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High Blood Pressure

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My friends blood pressure has been up & down today buy mostly up 185/85. Should he go to emergency. He takes blood pressure medicine.

Category: Family Physician-GP

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Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
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 23 Doctors Online

Expert:  Dr. Jaydeep Tripathy
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Hello,

The blood pressure of 185/85 is high (with possibility of high risk complications) in a person of 75 years of age. I would recommend you to repeat the measurement after he is settled in and relaxed after 20-30 minutes.

If he is on Blood pressure medication he should take it. If you he has missed any medication, do take it. Repeat the BP - and if it is still above 180/90 mmHG he needs urgent medical care.

Now whether he should go to ER or not - Well its is bit tricky. If he has (1) easy access to your GP - can get in touch with him at least over phone (2) and he is already on treatment (3) with no additional symptoms - you can visit/phone him.

But (1) if this blood pressure is noted for first time (2) if he has any additional symptoms like chest pain, palpitation, syncope, tiredness (3) No immediate access to GP (4) has past history of heart diseases, stroke - he should not hesitate in visiting the ER.

Hope this helps
Feel free to ask followups
Thank you

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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