Suggest treatment for hypertension with elevated TSH levels
Patient: My mother is suffering from hypertension and her TSH levels are also high. Last week after performing some tests it was found that her creatinine level is 2.1 and mild proteinurea(+). On USG left kidney size 9.64 cm  and right kidney is 8.65 cm and there is partial loss of cortico-medullary echoes. Can we plz tell the problem and treatment plan?? Doctor: The creatinine is higher,  most probably it is due to hypertension related kidney injury (usg and s crest suggest early stages of chronic kidney diesease) ,  likewise kidney problems itself will result in higher blood pressure,  triggering a vicious cycle.  Because the medication he is on is not available,  I suggest you to consult a  nephrologist or your doctor and review your meds as decreasing proteinuria should be a priority . Also Tsh on higher side suggest s hypothyroidism,  which would require supplementation of thyroxine