Talk to Internal Medicine on High Bp And Gums Issue
Asking for Someone Else, Mother, Female, 55 years old, Larkana
Hello, My mother is a patient with diabetes and high blood pressure. Recently, her eyes have become red due to an infection, and her gums have become swollen, causing severe and unbearable pain. I am very worried about her.Her blood pressure is often high, usually around 180/76 mmHg, and yesterday her blood sugar level was 186 mg/dL. She is currently taking Covam 5 mg/160 mg for blood pressure and Gilo-P for diabetes. Could you please tell me whether these medicines are appropriate for her condition? She also has a fatty liver and is now suffering from gum and dental problems. The doctor has prescribed Augmentin, Nise, and Gramerx. Hr face is swollen. I would appreciate your advice regarding her medications and overall condition.
Prof. Dr. Abdul Latif Khattak - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Rawalpindi
needs to assess patient clinically
Dr. Mazhar Khan Marwat - Internal Medicine Specialist
MBBS | Lahore
Would need some investigations after that few Differentials may be suggested.
needs evaluation of detailed history of co-morbid conditions, duration of these co-morbid conditions,examination as well as ascertaining compliance to therapy. Treatment has to be tailored as per organ involvement. Her cardiac and renal status needs to be evaluated specifically.
Dr. Momna Ijaz - Internal Medicine Specialist
MBBS, FCPS (Medicine), FCPS Gastroenterology* | Lahore
19 Positive Reviews
Pt should admitted in hospital .
need vitals monitoring
repeating all base line investigation
also need ophthalmologist opinion
no further home treatment
Need to asses cinically
Try to monitor BP and sugar at home if still persistently high consider increasing Covam to 10/160. Regarding diabetes go for HbA1C if still high diabetes medications can be changed . For gums I can not hive much advice but if gums are affected due to infection then controlling daibetes might help.
Assoc. Prof. Dr. Rabia Rathore - Internal Medicine Specialist
MBBS, FCPS Medicine | Lahore
12 Positive Reviews
need to b exaamuned clinically
Prof. Dr. Samia Kausar - Internal Medicine Specialist
MBBS, FCPS Medicine | Lahore
26 Positive Reviews
The patient needs extra care for oral hygiene in addition to the above treatment.
salt water gargling and rinses are advised 3 times a day.
brushing teeth with a soft brush is
required after every meal to remove all food particles.
Remove all bakery items, salted biscuits and white flour dishes from the diet.
Daily walking for 3- 5 minutes 3-5 times a day will improve blood pressure and sugar control.
medication to be continued.
close follow up with clinian is required
patient needs to be examined by doctor
Dr. Syed Zohaib Maqbool - Internal Medicine Specialist
MBBS. FCPS Medicine | Lahore
26 Positive Reviews
May she get well soon. Sounds like she might be suffering from a severe viral infection causing gingivostomatitis and conjunctivitis - I’m worried it could be Herpes infection. Or it might be something else like a severe drug reaction. Did she recently start any medicines before this illness? She should get checked by an ophthalmologist, and dermatologist. She might need antivirals or steroids as well. Regarding her BP if it remains uncontrolled you can increase to Covam to 10/160 and if still remains high then later switch to Covam plus 10/160/12.5. Similarly for the Diabetes she might need medicine adjustments. It’s better to consult a Medical specialist for this.
Homeopathic Dr. Salman Barkaat - Homeopath
DHMS, RHMP, BS (Hons) Food Sciences, Member of Homeopathy World Community | Faisalabad
30 Positive Reviews
kindly book appointment with me for proper case taking and prescription inshallah apka ye masla thk ho jaye ga
Dr. Muhammad Qaisar Butt - Internal Medicine Specialist
MBBS, FCPS Internal Medicine | Islamabad
4 Positive Reviews
Urgent review in emergency
Dr. Brig R Muhammad Asif - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Rawalpindi
507 Positive Reviews
med specialist consultation
Dr. Shahzada Ali Khan - Internal Medicine Specialist
MBBS( PAK), MRCP(UK), PCRC( CAN) Dialysis certified | Peshawar
5 Positive Reviews
Urgent in person examination by Internal medicine specialist either in emergency or urgent care centre.
Ur query is well understood but
detailed history needed for better outcome
book appointment for one on one consultation for as low as Rs 0 for today
ur issue would be resolved IA.
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