Man suffers kidney damage, brain hemorrhage after stopping blood pressure medication

Patients being treated at the Central Endocrinology Hospital. (Illustration photo)

The Emergency Department - Central Endocrinology Hospital has just received a male patient HV N, 51 years old in Hanoi , admitted in a state of hyperglycemia and positive urine ketone.

Medical history showed that patient N. had high blood pressure and a cerebral hemorrhage 10 years ago, leaving him with right-sided weakness and speech disorder. The patient was undergoing treatment but did not follow the doctor's instructions, taking medication for a year and then stopping the medication on his own. Previously, the patient had a habit of smoking 1 pack of cigarettes a day and drinking 200ml of alcohol a day, continuously for 20 years. The patient only completely gave up this unhealthy habit after the stroke occurred.

About a week before being admitted to the hospital, patient N. felt tired and began to experience symptoms of thirst, drinking a lot, and urinating a lot. On August 4, the patient was taken by his family to a large hospital in Hanoi when he showed signs of increased fatigue, abdominal pain, difficulty breathing, nausea, and vomiting many times.

Here, the patient was diagnosed with diabetic ketoacidosis, hypertension, cerebral hemorrhage with sequelae of right hemiparesis, and was given fluid resuscitation and insulin before being transferred to the Central Endocrinology Hospital.

At the time of admission, the patient was conscious, able to communicate but had difficulty speaking. Blood pressure was 120/70mmHg, pulse 80 beats/minute. The patient had weakness in the right side of the body, muscle strength 3/5, decreased tendon reflexes, measured blood sugar was 20.4 mmol/l...

Master, Doctor Bui Manh Tien, Department of Emergency Medicine (Central Endocrinology Hospital) said: “Blood test results show that the patient's blood sugar has increased for a long time without being detected and there are signs of kidney damage. Paraclinical examination shows a normal electrocardiogram, chest X-ray and abdominal ultrasound show no abnormalities, preserved heart function with EF 63%. In addition, the patient has undergone in-depth testing to diagnose diabetes.”

The patient was diagnosed with: Ketoacidosis - type 2 diabetes - hypertension, dyslipidemia and sequelae of previous cerebral hemorrhage. At the Central Endocrinology Hospital, the patient was actively treated with fluid replacement, electrolyte balance, insulin injection, blood pressure control and lipid-lowering drugs.

Doctor Bui Manh Tien added that currently, patient N. is alert, responsive, has no fever, no headache, no difficulty breathing, stable hemodynamics, kidney function has recovered and returned to normal. The muscle strength of the right half of the body is gradually improving, the patient is being monitored and continued to be treated at the department.

Dr. Tien recommends that high blood pressure and diabetes are two closely related diseases, often occurring at the same time and can increase the risk of dangerous complications. To prevent complications in the long term, patients must control their blood pressure and stabilize their blood sugar by adopting a scientific lifestyle and following their doctor's treatment regimen.

In particular, according to the doctor's advice, adults need to regularly measure blood sugar and blood pressure properly to detect the disease early. Do not arbitrarily stop taking medication, change medication, increase or decrease the dose.

Patients must have a reasonable diet, limit alcohol and beer consumption, completely stop smoking cigarettes or tobacco, increase exercise... When there are unusual signs, they must immediately go to a medical facility for timely examination and treatment.

DO THOA

Source: https://nhandan.vn/nguoi-dan-ong-bi-ton-thuong-than-xuat-huet-nao-sau-khi-bo-thuoc-dieu-tri-huet-ap-post901487.html