### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
name :sheetal c kudale,pune.hypertention since 6 yrs.,no diabetiesno urinary complaints,BP still 110/70-100/80USG+Dopper:RK 8.7,LK 9,there is evidance of bialateral chronic renal parencymal disease (17/11/11)Renal biopsy:coarsely granular mesangial IGa (+++),IGM(+),&faint C3 in mesangium.IGM is negative.(25/11/11)uear:225.0,creat:4.3,sodium:129,potassium:3.8,chlorides:94,uric acid:7.6Biopsy report:-show cores of renal tissue with 2 glomeruli of which 1 is globally sclerosed. The remaining shows matrix expansion & mild thickening of capillary wall.  there are mild to moderate interstitial of lymphocytes. plasma cell,mild tubular atrophy & mild fibrosis. there is arteriosclerosis & hyaline arteriolosclerosis.

### output:

Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the reports you have mentioned. You are having hypertension secondary today chronic kidney disease. This is secondary type of hypertension. And in this type of hypertension, angiotensin receptor blocker (ARB) and angiotensin converting enzyme (ACE) Inhibitors are the treatment of choice. ARB s like telmisartan, losartan etc. are available. ACE inhibitors like enalapril, lisinopril, captopril etc. are available. So consult cardiologist and discuss all these. You will have to start any of these Chat Doctor.  Along with 