP. As for your symptoms of chest heaviness and headache is concerned, high blood pressure on its own is entirely asymptomatic. These symptoms in your case as in other cases are caused by anxiety. Once your anxiety settles down these symptoms will disappear quickly
headache is a side effect of norvasc and your bp is not controlled on it I would suggest you to get urea creatinine and urine dr first stop norvasc and start concor 2.5 mg daily and reduce salt intake along with regular exercise
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