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Austin, TX
A 24-year-old female asked:

Pulse 115 & up (h.r. watch), b.p. typically 147/96 on hypertension meds for 2 yrs & 2 meds, temp 99.4-100.8 daily, increased pressure in head, body pain. blood tests & scans normal. doc out of ideas.

2 doctor answers3 doctors weighed in
Dr. Oscar Novick
Pediatrics 60 years experience
Drug side effects: Your increased pressure in your head, body pain, mildly elevated temp and hypertension may be side effects from dexilent that you are taking.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Michael Ginsburg
Interventional Radiology 14 years experience
Need further work up: Given your young age (24) and poorly controlled hypertension on two meds you should get evaluated in a tertiary care center by hypertension specialist. Need thorough assessment of all medical problems that could contribute to high BP causing secondary htn. These may include an abnormality in the hormones that control blood pressure, or a narrowing in the renal (kidney) arteries.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Michael Ginsburg
Interventional Radiology 14 years experience
Provided original answer
In young adults, particularly women, renal artery stenosis caused by fibromuscular dysplasia is one of the most common secondary etiologies.
Jul 18, 2013
Last updated Dec 9, 2016

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