Do I Have Hypertension? Blood Pressure and Symptoms

Do I have a problem with high blood pressure?

Medical History and Symptoms: Mitral valve prolapse, hyperlipidemia, palpitations, headache, dizziness, head fullness, heat in the head, and issues with carotid pulsation.

1.
Blood pressure in the morning: 115-120/70 (measured with a mercury sphygmomanometer).
After carrying a backpack weighing about five kilograms or being active, it immediately measures 145-155/80.
After sitting and resting for a moment, it measures about 135-140/80 after 5 minutes.
After resting for 5 minutes, it measures 130/75-80.
I understand that blood pressure tends to be higher during activity, but it feels like my blood pressure exceeds normal values with any activity.
Is this considered normal?
2.
There is a prominent dilated vein on the right sternocleidomastoid muscle, resembling the external jugular vein, which is palpable and visible.
The left side does not have this.
Is this common in normal individuals? Does it indicate elevated jugular venous pressure?

kāi wū, 20~29 year old female. Ask Date: 2006/11/22

Dr. He Dongjin reply Cardiology

Your condition is normal, so there is no need to worry.
As for whether there is elevated venous pressure, please visit a nearby cardiology clinic for further examination.
The symptoms do not seem to be concerning, unlike those at Changhua Hospital.

Reply Date: 2006/11/22

More Info

Hypertension, or high blood pressure, is a common condition that can lead to serious health issues if left untreated. Understanding your blood pressure readings and the symptoms associated with hypertension is crucial for effective management. Based on your provided history and symptoms, let's delve into your concerns.

Understanding Blood Pressure Readings
Blood pressure is measured in millimeters of mercury (mmHg) and is expressed as two numbers: systolic (the top number) and diastolic (the bottom number). A normal blood pressure reading is generally considered to be around 120/80 mmHg. According to the American Heart Association, the following categories are used to classify blood pressure:
- Normal: Less than 120/80 mmHg
- Elevated: Systolic between 120-129 and diastolic less than 80
- Hypertension Stage 1: Systolic between 130-139 or diastolic between 80-89
- Hypertension Stage 2: Systolic 140 or higher or diastolic 90 or higher
Given your readings, it appears that your blood pressure can fluctuate significantly based on your activity level. For instance, a reading of 145-155/80 after walking or carrying a load indicates a temporary increase due to physical exertion, which is a normal physiological response. However, consistently high readings, especially when at rest, could indicate hypertension.

Symptoms of Hypertension
You mentioned experiencing symptoms such as palpitations, headaches, dizziness, and a sensation of pressure in your head. These symptoms can be associated with hypertension, particularly if your blood pressure readings are elevated during these episodes. It's important to note that hypertension can often be asymptomatic, which is why regular monitoring is essential.

Activity and Blood Pressure
It is normal for blood pressure to rise during physical activity. However, if your blood pressure remains elevated after resting, it may warrant further investigation. The fact that your readings are consistently high after exertion and do not return to baseline levels could suggest an underlying issue, such as poor cardiovascular fitness or potential hypertension.

Neck Vein Distension
Regarding your observation of a prominent vein in your neck, this could indicate elevated central venous pressure. While some variability in neck vein prominence can be normal, significant distension may suggest issues such as heart failure or other cardiovascular concerns. It is advisable to consult with a healthcare professional to evaluate this further.

Recommendations
1. Monitor Your Blood Pressure: Keep a log of your blood pressure readings at different times of the day and under various conditions (resting, after activity, etc.). This will provide valuable information for your healthcare provider.

2. Consult a Healthcare Professional: Given your symptoms and fluctuating blood pressure readings, it is crucial to consult with a healthcare provider. They may recommend further tests, such as an echocardiogram or blood tests, to assess your heart function and rule out any underlying conditions.

3. Lifestyle Modifications: Regardless of your current blood pressure status, adopting a heart-healthy lifestyle can be beneficial. This includes:
- Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins.

- Reducing sodium intake.

- Engaging in regular physical activity.

- Managing stress through relaxation techniques or counseling.

- Avoiding tobacco and limiting alcohol consumption.

4. Medication Management: If diagnosed with hypertension, your healthcare provider may prescribe antihypertensive medications. It’s essential to take these as directed and attend regular follow-up appointments to monitor your condition.

Conclusion
In summary, while your blood pressure readings can vary with activity, consistently elevated readings, especially when at rest, may indicate hypertension. The presence of symptoms such as palpitations and headaches, along with the observation of neck vein distension, should prompt a thorough evaluation by a healthcare professional. Regular monitoring and lifestyle modifications are key components in managing blood pressure effectively.

Similar Q&A

Am I Experiencing High Blood Pressure Symptoms?

Hello Doctor: Two years ago, my grandmother had a stroke, and I started measuring blood pressure regularly with her. At that time, her systolic pressure was around 60. Six months later, my grandmother no longer lived with us, so I stopped measuring blood pressure. Until last year...

Dr. Cai Jueren reply Family Medicine
Hello: Hypertension is typically defined as a systolic blood pressure greater than 138 mmHg or a diastolic blood pressure greater than 88 mmHg. However, there are always exceptions. Given your family history, but without knowing your height and weight, if your statement is accura...

Understanding Hypertension and Hypotension: Symptoms and Kidney Care Tips

Hello, doctor. I would like to ask you some questions and hope for your guidance. 1. What are the symptoms of hypertension and hypotension? How can they be prevented? 2. What are the methods for maintaining kidney health?

Dr. Ke Zhengchang reply Internal Medicine
Mild hypertension and mild hypotension generally do not present symptoms. However, if blood pressure rises to malignant hypertension (systolic pressure approaching 200 mmHg), symptoms may include headache, neck tightness, dizziness, and blurred vision. Hypotension is commonly obs...

Am I Experiencing a Stroke? Understanding Symptoms and Next Steps

Hello, I am currently 21 years old, weighing 145 kg and standing at 178 cm tall. I have symptoms of high blood pressure and have been taking antihypertensive medication continuously for over six months. I have not controlled my diet or exercised, and my daily routine is irregular...

Dr. Cao Wenlong reply Neurology
Hello: After an examination by an ophthalmologist, there are no issues with the eyes. Prolonged computer use may lead to hand numbness, which should be considered as muscle fatigue or strain in the neck, potentially referring pain to the eye area, and this is unrelated to a strok...

Understanding Hypertension: Symptoms, Risks, and Family History

Hello, Doctor: I have been suffering from a cold for 1 to 2 months without recovery. Last week, my blood pressure readings were between 170-150 for systolic and 120-105 for diastolic, and this persisted for 3 to 4 days. In the last couple of days, my readings have returned to 142...

Dr. Zhu Nianfeng reply Cardiology
When experiencing a cold or feeling unwell, blood pressure may increase; however, it may stabilize upon recovery. Since your age and recent diastolic pressure are unknown, an immediate assessment cannot be made. Please measure your blood pressure a few more times and inform us of...