randymarsh

Blood pressure

83 posts in this topic

ID: 1   Posted (edited)

Had my blood pressure taken at hospital this morning and it was high... 156/85.   After I saw the doctor I asked to have it taken again, no more than 10 minutes after the first time and it was 150/99.

 

That's the first time my diastolic has been so high and it made no sense to have gone up so much in 5 minutes when I'd been sitting in a chair the whole time.

 

Are these fluctuations normal?  It was done at Pattaya International Hospital so I'd think the equipment was reliable.

 

I'm only 31 so am worried my blood pressure is so high.  I also know I have high cholesterol from tests back home last year. It was 6.6 and the ratio was bad.

 

No doctors have ever recommended medication for either my cholesterol or blood pressure.  I don't know whether I should see a specialist for advice or just go with lifestyle changes.  I don't exercise but I eat quite well.  I do feel my cholesterol is naturally high as it was even high in my 20s when I was very active.

 

Any advice?  Plus thoughts of the fluctuation of two checks in very short space of time.

 

Thanks 

 

 

Edited by randymarsh
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ID: 2   Posted

Lay off salty food and get a hour of cardio exercise in every day. 

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ID: 4   Posted

56 minutes ago, randymarsh said:

Plus thoughts of the fluctuation of two checks in very short space of time.

 

Mine goes up and down like a yo-yo when they check it in a clinic, and it also varies significantly depending on which machine they use: at my dental clinic one of them systematically reads 10 higher than the other and they cant both be right. When I do it at home it's much more stable.

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ID: 5   Posted

Just as long as the home one is accurate but who knows.

 

Going to buy one tomorrow.

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ID: 6   Posted

3 minutes ago, randymarsh said:

Just as long as the home one is accurate but who knows.

 

Going to buy one tomorrow.

Home monitoring is highly recommended. Buy a quality product, not one of those cheap chinese made wrist units and follow the instructions.

 

At you age, unless you follow a pretty bad lifestyle, hypertension should not be a problem. however, the earlier you start to take an active interest in your health, the better it is for your long term prospects.

 

Good luck and good health.  Actually that's rubbish, because good health is NOT good luck, it's good lifestyle. :smile:

 

Take care.

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ID: 9   Posted

Whenever I've been tested at docs/hospital previously, it's usually been about 140/80 so today was a surprise as it was even higher.  Could be white coat but don't know. Will pick up a good monitor tomorrow and start checking over the next few weeks - hopefully without driving myself crazy / becoming obsessive.

 

I know it's getting worse as 2 or 3 years ago it was 120/60.  But smoking, eating and not moving has taken its toll quite rapidly it seems.  I was probably 8 kilos lighter back then.

 

Hopefully the regular monitoring will scare me into doing something about it.

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ID: 10   Posted

By all means get an arm type monitor and use at home - you can take to doctors office to compare with there reading (probably will both be high there) and let the doctor review your home readings (which are a much better indicator).

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ID: 11   Posted

I once had a guy who worked for me who had high blood pressure every time he went to the doctor.  The doctor fitted him with a wrist monitor which measured his blood pressure every 15 minutes or so over a 24 hour period.  Once the doctor evaluated the data over a 24 hour period it was determined his blood pressure was fine "except when visiting the doctor."  Subconsciously, his blood pressure spiked when visiting the doc...he basically had white coat hypertension.

 

Now although a wrist monitor was used in this case don't get one for your home monitoring as wrist monitors are less accurate than the monitor type that wraps around your upper arm.

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ID: 12   Posted

14 minutes ago, randymarsh said:

Whenever I've been tested at docs/hospital previously, it's usually been about 140/80 so today was a surprise as it was even higher.  Could be white coat but don't know. Will pick up a good monitor tomorrow and start checking over the next few weeks - hopefully without driving myself crazy / becoming obsessive.

 

I know it's getting worse as 2 or 3 years ago it was 120/60.  But smoking, eating and not moving has taken its toll quite rapidly it seems.  I was probably 8 kilos lighter back then.

 

Hopefully the regular monitoring will scare me into doing something about it.

 

Sounds like me. I never used to take any notice of my BP but I walked 10kms or more nearly every day. In Thailand much less active, put on weight and in six years went from 120/80 to a peak of 180/95. That was my wake-up call along with being pre-diabetic. Changed my diet, lost weight by cutting out most of the really bad things and started exercising more. Did a stress test recently and at rest 127/68, slightly higher than if I test at home but it's been in that range the last few years so not so bad.

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ID: 13   Posted (edited)

As long as the small number does not go up over like 120 you are fine with medication if needed.

Edited by Farang hunter
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ID: 14   Posted

It's not necessarily high. If you were anxious or dehydrated then that can register.  I wouldn't embark on a killer exercise program, or look to eradicate salt just yet. 

 

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ID: 15   Posted

To our moderator,  the research is out there regarding the BP measurement increase as we age, and that is the adaptation... Thus 120/80 is ideal but if you-re over 60 and your BP measures 130/90  Male... you're in an age adjustment range?

 

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ID: 16   Posted

9 hours ago, Pib said:

You may have "white coat hypertension."

http://www.bloodpressureuk.org/BloodPressureandyou/Medicaltests/Whitecoateffect

 

Best to get a good blood pressure monitor (they last a long time and are not expensive) and do some home monitoring to get a much better idea of your true blood pressure.

the past couple of yrs.that i have visited hospital many times and my BP.has gone off the rails[i do have to take meds for life]

so i bought an omron 7130 plus you get a tempr.gauge.

its been steady ever since,not more than 145/76 pulse 51-56.

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ID: 17   Posted

You cannot assume the equipment was properly calibrated - at BPH or any other hospital in Thailand.

 

And as others have said, it is quite common to have a temporary spike in BP when at the doctor's.

 

Agree you should get a home BP monitor and check it yourself, at rest, same time each day. Make sure it is  the kind that wraps around your upper arm, not a wrist monitor.

 

BP normally flunctiates widely throughout the day and moment to moment. Any stress will cause it to shoot up temporarily.

 

Regarding your lipids, can't say anything without seeing the numbers.

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ID: 18   Posted (edited)

Monitor bought.  Did some readings this morning.  Better than at the docs but still not amazing.  Had been out all morning so not completely at rest.

 

136/80

130/82

127/85

122/91

 

Maybe a coincidence but the lower my systolic, the higher my diastolic, and also true yesterday at the docs.  To the point where I always have high blood pressure by one or the other or both.  Don't if there's any meaning in that.

 

Girlfriend showing off with her 100/70, while eating all the pla ra in the world.

Edited by randymarsh
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ID: 19   Posted

1 hour ago, randymarsh said:

Monitor bought.  Did some readings this morning.  Better than at the docs but still not amazing.  Had been out all morning so not completely at rest.

 

136/80

130/82

127/85

122/91

 

Maybe a coincidence but the lower my systolic, the higher my diastolic, and also true yesterday at the docs.  To the point where I always have high blood pressure by one or the other or both.  Don't if there's any meaning in that.

 

Girlfriend showing off with her 100/70, while eating all the pla ra in the world.

It's the liver flukes keeping her BP low.. 

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ID: 20   Posted

6 hours ago, meatboy said:

the past couple of yrs.that i have visited hospital many times and my BP.has gone off the rails[i do have to take meds for life]

so i bought an omron 7130 plus you get a tempr.gauge.

its been steady ever since,not more than 145/76 pulse 51-56.

 

I have a Microlife BP-3AP1-3E (my second one in 11 years) and I take my BP every morning and twice if I have been out working, cutting the grass etc, usually an hour or so after I finish work.

 

I generally take 5 readings in a row and use the middle one. The Microlife has a card giving the reading in bands> Mostly I am in the ranges of

 

Systolic       105 to 132

Diastolic      62 to 79 and one odd reading of 85

Pulse           80 to 113

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