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Blood Pressure Issue - Heart or Kidney Problem???

I am a 30 year old female who is relatively healthy.  Recently I started having problems with my blood pressure and edema.  I started taking Hydrochlorathiazide, which flushed 6 pounds of fluid during the ffirst 48 hours of taking it.  While on it, my blood pressure issues, headaches, edema (abdomen, face, and lower legs), facial flushing, shortness of breath, cold hands and feet and cough went away.  After being on it for about 2 months I started having kidney pain and a couple of urinalysis reports showed protein and leukocytes, so I decided to stop the diuretic and see what happened.  Within 5 days of stopping it, all of the above mentioned symptoms returned, which confirms that the hctz is helping, but why at 30 years old, with no history of high blood pressure would I need to be on it?  I have had low blood pressure my entire life, with the exception of the past 7 months.  When I say high blood pressure, it has been about 135/95 which I used to always be 110/70 or less.  My doctor today told me that it's just genetic and I shouldn't be concerned, but I am very concerned.  At 30, I should be able to walk up a flight of stairs without feeling like my heart is going to burst out ot my chest!!! I also seem to really have an intolerance to exercise lately, which is new.  So, my question is could this be something heart related or kidney related, or both?  I have an appointment with a urologist in a couple of weeks.  I was just hoping that someone might have some insight for me.  
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Avatar universal
Thank you for all of your responses.  I have a full day of appointments next Tuesday with  Urology, a new General Practitioner as well as a new Gynecologist.  Hopefully this will bring some answers.  I have been taking my water pills and feeling better.  I know that 135/95 is not that high, but it is high enough to where my eyes get blood shot and I can feel my heart beat in my teeth.  So, it does cause me some concern.  It's interesting to me that one of you mentioned polycystic ovary, because my right ovary is extremely covered in cysts, but my gyno said that all of my blood tests for hormal levels were normal, so I didn't have polycystic ovary syndrome.  I also had a 3.6cm hemmoraghic (sp?) cyst on my left ovary in January and I think it has grown in size as I have been having a lot of discomfort this week.  Hence, the appointment with the gyno.  I have my fingers crossed that I am actually going to get somewhere with these new doctors.  We shall see!
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Avatar universal
You need to have both possibilities ruled out; cardiovascular problem or kidney problem.  
Have you seen a Cardiologist or had any cardiovascular testing done?  Why are you seeing a Urologist and not a Nephrologist?
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351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
135/95 is not high BP. Generalized body edema (or swelling) can be very serious. It can be due to severe anemia, a failing heart, serious kidney disease, liver failure or disorder, electrolyte imbalance, polycystic ovary, low protein in the blood, and disorders of adrenal gland. This is something for which you must consult a doctor ASAP, preferably an internal medicine specialist. Take care!
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Avatar universal
Boring is good in this case. I suspect you'll get answers to what's going on after seeing the urologist, and possibly other specialists as needed. Your heart, kidneys, or other organs/systems could be behind your edema and hypertension.

If you're not satisfied with your doctor's response, see if you can talk to him/her again about it, in person at an appt. (never try to talk to a doc on the phone for this kind of thing). If ultimately necessary, find another doctor, one who will work with you in a way you are comfortable with. This is particularly important for chronic conditions, ones that you are told you just have to live with.

Note: carefully check all the food you cook with for its sodium content, and also consider that virtually all restaurant food is heavily salted. Your actual daily sodium intake is probably fine, but looking into it closely could be useful The website www.nutritiondata.com has good tools for this.
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Avatar universal
Oh, I should probably also add that I am not a smoker.  I do not eat any salt or drink any caffeine or alcohol....yes, I am very boring!
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