Recently, I feel tired all over. I've been
sleeping for 4-5 days. Every morning I get up full of energy. I feel sleepy
after breakfast, so I don't wake up until lunch. After lunch, he went on
sleeping until supper. Slept after supper and slept until morning. I slept
soundly in the morning, afternoon, and night.
And edema, especially on the feet. How can
you sleep with swollen feet?
What's wrong with your body?
I have had high blood pressure for many
years and have been taking blood pressure medication.
So he went to the first hospital of Jida
University (Grade A) to see a doctor.
In the hospital hung hypertension
cardiology department, measured blood pressure, 182/82. The doctor ordered
routine urine, kidney and liver function, an electrocardiogram, and a color
heart ultrasound. After the doctor read the examination report, he told me that
there was no big problem, but some symptoms caused by high blood pressure. If I
controlled my blood pressure well, I would be fine. Renal function has a little
problem, Haikun Shenxi CapsCapsuleulen, the diagnosis, and treatment of nephropathy
department were completed.
Do these, still not trust, and to the
Internet through the public number "Doctor Ding" consult Shanghai
Changhai Hospital cardiovascular medicine doctor Wang Feiyu.
The full transcript of my conversation with
Dr. Wang is as follows:
How do you do, Dr. Wang? I am 72 years old,
male, and have suffered from hypertension for 4-5 years. The highest systolic
blood pressure ever reached 200mmHg. But. My diastolic blood pressure has never
been high, usually around 80mmHg. A few days ago all over swollen, so to the
hospital to see a doctor. The blood pressure in the hospital was 182/82. My
doctor just advised me to control my blood pressure and prescribed medication.
How should I control my blood pressure?
Dr. Wang's reply:
Hello, question received, thank you for
your trust.
Your condition really should be strictly
controlled blood pressure, blood pressure medication can rest assured, can
adjust the blood pressure down. At present, the cause of edema is not clear, I
do not know whether it is related to the heart function, I will ask you some
questions later to identify.
1. Can I sleep flat at night? Or high
pillows?
2. What kind of blood pressure medication
are you taking?
3. Have the examination result of heart
color ultrasound or electrocardiogram to be able to refer to?
4. Do you have chest tightness or symptoms
of chest tightness when you walk fast?
Let me have a look at the result of renal
function test yesterday.
6. Oedema is double foot more severe, the
body should be relatively light?
7. Is there any underlying heart disease?
If you have any other complaints, please
let me know.
You'd better respond to the above questions
one by one, and I will give you advice later.
My reply:
1. Sleep at night without any problems, and
will also need a high pillow.
2. I have been taking Nifedipine Controlled-Release Tablets, and I
have no other antihypertensive medicine. The doctor prescribed Diwan yesterday.
3. I send you the ECG and color ultrasound the report done yesterday, as well as the renal function test report and the photo
of swelling of the back foot.
4. The swollen feet are more severe, but
less so in other places.
No history of heart disease.
Reply from Dr. Wang:
Hello, I've read the report. I'm clear.
Your heart function is good, EF is 66%,
valvular calcification, and a little reflux, kidney function is slightly down,
nothing serious. In summary, the first leg swollen causes can exclude heart
problems, exclude heart failure, etc., also, and kidney function is not
related. The edema caused by renal function is mainly high edema, mostly
distributed in the eyelid.
The reason for your edema may be related to
the new, which is a kind of idiopathic edema often seen with oral CCB
antihypertensive drugs. It is not related, and the symptoms can be relieved by
combining antihypertensive drugs.
The solution I give is as follows:
1. Nifedipine
Controlled Release Tablets 30mg/
day
2. Divin 80mg/ day
3. Hydrochlorothiazide 12.5mg/ day (half
tablet)
If you add half a pill to what your doctor
prescribed, your blood pressure will be greatly improved. Besides, the leg swelling will go away in a few days.
The problem of renal function may be long-term hypertension causes renal arteriolosclerosis caused, you can check routine urine + carotid artery color ultrasound + renal artery color
ultrasound. These tests determine how much blood vessels are damaged by high
pressure, whether there is renal artery stenosis that makes it difficult to
control blood pressure, and assess urinary protein. It is highly recommended
that you only take these three tests when it is convenient for you.
If there are problems, in addition to
antihypertensive treatment, some other comprehensive treatment measures should
be added to improve renal function and protect the kidney.
My reply:
My self-diagnosis was that senile
vascular sclerosis was causing a large difference in blood pressure.
In this case, the low pressure has been so
low. Can the low pressure be too low if the pressure is continued?
Dr. Wang replied:
Your concern is correct, but don't worry
about diastolic blood pressure. High systolic blood pressure is a
characteristic of older people, which is strongly associated with
atherosclerosis. Normal blood pressure medications generally do not lower
diastolic blood pressure too low, and the current focus is also on systolic
blood pressure. Diastolic blood pressure can be ignored, even if the blood
pressure to a few dozen is not important.
Thereafter, checked "hypertension
rational drug use a book to know". It's exactly the same.
That seems to be the only way to go. Can
you do it differently?
All right. Sunday to see a Chinese doctor. I
this kind of chronic disease, maybe Chinese medicine has the solution!
