Suggest treatment for high blood pressure
Patient: for a few months,  as soon as I put my head on the pilot I feel like a heart beating in my right ear. After two hour sleeping I woke by the noise in it and decided to take my blood pressure, for my surprise it is 171/110, or 180/108, etc...wat can this be? Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will try to explain you and give my opinion. You should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmHg.A person might have high value during emotional and physical strees so its mandatory to judge on mean values. Of course your values are pretty high so it is necesary to treat them. Because of this high values you might experience headache,  blurred vision, noise in your ear ect.Hypertension is divided into two groups. Essential hypertension, usaly in older age that is a chronic disease whithout an identified cause and secondary hypertension meaning that is a secondary couse of it.This might be a renal disease,  an endocrine problem or a cardiovascular anomaly. So,  if I was your treating doctor I will recommend some examination like a cardiac echo to evaluate heart function and walls,  a full blood analyze to chek renal function, an abdominal echo and a holter pressure monitoring to evaluate your values during day and night. After all this we can better judge what we are dealling whith and how to treat it. Hope I was helpfull. Best regards, Dr.Ervina.