Q:

5/15/2014
I have a 60 year-old patient who is intolerant to many foods and is complaining of hypertension crisis during sexual intercourse. (over 200 mm the maxima leading to a severe headache) What is the explanation, and how to should I manage this case?

A:

Thank you for your inquiry.

I am afraid that I can be of little help to you in answering your question. All I can tell you is that the mechanism of production of his hypertension would not, to the best of my knowledge, be in any way related to an allergic response. I can only assume that this reaction is due to the exertion and central nervous system stimulation associated with intercourse that results in increased secretion of endogenous vasoconstrictor agents such as epinephrine. I would suggest that a cardiology consultation would be appropriate with perhaps the institution of medications such as beta-blockers to help control this response.

Thank you again for your inquiry and I am sorry that we could not be of help to you with an allergic or immunologic solution to this problem.

Sincerely,
Phil Lieberman, M.D.

AAAAI - American Academy of Allergy Asthma & Immunology