I'm really worried about my brother who's just 18. He's been having mild chest pain and his blood pressure is pretty high, like 14090. The general medicine doctor suggested some tests, which we've done and uploaded the reports. Can you help me understand what's going on with him? Why would he have high blood pressure at such a young age? He's already on medication for it, and I'm just trying to figure out what might be causing this.

Answered by 1 Apollo Doctors

Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

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The excessive intake of painkillers has likely led to kidney damage, causing the kidneys to shrink. This condition is known as analgesic nephropathy . To address this issue, it's essential to stop the use of painkillers that are harming the kidneys.

Treatment Options:

Acetaminophen: This pain reliever is considered safer for patients with kidney disease. However, it's crucial to follow the recommended dosage and consult with a doctor .

Non-opioid analgesics: Medications like pregabalin, gabapentin, and duloxetine can be used to manage pain, but require careful dosing and monitoring due to potential side effects .

Alternative pain management techniques: Encourage your father-in-law to explore non-pharmacological approaches, such as physical therapy, exercise, yoga, or acupuncture, to manage pain .

Lifestyle Changes:

Hydration: Encourage your father-in-law to drink plenty of water to help flush out toxins and reduce the risk of further kidney damage.

Dietary changes: A balanced diet low in salt, sugar, and unhealthy fats can help manage kidney health.

Medical Consultation:

It's crucial to consult with a nephrologist

Dr. Ibrahim Suggests...

Consult a Cardiologist

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Answered 04/07/2025

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