I am 59 (and a 20 mile a week runner) and have had an several incidents over a couple of years with
my BP. It seems when I visit the doc my BP will shoot up to the 160/100 range (not every time but
more often than not). I recently had an insurance physical and it occurred when I went into the exam
room. By the way, the exam was pretty intense. A doc and a paramedic (at the same time) in a 6 X 8
exam room. One stuck me with needles and pasted EKG leads on my chest while the other ran me through
the 100 question routine in the span of 20 minutes. I was pretty uptight (don't like needles at
all). It also occurred within an hour of finishing a meal (if that matters).
In any event, I take my BP on a home machine several times a month. Depending on the time of day, it
will hover around 115/75 and sometimes will spike up to 140/90. The higher readings seem to occur
later in the day through mid afternoon when they do occur (which is a few times a month). I've also
noticed that if I take an Advil I sometimes get a spike for a several hours.
When this problem first occurred a couple of years ago, my primary care doctor suggested I purchase
a home machine and jot down my readings throughout the day for a couple of weeks and then come back.
I did and actually brought the BP machine to compare with his (we were close). He called my
situation "white coat" and did not see it as a problem. He said to keep an eye on it and if it
became a consistent problem come back and we could look at treatment.
I have a couple of questions. One, is this unusual and two will over the counter diuretics have any
effect? I need to get my BP down when I go into the exam room.
Thanks.
IC