1) bp around 160-100 in the last one year - high bp for the last 25 years (around 140-150) 2) creatinine ranging from 1.6 to 1.9 3) 24 hours urine protein at 1520 mg/ 24 hours 4) spot micro albumin - 1236ug/ mg of creatinine 5) spot protein - (3+) patient age: 59 years hypertension patient no diabetes taking medication for controlling bp like cilacar, betacard and lasix and zerolac. Heavy swelling in feet and extreme weight loss in the last 12 months (around 10 kgs). Please advise if biopsy is needed or not.

Dr. Prakhar SinghGeneral Physician5yrs exp

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Any medication can cause side effects, and high blood pressure (hbp) medications are no exception. However, many people do not have side effects from taking hypertension drugs, and often the side effects are mild. Still, it's important to stay informed we need sodium to help maintain blood pressure, regulate fluids, and aid in the function of our nerves and muscles. Low blood pressure might seem desirable, and for some people, it causes no problems. However, for many people, abnormally low blood pressure (hypotension) can cause dizziness and fainting. In severe cases, low blood pressure can be life-threatening. A blood pressure reading lower than 90 millimeters of mercury (mm hg) for the top number (systolic) or 60 mm hg for the bottom number (diastolic) is generally considered low blood pressure.  

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