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Need assistance for 79 years old
Dear doctors
My father is 79 years old and has high bp 180/80or 185/80 .
We recently did his blood tests (reports attached)
Protein - 3+
Systoms - walks 2 mins and have breathlessness , gets tired.
Medicines
Roseday gold 20 mg (1-0-0)
Coversyl am 8/10 mg (1-0-0)
Prazopress 5mg - (1-0-1) started 10 days back
Nefrosave - (1-0-1) started 10 days back
Sobisis 500 ( 0-1-0) started 10 days back
Doctor, I am away from my family , pls advice if anything is serious, why is the bp high .
Thank you God bless
Answers (21)
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Such BP is seen in Anemia & Valvular regurgitation etc , so re-evaluate his condition by a good physician
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High BP could be due his renal impairment.high potassium, creatinine,urea levels with significant proteinuria indicats reno vascular hypertension.do consult a nephrologist in your area for a clinical examination and appropriate management
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Your father's BP is high because his kidneys are not functioning properly causing:
1. Protein loss.
2. Uncontrolled BP.
3. Breathlessness which can be related to water retention due to decreased excretion of cardiac failure due to high BP.
4. Urea and creatinine are high.
5. Potassium and Chloride are high.
Next Steps
Coversyl causes high potassium.
Consult a nephrologist after 10 days because he has just started Prazopress, Nefrosave and Sodium bicarbonate.
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high BP and proteinuria in elderly needs urgent review may relate to kidney or heart.
A consultation can assess reports and adjust meds. Feel free to book one soon.
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Please take him to a physician physically, he may be developing heart failure.
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Check rft
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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EMERGENCY
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A BP of 180–185/80 mmHg with breathlessness and 3+ protein in urine is concerning and needs prompt evaluation by his treating physician or at a hospital. Uncontrolled hypertension, heart disease, or kidney involvement may be contributing to his symptoms.
Next Steps
Feel free to consult for further evaluation and treatment plan.
Health Tips
Please do not change medications on your own.
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Urologist asap.
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This is a concerning clinical picture that needs urgent in-person attention. Urine protein 3+ combined with BP still at 180/85 despite three antihypertensive medications, and breathlessness after just 2 minutes of walking, suggests significant kidney involvement with possible fluid retention or early heart failure â both of which are interconnected at this age. The kidneys may be leaking protein due to longstanding hypertensive damage, and uncontrolled BP further worsens kidney function in a cycle. Prazopress and Nefrosave being added only 10 days ago means the dose adjustments haven't had full effect yet.
Next Steps
Your father needs to be seen by a nephrologist or physician in person urgently â blood tests for kidney function (creatinine, urea, eGFR), urine protein quantification (24-hour urine protein), and an echocardiogram to check heart function are essential next steps. Monitor for leg swelling, worsening breathlessness, or reduced urine output. Please consult me directly on Practo for a detailed evaluation.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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He needs proper evaluation... I need more detailed history... kindly consult
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Hi. As per reports he has creatinine raised , indicating renal dysfunction and also breathlessness. He needs evaluation. Kindly consult with me on 94 two six eight six 78 nine six.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sumit Verma
General Physician
5 yrs exp
Kanpur
1 # Eat a balanced diet
Plenty of vegetables, fruits,
whole grains, pulses, nuts, and seeds.
Limit ultra-processed foods, excess sugar, and excessive salt.
Choose healthy protein sources and healthy fats.
2 # Stay physically active
Aim for at least 150 minutes of moderate exercise per week.
Include strength training 2–3 times weekly.
3 # Maintain a healthy weight
Excess body weight increases the risk of many chronic diseases.
4 # Get adequate sleep
Most adults need 7–9 hours of quality sleep each night.
5 # Stay hydrated
Drink enough water throughout the day.
6 # Avoid tobacco and limit alcohol
Smoking and tobacco use significantly increase disease risk.
7 #Manage stress
Meditation, yoga, hobbies, social connections, and relaxation techniques can help.
8 # Practice good hygiene
Wash hands regularly and follow food-safety practices
9 # Have regular health checkups
Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Zaheer Ahmad
General Physician
10 yrs exp
Bareilly
Immediately physical review with nephrologist.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs evaluation
Do consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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