High Blood Pressure: When to Seek Medical Advice

Issues related to blood pressure?

I would like to consult a physician: My mother is 55 years old and slightly overweight.
However, her blood pressure has been maintained within a normal range for many years (though there is a family history of hypertension).
Recently, she caught a cold and visited a family clinic, where it was discovered that her blood pressure was elevated.
At home, her readings are usually around the 130s, but at the clinic, it spikes to the 160s (we walked to the clinic), and once it even reached 180.
The doctor immediately prescribed a medication called Amlodipine.
Three days later, her blood pressure was around 150-160 (but she still had cold symptoms and was taking cold medication).
The doctor diagnosed her with hypertension and prescribed Concor 5 to take at home.
After starting the medication, her morning readings are around 140/80, and 1-2 hours after taking the medication, it measures around 134/78.

I would like to ask: I have heard that when patients visit a large hospital and the physician suspects hypertension, they may not immediately start medication but instead recommend adjustments in diet, exercise, and lifestyle first.
Given my mother's situation, could her elevated blood pressure be due to the recent cold weather and her cold symptoms, rather than a long-term hypertension issue? Also, should we consider visiting a large hospital for further evaluation?
P.S.
Is it normal to feel fatigued and have a lower heart rate after taking Concor 5?

KK, 20~29 year old female. Ask Date: 2005/12/19

Dr. Lin Changqi reply Cardiology

Cold weather and external factors such as a cold can cause an increase in blood pressure.
It is best to monitor your blood pressure for one to two weeks and evaluate it again after cold symptoms have resolved to determine if there is hypertension, before deciding on the need for medication.
Dietary changes (low salt, low fat), regular exercise, and lifestyle modifications (quitting smoking, reducing alcohol intake, and ensuring adequate sleep) are fundamental approaches to managing hypertension.
After taking Concor, if you experience symptoms such as a slower heart rate and weakness, it is advisable to consult your family physician, Dr.
Lin Chang-Chi or Dr.
Zhu Nian-Feng.

Reply Date: 2005/12/19

More Info

High blood pressure, or hypertension, is a common condition that can lead to serious health issues if left unmanaged. It is essential to understand the causes, potential risks, and appropriate responses to elevated blood pressure readings, especially in the context of your mother's recent health changes.

Causes of High Blood Pressure
1. Genetics: A family history of hypertension can increase the likelihood of developing high blood pressure.

2. Lifestyle Factors: Poor diet, lack of physical activity, obesity, and excessive alcohol consumption can contribute to hypertension.

3. Stress: Emotional stress can temporarily raise blood pressure.

4. Medical Conditions: Conditions such as diabetes, kidney disease, and sleep apnea can also lead to high blood pressure.

5. Medications: Certain medications, including over-the-counter cold medications, can raise blood pressure.

In your mother’s case, the recent cold and the medications she took for it might have temporarily elevated her blood pressure. Cold medications often contain decongestants that can constrict blood vessels, leading to increased blood pressure.

When to Seek Medical Advice
Given your mother's situation, it is advisable to consult a healthcare professional if:
- Blood Pressure Readings: Consistently high readings (e.g., above 140/90 mmHg) warrant medical evaluation. Since her readings have fluctuated, it’s essential to monitor them regularly.

- Symptoms: If she experiences symptoms such as severe headaches, shortness of breath, chest pain, or visual changes, immediate medical attention is necessary.

- Family History: Given the family history of hypertension, proactive management is crucial.

- Response to Medication: If she experiences side effects from medications like Concor (bisoprolol), such as fatigue or a significantly lowered heart rate, it is important to discuss these with her doctor.

Lifestyle Modifications
Before starting medication, many healthcare providers recommend lifestyle changes, especially for mild hypertension. These include:
- Diet: A heart-healthy diet rich in fruits, vegetables, whole grains, and low in saturated fats and sodium can help manage blood pressure.

- Exercise: Regular physical activity can lower blood pressure and improve overall heart health.

- Weight Management: Maintaining a healthy weight can significantly impact blood pressure levels.

- Stress Management: Techniques such as mindfulness, yoga, or deep-breathing exercises can help reduce stress and its impact on blood pressure.

Monitoring and Follow-Up
It is essential to keep track of her blood pressure readings at home. If her readings remain elevated, or if she experiences any concerning symptoms, a visit to a larger hospital or a specialist may be warranted for further evaluation and management.

Conclusion
In summary, while your mother’s recent blood pressure readings may be influenced by temporary factors such as illness and medication, it is crucial to monitor her condition closely. If her blood pressure remains high or if she experiences side effects from her current medications, seeking further medical advice is essential. Lifestyle modifications can also play a significant role in managing her blood pressure effectively. Regular follow-ups with her healthcare provider will ensure that her condition is monitored and managed appropriately.

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