If an internist thinks that the sum total - or even the "parts" - of all this are "fine," then you indeed should see a new internist. How is a high BP "fine?" How can sudden abdominal pain you've never had before be fine? At the very least, she should've redone the d-dimer and sent you back to the cardiologist for a look at your ankle-brachial-index (ABI), where they check the difference between your arm BP and your leg BP. No, I'm not a doctor but here is an example of how much I have personally witnessed in my life.

My Dad, who got rheumatic fever while in the Navy and had his aortic valve destroyed (they didn't have valve replacement way back then), had undiagnosed high BP for a long time. He got a new valve in 1981 but the damage was done. He had cardiomyopathy. The high BP lead to kidney damage which lead to dialysis, a failed kidney transplant because they implanted a substandard kidney and he died of a cardiac arrest while having dialysis (16 painful months later).

Maybe you were simply constipated (sorry, some people think it's gross to talk about GI stuff). When poop rounds that corner to go down the descending colon, it can push on nerves/arteries and can cause pain. Maybe you need to stop having any sodium and eat a whole foods diet and increase your fiber and your BP will come down. The point is that until the CAUSE of these fairly alarming symptoms are determined, they should not stop looking.

I hope that one of these times you don't make the wrong decision by not going in. You have to trust your instincts but do you have enough life experiences to compare what you are going through to? I'm not being insulting but trying to put all of this in perspective. A high BP is completely dangerous for you. Maybe not today or next week, but definitely in the long run. You can't predict what damage is currently being done to your body. It really ticks me off to hear that doctors are being so cavalier about a patient's health.

You don't deserve to be dismissed like this. I'm sorry you are dealing with so much nonsense.

Annie