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Renovascular Hypertension

What is it?

Renovascular hypertension is high blood pressure caused by narrowing or blockage of the arteries that supply blood to the kidneys, often due to atherosclerosis or fibromuscular dysplasia.

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What are the symptoms?

  • High blood pressure that is difficult to control

  • Headaches

  • Fatigue

  • Shortness of breath

  • Swelling in the legs or ankles

What else could it be? (Differential diagnosis)

  • Primary hypertension

  • Kidney disease or failure

  • Endocrine disorders like hyperaldosteronism

What are the aggravating factors?

  • Atherosclerosis

  • Smoking

  • Chronic kidney disease

  • Obesity

  • Family history of high blood pressure or kidney disease

What types of food are helpful?

  • Low-sodium diet: To help manage blood pressure.

  • DASH diet: Emphasizing fruits, vegetables, whole grains, and lean proteins.

  • Increase potassium intake: Bananas, sweet potatoes, and spinach can help balance sodium levels.

Sample Recipe: Grilled Chicken with Steamed Vegetables

  • Ingredients: Chicken breast, broccoli, carrots, olive oil, lemon.

  • Directions: Grill chicken, and steam vegetables with a drizzle of olive oil and lemon.

What are the traditional treatments?

  • Angiotensin-converting enzyme inhibitors (ACE inhibitors)or Angiotensin receptor blockers (ARBs): To manage high blood pressure.

  • Statins: To lower cholesterol and improve blood flow.

  • Angioplasty or stenting: To open blocked renal arteries.

  • Surgery: In severe cases, surgery may be required to repair the arteries.

What are the natural and alternative treatments?

  • Garlic: Known to help lower blood pressure naturally.

  • Coenzyme Q10: A supplement that may support cardiovascular health.

  • Hibiscus tea: May help reduce high blood pressure.

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