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PIH OR YOUNG HYPERTENSION?
Hi sir I had started with high bp just two days before delivery so obg suggested me labetolol 100mg TID, BUT it was not decreasing, on the day of delivery I was given iv labet and labor was induced but bp was getting worse so i had to undergo c section, obg suggested that ur bp wil decrease gradually so keep taking medication til 6weeks , exactly after one week my bp got shoot up n i had severe intolerable headache so i took depin 10mg and labet 100mg but it dint come down, I was given mgso4 and monitered for 3days , got blood investigations it was normal and MRI brain, normal so took medicines n stopped after 6weeks with tapering doses, but all of a sudden   started with high bp and was diagnosed with young hypertension for which I am on cilacar 5mg BD, Lipid profile, ecg,fbs,lft, rft, usg abdomen, renal doppler everything is normal , I want to confirm whether should have reconsultation for knowing the cause and can i stop medication after 6months of maternity period with Drs Advice?
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Care AI Shimmer
Hi, What I infer from your history is that you had Gestational hypertension which continued postpartum. Post partum hypertension usually should subside in 2-3 months with medication. Now I suppose you have crossed 6mth time post deliver and still continuing with high BP. As you are not obese and diabetic and no renal artery stenosis , you should rule our other causes like Pheochromocytoma and Aldosteronism (Consult an Endocrinologist). Your target BP should be belo 140/90 with medication and lifestyle modification. Also get an Echocardiography done along with Urine analysis. A combination of anti hypertensives is preferred at this stage like Cilacar +Labetalol or Cilacar+ Cardace .
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.