My father is 46 and he has high bp we recently discovered it my grandfather and uncle have also same problem and they have organfailurekidneydamage

Question #10906

240 days ago

314

My father is 46 and he has high bp we recently discovered it my grandfather and uncle have also same problem and they have organfailurekidneydamage - #10906

Saumya

So one day he has feelingpainin his left arm wewent to doctor and he told him that he has high bp 240/139 after many injections and drips it was 170/104 and then we went to another doctor he gave him two times bp tablet cholestrol was 210 high cholesterol now he istaking daily medicinesstill bp become very high sometimes when we goto doctor he gives him injection bp becomes normal for twothree days 147-155/90-100 and after two days it again becomes 188-198/95-120 today it was 182/130 what should we do he also have fatty liver how toprevent him fromkidneydamage shouldI send uh his reports

Age: 20

Chronic illnesses: Gastric chronic family history is his father and brother had kidney disease

#highbp#cholesterol#heart# preventionfromkidneydisease

300 INR (~3.53 USD)

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Dr. Mickey Patel

I am a consultant Physician with about 8 years of work after my MBBS and another year post MD — which doesn’t sound like a long time until you start counting the hours in clinics, hospitals, and on-call nights. My training and practice have taken me through all kinds of settings, from busy outpatient departments to ward rounds that stretched late into the night. Over the years, I’ve worked both offline in traditional hospital environments and also online on platfory like Practo — which, honestly, changed the way I see patient care. In-person consults give you body language, subtle signs, that little pause before answering a question. Online care pushes you to listen differently, to pick up clues from how someone explains their symptoms without seeing them in person. It’s not easier or harder, just different. I’ve learned to adapt my approach — detailed history taking, targeted questions, and sometimes even asking the same thing twice in a slightly different way to be sure nothing important is left out. My scope as a physician is broad. General medicine cases form the core — fever, infections, chronic conditions like hypertension, diabetes, thyroid disorders — but there’s also the complex, overlapping presentations where you need to think wider. A patient might come for a persistent cough and leave with a referral for cardiac evaluation… because something in their story didn’t fit the usual respiratory pattern. I’m not the kind of doctor who rushes through just to keep the line moving. I’d rather spend a few extra minutes explaining what’s going on, what the tests are for, and why a certain treatment makes sense. Sometimes people say I ask too many follow-up questions, but honestly, missing details can cost much more later. Medicine changes fast — new studies, new drugs, new guidelines — and I make it a point to stay updated. It’s part professional duty, part personal habit. My goal is always to combine evidence-based medicine with practical, real-world care that actually works for the person sitting (or sometimes typing) in front of me. And yes, my spelling in quick notes might not always win awards, but the care itself stays sharp.

240 days ago

Hello,Blood pressure has many causes and chronic kidney disease is one of its cause and also high blood pressure leads to chronic kidney disease…he needs to get proper evaluation to know the cause of resistant hypertension not controlling with medicines
Get few tests done like cbc,ecg,2 d echo,kft,urine routine analysis,usg whole abdomen…

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

240 days ago

Check for other causes
Please visit specialist for better assurance.

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Dr. Neeraj Agarwal

I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.

238 days ago

High bp can cause kidney damage i will recommend to visit nephrologist and cardiologist

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

240 days ago

Hello dear
Please be aware
See as per clinical history it doesn’t seems normal hypertension ( primary one) that affects 90 percent people.
It definitely seems due to multiple organs dysfunction especially liver or kidney.
It is called secondary hypertension.
Medications can be prescribed only after confirmation of tests reports
Please share the below test reports for confirmation
Serum troponin
Serum LDH
Lft
Rft
Angiogram
Echo/ECG
Serum cpk
In addition if any other tests are done please share
Plesse donot take any medications without correct diagnosis
Regards

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

237 days ago

This is very serious a BP of 240/139 and repeated spikes despite tablets is a hypertensive emergency risk. He urgently needs a cardiologist and nephrologist evaluation to adjust medicines, rule out secondary causes (like kidney disease or hormonal issues), and prevent complications like kidney failure, stroke, or heart attack. Please take him to a specialist center/hospital immediately, carry his reports, and do not rely only on injections for temporary relief.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

190 days ago

From what you’re describing, it sounds like your father is dealing with uncontrolled hypertension, which can be quite serious if not managed properly. When blood pressure spikes like this, the risk for complications such as kidney damage is indeed heightened, especially with a family history of similar issues. First, it’s crucial that he follows up with a healthcare provider for a comprehensive re-evaluation. His current medication regimen might need adjustment or additional medications might be required to stabilize his blood pressure more effectively. Lifestyle changes can also play an important role in managing blood pressure and overall health. Encourage him to adopt a diet low in salt, and rich in fruits, vegetables, and whole grains – like the DASH diet, which is specifically designed to help control hypertension. Regular physical activity, such as walking for at least 30 minutes most days of the week, can also help lower blood pressure. Additionally, if he smokes or drinks alcohol, reducing or eliminating these can have a positive impact. Stress management techniques like meditation or relaxation exercises might be beneficial too. Since he has high cholesterol, it would be important to also manage his lipid levels, possibly in coordination with the dietary changes. Given his fatty liver condition, it’s also vital to avoid factors that could exacerbate liver damage, such as alcohol. Monitor his blood pressure regularly at home and keep a log of the readings to share with his healthcare provider. If his blood pressure remains high despite these efforts, or if he experiences symptoms like chest pain, shortness of breath, or severe headaches, seek medical attention promptly as it might be necessary to address an urgent hypertensive crisis. Of course, any significant changes or decisions regarding his treatment should ideally be made in consultation with his doctor who understands his health conditions comprehensively. Collecting his medical reports and previous test results would be beneficial when visiting the doctor’s office as it provides a clearer picture of his health trends over time.

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