Recently, my blood pressure readings have been significantly higher than before?
Hello Doctor: Recently, I measured my blood pressure at home and was surprised to find it significantly higher than before, which made me a bit anxious.
During the summer of this year, my blood pressure was generally between 125-135/75-85.
After measuring my blood pressure for a week, I consulted a cardiologist who believed that I was still young and within the normal blood pressure range, so there was no need to worry.
However, in the past few days, I have noticed my blood pressure is around 130-145/80-95.
Currently, my anxiety disorder is relatively stable, and I am gradually reducing my medication, with only Fan Duo Shan and An Bang tablets remaining.
Additionally, I have been seeing a traditional Chinese medicine practitioner for herbal treatment of my insomnia, which has helped me sleep more soundly.
I previously had gastroesophageal reflux disease, so I take one Esomeprazole 40mg every morning, and it is currently stable.
A few days ago, I started experiencing cold symptoms, so I have been taking more antibiotics and anti-inflammatory medications (NORSON, KEFLEX 500, SCANOL 500, MACGEL after meals, Chlorpheniramine 4mg, Bisolvon before bed).
My BMI is 23, and my diet mainly consists of more vegetables and less meat, with almost no sugary drinks; occasionally, I drink unsweetened black tea after lunch.
I have stopped exercising recently due to feeling unwell from the cold.
Could you please advise me on any immediate concerns I might have or things I should pay attention to? Additionally, what could be potential causes for my elevated blood pressure that I should monitor or adjust? I apologize for the lengthy message, and I appreciate your time in reading and responding.
Awei, 30~39 year old female. Ask Date: 2021/12/28
Dr. Wu Xueming reply Cardiology
Please maintain a regular daily routine, engage in regular exercise, and follow a light diet.
However, if your systolic blood pressure consistently exceeds 140, it is advisable to start taking antihypertensive medication.
Reply Date: 2021/12/28
More Info
Understanding your recent high blood pressure readings can be concerning, especially when you notice a significant change from your previous measurements. Blood pressure is influenced by a variety of factors, including lifestyle, emotional state, and underlying health conditions. Based on the information you've provided, let's explore the potential causes of your elevated blood pressure and discuss some strategies to manage it effectively.
Firstly, it's important to recognize that blood pressure can fluctuate throughout the day due to various factors. Stress and anxiety are known to have a significant impact on blood pressure levels. Given that you are currently managing anxiety and have recently reduced your medication, it's possible that these emotional changes could be contributing to your elevated readings. When you experience anxiety, your body releases stress hormones like adrenaline, which can lead to temporary increases in heart rate and blood pressure.
Additionally, your recent illness, including the cold and the use of antibiotics, may also play a role in your blood pressure fluctuations. Infections can cause inflammation in the body, which may lead to changes in blood pressure. Moreover, the medications you are taking for your cold could have side effects that influence your blood pressure. For instance, some decongestants can raise blood pressure, so it's essential to review any new medications with your healthcare provider.
Your dietary habits, while generally healthy, can also affect blood pressure. A diet high in sodium can lead to increased blood pressure, so it's crucial to monitor your salt intake, even if you primarily consume vegetables and lean proteins. Staying hydrated and maintaining a balanced diet rich in potassium (found in fruits and vegetables) can help regulate blood pressure.
Physical activity is another critical factor in managing blood pressure. While you've mentioned that you've had to pause your exercise routine due to illness, regular physical activity is vital for maintaining healthy blood pressure levels. Once you feel better, consider gradually reintroducing exercise into your routine, aiming for at least 150 minutes of moderate aerobic activity each week.
Regarding your immediate concerns, if your blood pressure readings consistently exceed 140/90 mmHg, it may be advisable to consult with your healthcare provider about starting antihypertensive medication. This is particularly important if you have other risk factors for cardiovascular disease, such as a family history of hypertension or heart disease.
In summary, your recent high blood pressure readings could be attributed to a combination of anxiety, recent illness, medication effects, and lifestyle factors. To manage your blood pressure effectively, consider the following strategies:
1. Monitor Your Blood Pressure Regularly: Keep a log of your readings to identify patterns and discuss them with your healthcare provider.
2. Manage Stress and Anxiety: Incorporate relaxation techniques such as deep breathing, meditation, or yoga into your daily routine.
3. Maintain a Healthy Diet: Focus on a balanced diet low in sodium and rich in potassium, and ensure adequate hydration.
4. Reintroduce Physical Activity: Once you recover from your illness, gradually resume your exercise routine.
5. Consult Your Healthcare Provider: If your blood pressure remains elevated, discuss potential medication options and any concerns regarding your current medications.
By taking these steps, you can work towards stabilizing your blood pressure and improving your overall health. Remember, it's essential to communicate openly with your healthcare provider about any changes in your condition or concerns you may have.
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