High Blood Pressure and Elevated Body Temperature in Seniors - Neurology

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High blood pressure and elevated body temperature?


Hello Dr.
Yeh,
My grandmother is 89 years old and has been experiencing unstable blood pressure, with more than three episodes in a day recently.
She feels a constant internal heat, as if something is moving inside her, which is very uncomfortable.
She also has symptoms of angina, dizziness, weakness in her limbs, and a loss of appetite.
Could these be side effects from long-term use of antihypertensive medications? Is her elevated body temperature related to her high blood pressure? She has previously undergone an EEG, which was normal.
Thank you!

tiā, 40~49 year old female. Ask Date: 2006/09/17

Dr. Ye Boshou reply Neurology


Hello: Some blood pressure medications can cause vasodilation, leading to symptoms such as fever and facial flushing.
When you see your doctor, please bring your medications and inform them if any adjustments are needed.

Reply Date: 2006/09/17

More Info


Understanding the relationship between high blood pressure and elevated body temperature, especially in seniors, is crucial for managing their health effectively. In the case of your grandmother, who is 89 years old and experiencing these symptoms, several factors need to be considered.

Firstly, it's important to recognize that high blood pressure (hypertension) can lead to various symptoms, including dizziness, weakness, and even a sensation of heat. In elderly patients, the body's ability to regulate temperature and respond to stressors can be diminished, which may contribute to feelings of discomfort and heat. Additionally, the medications used to manage high blood pressure can also have side effects that might exacerbate these sensations.

1. Medication Side Effects: Many antihypertensive medications can cause side effects such as flushing, dizziness, and fatigue. If your grandmother has been on these medications for a long time, it is possible that her body is reacting to them. It would be beneficial to review her current medications with her healthcare provider to determine if any adjustments are necessary. Sometimes, the combination of medications can lead to adverse effects that may not be immediately apparent.

2. Dehydration and Heat Sensitivity: In hot weather, seniors are particularly susceptible to dehydration, which can lead to increased heart rate and blood pressure fluctuations. Dehydration can also cause a feeling of heat and discomfort. It's essential to ensure that she is adequately hydrated, especially during warmer months. Encourage her to drink fluids regularly, and consider electrolyte solutions if she has been sweating excessively.

3. Blood Pressure Fluctuations: Blood pressure can fluctuate due to various factors, including stress, anxiety, and physical activity. If your grandmother is experiencing episodes of high blood pressure, it may be related to her emotional state or physical condition at the time of measurement. It’s important to monitor her blood pressure regularly and in a calm environment to get accurate readings.

4. Underlying Health Conditions: Elevated body temperature can sometimes indicate an underlying infection or other health issues, especially in seniors. If her body temperature is consistently elevated, it may warrant further investigation to rule out any infections or other medical conditions. Regular check-ups and blood tests can help monitor her overall health.

5. Psychological Factors: Anxiety and stress can significantly impact blood pressure and overall well-being. If your grandmother is feeling anxious about her health, this could contribute to her symptoms. It may be helpful to engage her in calming activities or consult with a mental health professional if anxiety is a concern.

In conclusion, the symptoms your grandmother is experiencing could be multifactorial, involving her medications, hydration status, blood pressure fluctuations, and possibly underlying health conditions. It is advisable to consult her healthcare provider to review her medications, assess her hydration, and consider further evaluations if her symptoms persist. Regular monitoring and open communication with her healthcare team will be key in managing her health effectively.

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