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Doctor insights on: Stage 2 Hypertension

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Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?

Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?

Continue workup: Now would be a great time to get really into aerobic fitness -- this is likely to reverse nash / nafld. You'll get checked for hepatitis c, wilson's, hemochromatosis, autoimmune hepatitis and a few others. Trust you're not taking meds or that they have been ruled out as causing the problems. ...Read more

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Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


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End stage liver disease, what is the prognosis?

End stage liver disease, what is the prognosis?

Not good.: When a liver with cirrhosis is having trouble doing it's job, it's called end-stage liver disease. This means that the liver is beginning to fail. Generally, patient in this setting will die or need transplant within a few years. Having cirrhosis, however, is not the same as end stage liver disease. Only when the liver starts to fail do we call it end stage. ...Read more

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Is there acinar cell loss in type 2 diabetes ?

Is there acinar cell loss in type 2 diabetes ?

See below: The reason why acinar cells become atrophic is not clear, most evidence points to an important role of Insulin as a trophic agent, although other factors including autoimmunity against exocrine tissue and vascular damage (microangiopathy) cannot be excluded. ...Read more

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Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?

Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?

Yes but: It could possibly spread to local lymph node but the chances are very low. The lymph nodes that are in thoracic cavity are even less likely to contain metastatic tumor from a stage 1a endometrial cancer, especially if it's a garden variety low grade lesion. In fact, long term survival is very good, like 95%. The other 5% may represent very high grade tumors. ...Read more

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2 kids with nonimmune hydrops, 1 f 2 1/2 yrs, 1 m 3 months?

2 kids with nonimmune hydrops, 1 f 2 1/2 yrs, 1 m 3 months?

Hydrops fetalis, : Excessive fluid build-up in 2 or more body parts in a fetus, can be pretty severe, as you describe. Non-immune hydrops can be from heart or lung problems, severe anemia (alpha-thalassemia or infections), genetic syndromes or problems in fetal development. I'd seek evaluations of both kids by a geneticist to look for a cause ; by your state's early intervention program to assess their development. ...Read more

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Can someone with IgA nephropathy stage 2 take pure garcinia cambogia?

Can someone with IgA nephropathy stage 2 take pure garcinia cambogia?

I say yes: This is one of the herbals that might actually have a real effect as claimed; since the active ingredient is just hydroxycitric acid which so far as i know isn't a kidney poison, it should be fine for you. Check with your nephrologist also. ...Read more

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What is the average life expectancy for a type 1 diabetic (has had diabetes for 35 + yrs) with end stage renal disease, and is on dialysis?

What is the average life expectancy for a type 1 diabetic (has had diabetes for 35 + yrs) with end stage renal disease, and is on dialysis?

Depends: Any answer that includes a definite number would be questionable from my point of view; as it would probably not consider the subpopulations' future attitude and compliance, not to mention current overall health status/genetic of this "cohort". Meaning, life expectancy at this point may vary wildly for many reasons. It would be more useful to just optimize treatment in a multidisciplinary fashion. ...Read more

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Is SIRT worth doing for liver liver metastases 1x 7 cm 1x 6 cm 8 under 2 cm?

Is SIRT worth doing for liver liver metastases 

1x 7 cm
1x 6 cm
8 under 2 cm?

Yes: Multiple liver lesions can be treated by a number of approaches because what is in liver will not spread. Originally ligation of hepatic artery was used since portal vein supplies hepatocytes and hepatic artery the metastatic tumors.Can be used with SIRT which is a form of RT treatment wherein a dose of SIR-Spheres® microspheres are delivered up to 40 times higher than conventional doses. ...Read more

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Survival rate for triple neg receptors for early stage breast cancer after chemo treatment? No lymph nodes involve, stage 1b, grade 2, mastec done

Survival rate for triple neg receptors for early stage breast cancer after chemo treatment?  No lymph nodes involve, stage 1b, grade 2, mastec done

Excellent: According to adjuvant online (www.Adjuvantonline.Com), you have about an 82% 10 yr survival rate based on your specific information provided. This is only an estimate since there are details I do not have such as type of chemotherapy being used. For triple negative breast cancer, these survival rates are quite excellent. ...Read more

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How serious is stage 4 cirrhosis of the liver?

How serious is stage 4 cirrhosis of the liver?

Advanced: It means the liver is all scarred down. Stage 4 is the same as having cirrhosis. It is irreversible. If whatever is damaging the liver is not controlled, it can lead to liver failure. ...Read more

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Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!

Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!

Yes: Papillary thyroid cancer is very common and some people do not even know they have it as small tumors may be found on autopsy when they die of something else. Generally tumors are graded by how ugly they look to the pathologist and how far they've spread. Your tumor has also been molecularly characterized. There are new treatment options available. Please discuss with your oncologist. ...Read more

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Colon resection for ca showed 2 lymph nodes involved. What are chances of ca spreading to cirrhortic liver?

Colon resection for ca showed 2 lymph nodes involved.  What are chances of ca spreading to cirrhortic  liver?

Can occur..: But hopefully your colon cancer was found before it could spread to the liver. Colon cancer can spread to the liver in any person, irregardless if you gave cirrhosis or not. See your oncologist to evaluate what the best treatments may be for your specific condition. Blood testing and x-ray tests such as ct, mri, or pet scans are indicated for some people. ...Read more

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Is stromal fibrosis commonly mistaken with breast cancer? I was told about radiology pathology discordance

Is stromal fibrosis commonly mistaken with breast cancer? I was told about radiology pathology discordance

Final by pathologist: Yes fibrosis may show in mammography as suspicious but pathologist with trained eye will not mistake it for cancer. Pathologist will give final answer weather is malignant or non malignant fibrosis . Tissue examination is final answer ...Read more

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Or also pressure hydrocephalus, diabetic, obese age 65 life expectancy. Normal pressure?

Or also pressure hydrocephalus, diabetic, obese age 65 life expectancy.  Normal pressure?

What kind: I am unfamiliar with also pressure hydrocephalus- did you spell the type correctly? For most causes of hydrocephalus, the type determines the treatment and forecast. The diabetes-how long, level of control, other vascular issues, and meds also figure in to the forecast you are seeking. Too complicated for this format. ...Read more

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What is the suitable nutrition for diabetes type 2 patient?

What is the suitable nutrition for diabetes type 2 patient?

Type II diabetes: Please see your doc or a nutritionist. He/she will help you make healthy choices and also monitor and support you. There are many books on the market about this topic but having professional help and guidance is safest. ...Read more

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Last yr CT scan n yesterday abd ultrasound shows diffuse hepatocellular disease in liver. Prognosis, treatment, further testing? Crohns patient

Last yr CT scan n yesterday abd ultrasound shows diffuse hepatocellular disease in liver. Prognosis, treatment, further testing? Crohns patient

Crohn's complication: Many Crohn's complications. Granulomatous hepatitis (non infectious) And Amyloidosis of liver two rare but known problems. Please see your gastroenterology specialist soon. This could be due to some drug as well, such as sulfasalazine. Check Alkaline Phosphatase levels. ...Read more

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Dear sir, my mother was suffering from brest cancer and her reports are metaplastic carcinoma with spindling &squamous metaplasia grade 3 suggest me?

Rare Breast Cancer: Metaplastic breast cancer is quite rare, representing less than 1% of all breast cas. It is so-named based upon its microscopic appearance. While the tendency is for these to be "aggressive" cancers, treatment and survival are based on the cancer stage, just like any other breast cancer. Once your mother recovers from her surgery, she will be referred to a medical oncologist for rx planning. ...Read more

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Can a simple but dislike of another person lead to temporary stage 2 hypertension?

Can a simple but dislike of another person lead to temporary stage 2 hypertension?

Physiogic: If you are angery or stressed. Your body release a lot of hormone like Epinephrine which cause vasoconstriction and tachycardiac resulting in elevation of the blood pressure. There are other hormones cortisol that also come into play. Stage 2 meaning BP is above 160/100. You need to see your pcp as soon as possible to manage the underlaying primary hypertension. ...Read more

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How long would patients have stage 2 hypertension until serious damage starts to happen?

How long would patients have stage 2 hypertension until serious damage starts to happen?

Stage 2 HTN: 50 asks how long would pt with stage 2 HTN have till serious damage starts. Answer: Stage 2 ?160 systolic. Damage can already be detected in most with Stage 2. Trial in which one group got placebo and other got chlortalidone (SHEP study) it was clear that congestive heart failure was less likely by 3 months. So you have a little time. Stoke,Heart Attack took about 1 yr to begin to see protection. ...Read more

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What are the best treatments for someone who has stage 2 hypertension?

What are the best treatments for someone who has stage 2 hypertension?

Combination: Combination of life style modication (low salt diet, exercise, weight loss) and blood pressure medication (at least 2 medications are usually required, one of which may be a diuretic). ...Read more

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Are my symptoms heartattack or stroke? Have had tension in chest past 4 days, heartrate has been 100 to 129 bpm, eyesight slightly blurred, thoughts seem cloudy, blood pressure has fluxuated from normal to stage 2 hypertension. I am a 42 year old male 5f

Are my symptoms heartattack or stroke? Have had tension in chest past 4 days, heartrate has been 100 to 129 bpm, eyesight slightly blurred, thoughts seem cloudy, blood pressure has fluxuated from normal to stage 2 hypertension.  I am a 42 year old male 5f

Symptoms : Symptoms of a heart attack can include: chest pain; chest tightness or squeezing; shortness of breath, increased sweating pain or numbness radiating down the arm (more often left than right) and nausea. Some people dismiss the pain thinking it is indigestion. There can be pain in the top midline of the abdomen, as well as vomiting. Pain may not present in the chest but instead can be felt in the upper back, head, jaw or in the teeth. There may be a generalized feeling of unwellness and fatigue. One fourth of people have heart attacks without chest pain. Stroke symptoms can include a severe and sudden headache. There can also be nausea, vomiting & dizziness. A classic sign is numbness, weakness or inability to move one side of your body. Vision may be haywire with issues like double vision, blurred vision or seeing double. Your words could be slurred or you may have difficulty expressing yourself. Feeling confused is common. There could be loss of balance or lack of coordination. I recommend that you be seen at an emergency room immediately. ...Read more

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Can stage two hypertension be controlled in a week as done my survival course to go offshore but need medical certificate as well,want it down fast?

Can stage two hypertension be controlled in a week as done my survival course to go offshore but need medical certificate as well,want it down fast?

Stage 2 hypertension: This depends upon your body and the chronicity of the hypertension. In principle, your BP can be brought lower with very low salt diet, minimal fat, minimal meat, and high intake of fruit and vegetables. And commencing medication can certainly bring BP down. ...Read more

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What is best treatment for stage 2 diastolic dysfunction? I don't have hypertension

There are a number: of medications to help reduce the symptoms and progression of diastolic dysfunction but this needs to be individualized for the patient. Make an appointment with your health care provider and ask for this to be addressed for you. ...Read more

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I have hypertension and this weekend for some reason, it's shot back up to stage 2. Is there anything in Tang that interferes with Valsartan Hctz (hydrochlorothiazide)?

I have hypertension and this weekend for some reason, it's shot back up to stage 2. Is there anything in Tang that interferes with Valsartan Hctz (hydrochlorothiazide)?

No ....: The list of ingredients for Tang includes sugar, citric acid, vitamin C, maltodextrin, calcium phosphate, guar and xanthan gums, sodium acid pyrophosphate and some coloring. Nothing that should affect blood pressure. Blood pressure does vary normally so just keep monitoring every day or two, and keep taking your medication. If it stays above 140/90 for two weeks, contact your doctor. Good wishes ...Read more

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What is type two hypertension?

What is type two hypertension?

Unclear: Hypertension is an affliction that needs to be constantly monitored. (90+% is primary hypertension) 5–10% of cases (secondary hypertension) are caused by other conditions that affect the kidneys, arteries, heart or endocrine system. Discuss with md asap. ...Read more

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Hypertension: what do you think (in order) are the top two reasons why people may not regularly take their medications?

Why not take BP meds: 62 asks: What are top 2 reasons people don't take their meds for HTN. 1. They don't fell ill so why take BP meds? 2. They don't believe they really have an increased BP. One way to help with this is to show the patient data as to why HTN is bad 4 U. Then show data showing that lowering BP makes one live longer and healthier. Ask them to try to buy life insurance at regular rate with their BP. ...Read more

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My BP always between 11-12 systolic and 7-8 disto lic.last week for two days was 13.5/94 then normal again.is this hypertension?

My BP always between 11-12 systolic and 7-8 disto
lic.last week for two days was 13.5/94 then normal again.is this hypertension?

Recheck your values: Those numbers don't make sense to me. But to answer the gist of your question, your BP can go up and down quite a bit over the course of a day, a week or a month. It's ok to have some "high" readings. That's a normal response to stress, anger, exercise , illness. What matters... Is it a sustained elevation? According to what you reported, it is not. Just something to watch. ...Read more

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Is it alright to eat two eggs each day if I have hypertension? If I have hypertension, is it safe for me to eat up to two eggs per day? .

Is it alright to eat two eggs each day if I have hypertension? If I have hypertension, is it safe for me to eat up to two eggs per day?

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Probably not: Two of the known contributors to heart attack are hypertension and high cholesterol. One egg yolk alone is said to contain nearly 300mg of cholesterol. We typically advise people to try and stay under that amount for the whole day. To know for sure though, ask your doctor to order both a fasting lipid panel and a high sensitivity CRP blood test. This will give you the answer to your question. ...Read more

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Are pulmonary hypertension and hypertension two different things?

Are pulmonary hypertension and hypertension two different things?

PH: High blood pressure in the lungs is called pulmonary hypertension (ph) or pulmonary arterial hypertension (pah). Pah is quite different from systemic hypertension which is assessed by cuff pressure in your arm. You should check with your physician to determine which you have. ...Read more

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After two days since I take Cozaar (losartan) for hypertension I felt depressed, can this be related?

After two days since I take Cozaar (losartan) for hypertension I felt depressed, can this be related?

Possible but :: Depression is not a common side effect of Cozaar, (losartan) but it has been reported infrequently. Thus, while unlikely the cause of your depression there is a small chance it's responsible. Discuss this with your physician. ...Read more

Dr. Alvin Lin Dr. Lin
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What do you advise if I'm having hypertension and hypothyroidism..i was taking eltroxin 25mg and metolar XR 25 mg two times a day?

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
What do you advise if I'm having hypertension and hypothyroidism..i was taking eltroxin 25mg and metolar XR 25 mg two times a day?

Go see your doctor: Eltroxin is a brand of Levothyroxin that is sold outside of US. Metolar appears to be a brand of Metoprolol sold only in India. You list yourself as from Louisville, KY which makes me worried about where you're getting your medications. Best advice is to take your meds as directed by your doctor. Check your blood pressure regularly (bring cuff into doc for calibration). Get blood tested for TSH. ...Read more

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Have a haedache located in the back side of the head for the past two weeks so took hypertension drugs to control but now hypotension?

Have a haedache located in the back side of the head for the past two weeks so took hypertension drugs to control but now hypotension?

Now wait a minute: This is a little out of control: if you are 23 and have high blood pressure, this needs to be investigated. It could be your diet/salt, but it might be something else curable. But going on and off meds for hbp is not a great idea. See your primary care md & start. Isuspect neck strain as cause of headaches. Hrs, md www.Thepmc.Org. ...Read more

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I have done urine routine: high URO(3+) and Epithelial cell(2+). I have hypertension for 1 year. And feel dizzy sometimes. Does these two related? How

I have done urine routine: high URO(3+) and Epithelial cell(2+). I have hypertension for 1 year. And feel dizzy sometimes. Does these two related? How

May or may not: be but the high urobilinogen content may be an interference or it may denote broken down products of bilirubin. The bilirubin buildup may denote liver disease or hemolytic anemia. Either way liver disease could cause hypertension. or hypotension. Do you take any herbal medicines? ...Read more

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I have hypertension and type two diabetes, occassionally, I have modetate swelling in my feet and ankles.Whats the cause?

I have hypertension and type two diabetes, occassionally, I have modetate swelling in my feet and ankles.Whats the cause?

Nephropathy: Diabetes damages the kidneys by elevated glucose and dehydration. Then, excretion of sodium becomes impaired, and volume overload results in the swelling you describe. Diabetic vascular damage also promotes the fluid leakage and peripheral edema.See your doctor for complete evaluation and aggressive dm management. ...Read more

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Dr. Payam Mehranpour
2,112 doctors shared insights

Hypertension (Definition)

Hypertension is defined as elevated blood pressure systolic over 140 and diastolic over ...Read more