Medical Questions? Ask a Doctor Online!
How long has your mom had this problem?
How often is her blood pressure elevated?
How long do these episodes last?
Are you there???
one year, every day especially at night when she is resting, one hour yes
Her 24 hour BP was normal?
sorry they last about one half to one hour
not normal but average was 140/70
To be honest she is not really meeting the diagnostic criteria for hypertension - ie basically your BP is eleavted all the time
perhaps she has disease of her small blood vessels or should go to a neurologist
Consequently the risks of untreated hypertension cannot , strictly speaking , be applied to her
could'nt she potentially have a stroke during one of these episodes
If she had a disease of her small blood vessles this would not affect her BP
ok, could she have a physical abnormality in her kidneys.
One condition , a phaeocromoctoma , can cause intermittent elvatioins in blood pressure - but you mention a 24 hours urine collection so that has been excluded
do u know of anyone in nyc that she couls see maybe something is being overlooked
Her BP is not really high enough to cause a stroke - anyways the causes of stroke are multifactorial - smoking status , age , cholesterol and longstanding poorly controlled hypertension
You could speak with http://www.wehealny.org/services/slr_cardiology/hypertension.html
Her GI doctor has said pretty much what u r saying
These guys seem to tick all the boxes when it comes to managing BP
Probably in her best interest to stop checking her BP every day - this has not been proven to help ptient care and often just causes excess anxiety for patients and family
It just worries me because something is obviously off balance and it seems that the BP is the compensatory mechanism
maybe it is anxiety related
Interesting point - the only scenario in which that would apply would be if there was an elevation in ICP ( intracranial pressure) - this would usually though been in the context of a head injury. Blood pressure rises to maintain cerebral perfusion.
is there anything else in the whole scheme of body systems that u can think of that might be causing this.
her mother had something called normal pressure hydrocephaly and required a shunt this helped manage her dementia sx. perhaps my mom has something going on in her ventricles and or brain. she had an mri a long time ago due to an overproduction of prolactin but it was neg.
If there is then it must be a real small print issue.
did u get my last inquiry
what do u mean by a real small print issue? does she need a test w/contrast or a more specialized test, should she have an MRA
Just got it - that is interesting but not usually associated with hypertension.
It usually presents witht a dementia picture
no dementia going on, Maybe she should see a neurologist
you can read about it on the link above
no harm in that - a simple CT of her head would rule it out
ok. if u have any more info can u send it to my mom atXXX@XXXXXX.XXX
sorry your moms details have not shown up
i think that we are not allowed to exchange contact info
well it is the e-mail that I registered on this site when i paid the fee
sorry - i have no access to admin info.........
please feel free to come back to me though if you like
you are welcome