Which symptoms of high blood pressure are easiest to spot? This is a hard question because usually it doesn’t have warning symptoms. That’s why doctors recommend that you get your blood pressure checked often, especially if you’re over forty. Sometimes, however, high blood pressure does not present any blatant symptoms or easily spotted warning signs like the symptoms we’ll talk about in the following article. The method you use to treat your high blood pressure will be based upon not just the severity of your condition but the rest of your medical history as well.

Many who suffer from high blood pressure also tend to have frequent nosebleeds.

Even though you should have your blood pressure checked if you have this symptom, there are those with problems unrelated to their blood pressure that causes frequent nose bleeds. You should only be concerned if your nose bleeds on a regular occurrence, since most anyone can occasionally have a nosebleed. High blood pressure nosebleeds have a tendency to occur more frequently in the elderly, however, anyone with sever hypertension can have this symptom. Your blood pressure could be extremely high if high blood pressure is causing your nosebleeds. Nausea and vomiting can also be a symptom of high blood pressure. Of course, these symptoms are also signs of multiple problems so make an appointment with your doctor. Someone with severe hypertension may experience frequent bouts of nausea and possibly vomiting, and when it has reached this stage, prompt medical attention is required. Chances are slim that slightly above normal blood pressure will create these symptoms, but those levels of blood pressure are still serious. Once symptoms begin to appear, most research has shown that high blood pressure has actually become dangerously high.

One possible symptom of high blood pressure is if your ears are ringing (tinnitus). There are lots of things that can cause tinnitus that are not high blood pressure and it can come in lots of different forms. Persistent cases of tinnitus should be evaluated by medical professionals as, while being an indicator of high blood pressure, it is also an indicator of other symptoms. In many cases, tinnitus is unrelated to any obvious medical problem, and then there are various treatments to deal with the symptoms, which can be quite annoying. It is really important that you make sure that your ear ringing isn’t the result of high blood pressure because that condition should not go untreated.

Life threatening health issues can result from high blood pressure that is ignored. Having your blood pressure checked is a good way to stay in control of your health, as it’s something that can be treated in many ways if you catch it early enough. Worldwide, high blood pressure is a leading cause of health problems, and knowing its symptoms helps lead to early detection.

Malignant Hypertension Symptoms Treatment

By Armughan Riaz

Malignant Hypertension and accelerated high blood pressure are two emergency conditions which should be treated promptly. Both conditions have same outcome and therapy. However Malignant hypertension is a complication of high blood pressure characterized by very elevated high blood pressure, and organ damage in the eyes, brain, lung and/or kidneys. It differs from other complications of hypertension in that it is accompanied by papilledema. (Edema of optic disc of eye) Systolic and diastolic blood pressures are usually greater than 240 and 120, respectively. While Accelerated high blood pressure is condition with high blood pressure, target organ damage, on fundoscopy we have flame shaped hemorrhages, or soft exudates, but without papilledema.

There are two things. Hypertensive Urgency and Hypertensive emergency. In hypertensive urgency we don’t see any target organ damage while in emergency we see target organ damage along with high blood pressure greater than systolic >220. Now depending upon target organ damage you will decide whether you have hypertensive emergency or urgency. It is essential to bring down high blood pressure in hypertensive emergency immediately, while in urgency, bring down blood pressure very rapidly is not required.

Pathogenesis of malignant hypertension is fibrinoid necrosis of arterioles and small arteries. Red blood cells are damaged as they flow through vessels obstructed by fibrin deposition, resulting in microangiopathic hemolytic anemia. Another pathologic process is the dilatation of cerebral arteries resulting in increased blood flow to brain which leads to clinical manifestations of hypertensive encephalopathy. Common age is above 40 years and it is more frequent in man rather than women. Black people are at higher risk of developing hypertensive emergencies than the general population.

Target organs are mainly Kidney, CNS and Heart. So symptoms of Malignant hypertension are oligurea, Headache, vomiting, nausea, chest pain, breathlessness, paralysis, blurred vision. Most commonly heart and CNS are involved in malignant hypertension. The pathogenesis is not fully understood. Up to 1% of patients with essential hypertension develop malignant hypertension, and the reason some patients develop malignant hypertension while others do not is unknown. Other causes include any form of secondary hypertension; use of cocaine, MAOIs, or oral contraceptives; , beta-blockers, or alpha-stimulants. Renal artery stenosis, withdrawal of alcohol, pheochromocytoma {most pheochromocytomas can be localized using CT scan of the adrenals}, aortic coarctation, complications of pregnancy and hyperaldosteronism are secondary causes of hypertension. Main Investigations to access target organ damage are complete renal profile, BSR, Chest Xray, ECG, Echocardiography, CBC, Thyroid function tests.

Management:

Patient is admitted in Intensive Care Unit. An intravenous line is taken for fluids and medications. The initial goal of therapy is to reduce the mean arterial pressure by approximately 25% over the first 24-48 hours. However Hypertensive urgencies do not mandate admission to a hospital. The goal of therapy is to reduce blood pressure within 24 hours, which can be achieved as an outpatient department. Initially, patients treated for malignant hypertension are instructed to fast untill stable. Once stable, all patients with malignant hypertension should take low salt diet, and should focus on weight lowering diet. Activity is limited to bed rest until the patient is stable. Patients should be able to resume normal activity as outpatients once their blood pressure has been controlled.

Hospitalization is essential until the severe high blood pressure is under control. Medications delivered through an IV line, such as nitroglycerin, nitroprusside, or others, may reduce your blood pressure. An alternative for patients with renal insufficiency is IV fenoldopam. Beta-blockade can be accomplished intravenously with esmolol or metoprolol. Labetalol is another common alternative, providing easy transition from IV to oral (PO) dosing. Also available parenterally are enalapril, diltiazem, verapamil, Hydralazine is reserved for use in pregnant patients as it also increases uterine profusion, while phentolamine is the drug of choice for a pheochromocytoma crisis. After the severe high blood pressure is brought under control, regular anti-hypertensive medications taken by mouth can control your blood pressure. The medication may need to be adjusted occasionally.

Remember, it is very necessary to control malignant hypertension, otherwise it can lead to life threatening conditions like Heart Failure, Infarction, Kidney failure and even blindness.

About the Author: Dr. Armughan, Read more about High Blood Pressure Symptoms Causes Diet Treatment
http://www.highbloodpressuremed.com

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The Very Best Remedies for High Blood Pressure

It is very important to catch high blood pressure early on and then take steps to control it. If you don’t treat hypertension it can lead to more serious conditions like heart disease. There are lots of ways to treat high blood pressure and we’ll look through some of them in this article. It’s always recommended that you get medical advice if you have high blood pressure or any medical condition.

Often referred to as CoQ10 is the co-enzyme Q10 which has been proven to be an effective remedy for high blood pressure. This is not something that will be foreign to your body, since it is a naturally occurring compound. Those who study age related illness like Alzheimer’s and high blood pressure have found a link between these and the fact that as you age the levels of CoQ10 begin to decline in your body. Taking CoQ10 as a supplement has been shown to help lower your blood pressure and improve your overall health. Whether you prefer to take this supplement in capsule tablet or liquid, you should be able to find the strength level you require. Buying these supplements from a trusted source is very important, since they only work properly if the body absorbs them.

If you smoke, you need to quit: this is another great way to lower your blood pressure. Smoking has lots of risks including lung cancer and other lung related issues. Not only does smoking cause blockages and the hardening of your arteries, it also raises your blood pressure. It has been proven that there is no such thing as ‘too late to quit smoking’ and you will start to feel better as soon as you stop. It isn’t easy to quit smoking, especially if you have been doing it for a long time but it is worth it if it lowers your blood pressure and increases your overall health.

You can also lower your blood pressure by eating plenty of fruits and vegetables. Even though you’ve been given lots of advice like this, be honest: how many times have you ignored it and chosen to eat lots of meat, carbs and sweets instead. Foods like cabbage, celery, asparagus, mangoes, currants, pomegranates and mangoes can be a great way to get lots of awesome nutrients that will help you lower your blood pressure. You may also want to include a blend of ‘superfruits,’ such as acai, noni, mangosteen or goji.

Drink lots of water too. You’ll find that these steps can improve your health, and you’ll also have less room for junk foods. You can lower your blood pressure through drinking lots of water and eating fruits and vegetables. While many remedies for high blood pressure exist, your unique situation will dictate what works for you. An example of this is a person who is very tense may find that in addition to their medication and remedies you will need to work on relaxing. Hopefully you will find that these remedies for your high blood pressure will prove to be effective. Controlling high blood pressure is possible.

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