Resistant Hypertension Treatment in Gorakhpur by Expert Nephrologist

• Kidney Dysfunction: Chronic kidney disease (CKD) or renal artery stenosis can impair blood pressure regulation.
• Hormonal Disorders: Conditions like primary aldosteronism, pheochromocytoma, or hyperthyroidism can elevate blood pressure.
• Obstructive Sleep Apnea: Interrupted breathing during sleep can contribute to resistant hypertension.
• Medication Non-Adherence: Skipping doses or not following prescribed regimens can prevent blood pressure control.
• Inappropriate Medication Combinations: Suboptimal drug choices or dosages may fail to lower blood pressure effectively.
• Lifestyle Factors: High salt intake, obesity, excessive alcohol consumption, or lack of physical activity can exacerbate hypertension.
• Drug Interactions: Certain medications, like NSAIDs or decongestants, can interfere with antihypertensive drugs.
• Genetic Factors: A family history of hypertension may increase the likelihood of resistant hypertension.

Resistant hypertension often presents with few noticeable symptoms, making it a “silent” condition. However, persistently high blood pressure can lead to signs of organ damage or related complications. Common symptoms include:

• Headaches: Especially in the morning.
• Dizziness or lightheadedness: A frequent sign of uncontrolled blood pressure.
• Blurred vision: Visual disturbances linked to high BP complications.
• Shortness of breath: Can occur with exertion or at rest.
• Chest pain or tightness: May indicate strain on the heart.
• Fatigue or weakness: Due to poor circulation and organ stress.
• Swelling in the legs or ankles (edema): Often related to kidney involvement.
• Nosebleeds: Rare but possible with very high blood pressure.

If you experience these symptoms or have consistently high blood pressure readings, consulting a blood pressure specialist in Gorakhpur is critical for timely diagnosis and management.

Diagnosing resistant hypertension involves confirming high blood pressure despite treatment and identifying underlying causes. Advanced diagnostic methods include:

• Blood Pressure Monitoring: 24-hour ambulatory blood pressure monitoring or home measurements to confirm persistent hypertension.
• Blood Tests: Assess kidney function (creatinine, GFR), electrolyte levels, and hormonal imbalances (e.g., aldosterone or cortisol).
• Urine Tests: Detect protein or other abnormalities indicating kidney damage.
• Imaging Studies: Ultrasound, CT, or MRI to evaluate kidney or vascular issues, such as renal artery stenosis.
• Echocardiogram: Assess heart function and damage from prolonged high blood pressure.
• Sleep Studies: Screen for obstructive sleep apnea as a contributing factor.

Dr. Arpit Srivastava uses these tools to accurately diagnose resistant hypertension, ensuring a tailored approach to treatment.

Specialized services are offered to support patients with resistant hypertension, ensuring comprehensive care:

• Hemodialysis: For patients with CKD-related hypertension, dialysis helps manage fluid and waste.
• Permacath & Jugular Catheter Insertion: Safe vascular access for dialysis patients.
• AV Fistula Creation: A long-term solution for dialysis access, reducing complications.
• Kidney Biopsy: Diagnose kidney-related causes of resistant hypertension through tissue analysis.
• Kidney Transplant: For patients with end-stage renal disease contributing to hypertension, offering pre- and post-transplant care.
• Vascular Access Care: Regular monitoring to ensure dialysis access functionality.
• Blood Pressure Monitoring Programs: Personalized plans using ambulatory or home monitoring to track progress.