Managing My Father's Health Crisis: Seeking Medical Advice for Hypertension

Dad is experiencing health issues?

About five years ago, my father fainted while playing mahjong after having a little bit of alcohol.
We immediately called an ambulance, and when he was given an oxygen mask, his consciousness stabilized.
The small hospital we went to later told us that he was fine and just needed to take good care of himself.
Last night, while having a late-night snack with my mother, my father mentioned that drinking ginseng wine could lower blood pressure, so he had some.
However, when we got home, he suddenly fainted in the bathroom and lost control of his bladder, just like before.
My mother performed emergency measures, which helped him regain some awareness.
After that, my father continued to feel unwell but was reluctant to call an ambulance or go to the hospital.
Eventually, my mother helped him vomit, and after he expelled some contents, he felt somewhat better and was able to sleep.
My father has high blood pressure, is overweight, and regularly visits a clinic for his medication.
Doctor, what should I do to help my father? Should he undergo a physical examination, or which department should we visit at a larger hospital? Please give me your advice.
Thank you.

Yinghao, 20~29 year old female. Ask Date: 2019/01/04

Dr. Chen Shunfu reply Internal Medicine

Individuals with hypertension and obesity are at high risk for cardiovascular diseases.
It is recommended that you bring your father to the hospital's cardiology department for a thorough examination.

Reply Date: 2019/01/04

More Info

Managing hypertension, especially in older adults, can be a complex and challenging task, particularly when there are episodes of sudden health crises like the one you described with your father. Given the history of your father's health issues, including his previous fainting episodes and current high blood pressure, it is essential to approach this situation with caution and a clear plan.

Understanding Hypertension and Its Risks
Hypertension, or high blood pressure, is often referred to as a "silent killer" because it can lead to serious health complications without noticeable symptoms. In your father's case, his high blood pressure, combined with episodes of fainting and other concerning symptoms, raises several red flags. These episodes could be indicative of underlying cardiovascular issues, dehydration, or even medication side effects, especially if he is not consistently taking his prescribed medications.

Immediate Actions to Take
1. Seek Medical Attention: Given your father's recent fainting episodes and the fact that he has high blood pressure, it is crucial to seek medical attention as soon as possible. If he experiences another fainting episode, do not hesitate to call emergency services. It is better to err on the side of caution, especially considering his history.

2. Consult a Specialist: When seeking medical care, it would be advisable to consult a cardiologist or a primary care physician who specializes in hypertension. They can conduct a thorough evaluation, including blood tests, an electrocardiogram (ECG), and possibly an echocardiogram to assess heart function.

3. Medication Review: It is essential to review his current medications with his healthcare provider. If he has been inconsistent with his blood pressure medications, this could lead to fluctuations in his blood pressure, increasing the risk of complications. The doctor may need to adjust his medication regimen to ensure better control of his blood pressure.

4. Lifestyle Modifications: Encourage your father to adopt healthier lifestyle habits. This includes:
- Diet: A heart-healthy diet low in sodium and rich in fruits, vegetables, whole grains, and lean proteins can help manage blood pressure.

- Exercise: Regular physical activity can improve cardiovascular health. However, he should consult his doctor before starting any new exercise regimen.

- Limit Alcohol: Drinking alcohol, especially in excess, can raise blood pressure and lead to other health issues. It’s crucial to limit or avoid alcohol consumption.

5. Monitor Blood Pressure: Regular monitoring of blood pressure at home can help track his condition. Encourage him to keep a log of his readings to share with his healthcare provider.

Addressing Emotional and Psychological Factors
It’s also important to consider the emotional and psychological aspects of managing chronic health conditions. Your father may be experiencing anxiety related to his health, which can further exacerbate hypertension. Encourage open communication about his feelings and concerns. If necessary, consider involving a mental health professional who can provide support and coping strategies.

Conclusion
In summary, your father's health situation requires immediate attention and a comprehensive approach. Seek medical care promptly, ensure a thorough evaluation of his condition, and work closely with healthcare providers to manage his hypertension effectively. Lifestyle changes, medication adherence, and emotional support will play significant roles in improving his overall health and quality of life. Remember, managing hypertension is a long-term commitment, and with the right support and resources, it is possible to achieve better health outcomes.

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