Can BP Meds Mask The Progression Of PE - Updated

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stargazer
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Re : Can BP Meds Mask The Progression Of PE - Updated

Postby stargazer » Mon Oct 22, 638936 10:50 pm

I was seeing a Fetal Medicine Specialist earlier in the pregnancy but have not seen them for awhile because things seemed to be cruising along ok there for awhile. I spoke to my renal specialist this morning and she is getting concerned also. My 24hr urine I handed in the other day has come back at around 3.5grams. She is going to speak to the head OB at the hospital on Monday as she doesn't think they should push me past 34wks if I make it that far. Her words were they are starting to play with fire now and she does not like it at all. I feel horrible today BP has been high all day and swelling has doubled overnight especially my hands and my heart rate has sat around 140-150 all day even when resting. I feel like you do when you get a bad case of the flu just without a fever and congestion. I have a scan on in 2 days to check growth, cord flow and fluid levels so it will be interesting to see how everything is going. I have had high fluid recently but that is because I have gestational diabetes which was uncontrolled for a few week. Hopefully the OB at the hospital will listen to my renal specialist and start taking things a bit more seriously.

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caryn
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Re : Can BP Meds Mask The Progression Of PE - Updated

Postby caryn » Thu Oct 11, 638936 5:41 pm

Yeah, I'd be pretty sure with a +3 and pressures that high that you're getting sicker, and given your history I'd be worried too!

Do you have an MFM who's overseeing you? I know the Aussie system is different in this respect, but someone used to looking at this disease would probably react a bit more strongly...

stargazer
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Re : Can BP Meds Mask The Progression Of PE - Updated

Postby stargazer » Thu Oct 11, 638936 10:48 am

Thanks everyone I went to L&D and almost had to fight them to get blood tests done even with my past history. All bloods came back ok though they have increased a fair bit but still what they class as in normal range. I still have the pain in my ribs and shoulder but because my BP seems ok they are not to concerned. I did tell them about my meds seem to be wearing off before my next dose and was just told to take them earlier if needed. My BP when I was there was 152/88 which I was told was perfect I would disagree with that but because it didn't reach the magical 90 they told me to go home and rest. Also when they used a dipstick to test my urine and said it was negative. I don't know what they were looking at because when I got home I tested it using the same brand as they use and it was 3+. I told them about my bp at home and they totally ignored it and said my monitor was out even though it was calibrated by the renal clinic about 3 weeks ago. I will continue to monitor things and if they get worse I might try a different hospital. Once again thanks everyone it is just so frustrating I can see a pattern emerging like last time I just hope I don't end up in the same situation again.

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caryn
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Re : Can BP Meds Mask The Progression Of PE - Updated

Postby caryn » Wed Oct 10, 638936 7:23 pm

Those are high pressures for someone who's medicated; do they know you're on meds when you report those numbers? Have you let them know that the drugs are wearing off before your next dose is scheduled, and what the readings are at that time?

In your shoes, especially with the epigastric pain, I'd want to get checked out in L&D. Please keep us posted as you're able.

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Re : Can BP Meds Mask The Progression Of PE - Updated

Postby aggie95mom » Sun Sep 30, 638936 5:13 pm

As annoying as it can be to have to pack up and go, sometimes if you go to L&D, they'll be less likely to dismiss you so quickly like they can do on the phone. I'm sure you would feel more comfortable if someone looked at you and ran some quick blood tests.

mommy2maddie
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Re : Can BP Meds Mask The Progression Of PE - Updated

Postby mommy2maddie » Sun Sep 30, 638936 10:55 am

I know that my doctor would not put me on bp meds in my pregnancies (he did in the beginning with the second pregnancy but I went off them a couple weeks later). He believes that bp meds will mask PE and he will be unable to catch it when it starts to get worse. Only after I delivered did he start the meds. If I were you I would go to L&D anyways and get your rib pain checked out.

alviarin
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Re : Can BP Meds Mask The Progression Of PE - Updated

Postby alviarin » Sun Sep 30, 638936 9:20 am

In your shoes I would feel better with some labwork. Can you call your OB and see if they can pull some stings for you? If I couldn't get ahold of my doc I would park myself in L&D. Good luck, please keep us posted as you are able.

jenprzygoda
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Re : Can BP Meds Mask The Progression Of PE - Updated

Postby jenprzygoda » Sun Sep 30, 638936 8:52 am

I am a "better safe than sorry" kind of gal. For me, the pain under the ribs and radiating to the right shoulder were the only symptoms of HELLP (besides major swelling that I had had for weeks) that I had, and it went pretty quick from there. I don't know much about the BP meds masking a rising BP, but it sounds like it may be based on the increase in BP right before you take the meds. I never had a BP over 145/90 until after my son was born, so in my case if they were waiting until my BP rose we would have had even more trouble. Again, just my thoughts based on my experience (and this is all so different from person to person) but I would get checked out if nothing else than for the epigastirc pain. A simple blood draw can be done and your liver enzymes, platelets and hemoglobin can be run. Just go to L&D and tell them you need to be checked out - hey, worrying can't be helping your BP either. Take care and keep us posted.

stargazer
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Can BP Meds Mask The Progression Of PE - Updated

Postby stargazer » Sat Sep 29, 638936 9:55 pm

Hi everyone I just have a quick question I am on Labetalol 300mg 3 times a day things started to go down hill about 3wks ago. My Bp suddenly increased and started meds. I was on them earlier in my pregnancy but we found the cause of my high bp at around 22-23wks and have been off them since I am now almost 32wks. Over the last 3wks my bp has been going up and my Dr has just been increasing my meds. Last week my protein tripled in 2 days and I started getting a lot of symptoms. Last pregnancy I developed Eclampsia things changed with in minutes so I am getting concerned we are heading in the same direction. I am finding that the meds are now no longer lasting the distance and about 2hrs before I am due to take my next dose my bp is getting high again around 160-170/100-105 but once I take my med dropping to around 150/85.

The last few hours I have started having pain just under my ribs and my right shoulder I rang L&D and they were not concerned as my bp was 147/85. Can my meds be masking something more serious going on I know last time when things got bad it did not come down but it all happened so quickly within minutes one minute I was in a hospital bed bp was 140/80 then 15min later my bp was 189/124 I started having seizures. I am getting very nervous it might happen again. Thanks


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