General fitness, health and nutrition · Public discussion

Re: Peculiar BP Problem - Or Is It?

Started by Ward Stewart · · Last activity · 2 posts · 353 views

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General fitness, health and nutrition
Published
4 July 2003
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5 July 2003
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Ward Stewart
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  1. IC_Clearly said:


    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


    Not at all unusual and the figures you offer are entirely within the
    normal range -- there is no possible need for diuretics, OTC or
    otherwise.

    Why do you wish to get your BP down before the medical appointment --
    is it that you wish to delude your doctor? -- This would be another
    entirely unneeded procedure.

    ward RN
    ---------------------------------------------------
    "The Constitution just sets minimums. Most of the
    rights that you enjoy go way beyond what the
    Constitution requires."
    --"Justice" Antonin Scalia
    ---------------------------------------------------

  2. IC_Clearly said:

    Well, its not the doc I'm worried about. To the contrary, I want him to
    have the most accurate information possible. That's why I purchased the
    machine and made daily readings for a couple of weeks.

    It's the insurance paramedics who seem to think I have a BP problem when
    they take three readings in a very tense (for me) situation.

    OOPS -- I failed to note that it was an insurance physical you were
    anticipating -- even so, 140/90, the "spike" you referred to, is
    within the "normal range."

    ward
    ------------------------------------------------
    "In our democratic republic the default MUST BE
    that the citizen is free to live his life in any
    harmless way that he chooses."
    Ward Stewart
    -------------------------------------------------

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