Patient: My mother is 88 yrs old. She has no diabetes or chronic kidney disease. Her blood pressure runs 160 to 175 over 60 to 80. Should she be on blood pressure medication?
Doctor: Welcome to Ask The Doctor.We are here to help you.Yes, her BP is high as per her age. Since her BP readings are hi gh, you would require to see your doctor, who would investigate her and start her on anti-hypertensive medications.Once her BP comes to a desired level on the medications, she will have to continue those medicines as your BP is controlled on the medicines and not spontaneously.I would advise following investigations:1. Kidney Function tests2. Thyroid profile3. Fasting Blood sugar4. Fasting Lipid Profile5. ECG.I would advise you to get her these investigations. Based on the reports your doctor will start her on medications that would keep her BP under control.Commonly used anti hypertensives are Amlodipine, Metoprolol, Telmisartan, Diuretics.At her age BP should not exceed more than 150/80 mmHg.She should avoid pickle, alcohol, namkeen. Take low salt, and oil-free diet.I hope it helps.Stay Healthy