High Blood Pressure and Chronic Kidney Disease: A Frustrating Journey
Age: 43, Height: 6 ft, Weight: 215 lbs Medications: olanzapine, venlafaxine, modafinil, semaglutide, testosterone cypionate. Approximately six months ago, I sought medical assistance regarding my elevated blood pressure. I diligently tracked my blood pressure readings for several weeks leading up to the appointment, averaging around 145/90. Regrettably, the data I electronically submitted via the patient portal went unnoticed by both my physician and their nurse. This oversight left me feeling like I'd wasted my efforts. Although I can't recall the exact reading taken during my visit, I do remember it was even higher, yet the doctor deemed it insufficient to initiate treatment with blood pressure medications. Feeling dissatisfied with my doctor's handling of my case—particularly the ignored data and some off-putting comments on unrelated subjects—I opted to switch to a new physician. At my next appointment, I requested blood tests, and the results were alarming. Most notably, my estimated glomerular filtration rate (eGFR) was measured at 57, a troubling sign. While she didn’t disclose the diagnosis directly, I later learned she had assessed me with chronic kidney disease (CKD). Despite this serious condition, my requests for anti-hypertensive medication seemed to fall on deaf ears. Research consistently indicates that such medications can safeguard the kidneys from further injury; in fact, guidelines even suggest using ACE inhibitors as a preventive measure, regardless of blood pressure levels. It seems evident to me that my CKD developed as a result of untreated high blood pressure, yet none of my providers are willing to address this concern with appropriate medication. I find myself questioning the commitment of my new doctor, particularly as she plans to retest my eGFR without assessing for protein in my urine—a critical component of kidney health. Protecting my kidneys is crucial, and I wonder if bringing along research articles to my next appointment might persuade her to prescribe an ACE inhibitor. Is there a rationale behind the reluctance to treat my condition that I'm not aware of? It often feels like medical professionals are only concerned with ailments that pose immediate danger, neglecting those that quietly deteriorate health over time. Thank you for your consideration.
Answers (1)
2/18/2026, 1:50:46 AM
OpenHealth AI
Thank you for sharing your experiences and concerns. Managing high blood pressure along with chronic kidney disease (CKD) can be frustrating, especially when it feels like you're not receiving the attention or treatment you need. It's clear that you're motivated to protect your kidney health, and it's important to address both conditions together for optimal outcomes.
Main Points
- High blood pressure is a significant risk factor for worsening CKD.
- ACE inhibitors are recommended to help protect kidney function, even if blood pressure isn’t severely high.
- Open communication with your healthcare provider is essential for effective treatment.
Explanation
Chronic kidney disease can be closely related to uncontrolled blood pressure. High blood pressure puts extra strain on the kidneys, leading to further damage. The guidelines you mentioned do indeed recommend the use of ACE inhibitors for patients with CKD and hypertension because they not only lower blood pressure but also provide kidney protection.
It's understandable to feel frustrated when your concerns seem overlooked by healthcare providers. In many cases, providers may be cautious with prescribing medications if they feel that your blood pressure readings don't warrant it, or if they have concerns about potential interactions with your current medications.
Next Steps
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Prepare for Your Next Appointment:
- Consider writing down specific questions to ask your doctor about the concerns you've raised. For example, ask why they are hesitant to prescribe ACE inhibitors despite your CKD diagnosis.
- Bringing credible research articles can support your case; framing them as "resources I found interesting" might facilitate a more productive discussion.
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Request Comprehensive Testing:
- When discussing your eGFR and kidney function, advocate for a urine test to assess for protein (urine albumin) since it’s essential to understanding kidney health.
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Lifestyle Modifications:
- While waiting for your next appointment, focus on lifestyle changes that can help manage both blood pressure and kidney health:
- Follow a balanced diet low in sodium and high in fruits and vegetables.
- Engage in regular physical activity as tolerated, aiming for at least 150 minutes a week.
- Monitor your weight and blood pressure at home to keep track of your progress.
- While waiting for your next appointment, focus on lifestyle changes that can help manage both blood pressure and kidney health:
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Consider a Support System:
- If necessary, consider seeking a second opinion from a nephrologist (kidney specialist) who has experience managing patients with CKD and hypertension.
Reassurance
It's valid to feel frustrated when healthcare providers don't seem to address your concerns adequately. Remember, your health and perspective matter, and advocating for yourself is an important part of managing your care. Keep pushing for the answers and treatments you need.
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