A member asked:

Please provide some do's and don'ts for people who have or are close to having high bloood pressure.

79 doctors weighed in across 119 answers
Dr. Michael Rothman answered

Specializes in Internal Medicine

Don't: Don't eat or drink items that are in cans, the aluminum can contribute to high blood pressure.

Answered 3/16/2013

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Don't: Don't take fluid pills (hctz, lasix) before having anesthesia.

Answered 5/18/2014

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Silence: Silence is golden. Talking while measuring blood pressure can give false high numbers.

Answered 3/25/2022

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Dr. Michael Rothman answered

Specializes in Internal Medicine

High: High blood pressure is a signal that your circulatory system is not working properly.

Answered 10/12/2017

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Dr. Orrin Ailloni-Charas answered

Specializes in Anesthesiology

Hold: Hold your diuretics before surgery. Check with your doctor about ace inhibitors.

Answered 3/25/2022

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Rest: Rest for 5 minutes before measuring your blood pressure to avoid false high numbers.

Answered 3/25/2022

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Beta-blockers: Beta-blockers (atenolol, metoprolol) protect your heart.

Answered 3/22/2015

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Dr. Michael Rothman answered

Specializes in Internal Medicine

Eliminating: Eliminating sugar, processed foods and fried foods in your diet can help lower your bp.

Answered 8/2/2014

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Dr. Tracy Berg answered

Specializes in General Surgery

Get: Get a blood pressure cuff and keep a BP diary. Try to find times when your pressure is high.

Answered 4/8/2018

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Dr. Michael Rothman answered

Specializes in Internal Medicine

Proper: Proper diet, proper weight & proper exercise will significantly reduce your risk of hypertension.

Answered 9/29/2016

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Some: Some BP meds can make BP too low under anesthesia. Talk to your doctor.

Answered 6/10/2014

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If: If you have hypertension, see your doctor at least once a year.

Answered 9/29/2016

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Dr. Michael Rothman answered

Specializes in Internal Medicine

Learning: Learning to reach a level of deep relaxation, (thru stretching, breathing & meditation) each can lower your bp.

Answered 8/28/2016

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Most: Most blood pressure medications, should be taken on the morning of surgery. Ask your doctor.

Answered 9/29/2016

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Salt: Salt contributes to high blood pressure; fast food and processed foods can be loaded with salt.

Answered 9/29/2016

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Dr. Victor Bonuel answered

Specializes in Internal Medicine

Follow: Follow your doctor's advice. Check online for herbs for blood pressure. Find inner peace and relax!

Answered 2/24/2018

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Get: Get a home blood pressure kit. Bring the readings when you see your doctor. Forget about herbs.

Answered 9/29/2016

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Dr. Nicholas Stratas answered

Specializes in Psychiatry

Myth: It's a myth that - "only the bottom figure is important to assessing for hypertension.".

Answered 9/16/2014

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To: To avoid hypertension (high blood pressure) maintain a normal weight, don't smoke and don't stress.

Answered 4/17/2014

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Dr. Linda DiMeglio answered

Specializes in Pediatric Endocrinology

Do: Do start on medication if your doctor recommends it.

Answered 3/16/2013

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Dr. Thomas Namey answered

Specializes in Rheumatology

Avoid: Avoid stress, sodium, sitting, computers. Eat more potassium, and take magnesium. Exercise more!

Answered 12/10/2013

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Dr. Hamsa Jayaraj answered

Specializes in Internal Medicine

Take: Take 8 oz of fresh raw beet root juice & 1 clove of raw garlic- chop fine & mix with olive oil.

Answered 9/29/2016

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Dr. Victor Bonuel answered

Specializes in Internal Medicine

Eat: Eat less salt, exercise more; try these herbs gingko, turmeric; hawthorn berry, ginger root, olive leaf.

Answered 9/29/2016

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The: The myth is that blood pressure in the two arms are the same.

Answered 12/2/2013

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Diabetic?: Diabetic? Certain blood pressure medications help protect your kidneys more than others.

Answered 11/1/2016

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Dr. Thomas Namey answered

Specializes in Rheumatology

Try: Try to keep your hctz (hydrochlorothiazide) dose at 12.5mg, even if combined with another BP medicine!

Answered 9/29/2016

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Dr. Heidi Fowler answered

Specializes in Psychiatry

“An: “an ounce of prevention is worth a pound of cure.” exercise can help prevent high blood pressure.

Answered 11/22/2014

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Dr. Thomas Namey answered

Specializes in Rheumatology

BP: BP meds that deliver more than BP reduction: beta-blockers, arbs, & ace-inhibitors are heart healthy.

Answered 6/10/2014

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Dr. William Cromwell answered

Specializes in Clinical Lipidology

Maintain: Maintain a healthy lifestyle (ideal body weight, exercise 30-60 minutes daily, eat a healthy diet).

Answered 9/29/2016

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Dr. William Cromwell answered

Specializes in Clinical Lipidology

Avoid: Avoid caffeine and supplements that contain stimulants (such as yohimbine).

Answered 9/29/2016

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Dr. William Cromwell answered

Specializes in Clinical Lipidology

Common: While you may feel fine, high blood pressure is a silent killer!

Answered 11/4/2013

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Modern: Modern approach to treatment is with multiple or combination drugs to affect the various mechanisms.

Answered 5/14/2013

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High: Myth: high blood pressure is temporary. Fact: it is often a lifelong ailment that needs attention!

Answered 9/8/2013

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Dr. Thomas Namey answered

Specializes in Rheumatology

Magnesium,: Magnesium, and potassium intake helps. Sodium worsens the problem. Weight loss is essential!

Answered 12/27/2013

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Lose: Lose excess weight. Exercise. Reduce salt intake. Reduce stress. Success is very possible!

Answered 9/11/2014

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Dr. Su Fairchild answered

Specializes in Integrative Medicine

Keep: Keep your magnesium status high with oral supplementation, epsom salt baths, etc.

Answered 5/12/2014

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Dr. Martin Fried answered

Specializes in Nutrition

Do: Do go for a walk. Walking has been shown to help lower blood pressure. Do lose weight if overweight.

Answered 4/22/2014

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Dr. Kerry Friesen answered

Specializes in Preventive Medicine

Even: Even if you have family history of high blood pressure, it can be prevented or even reversed.

Answered 11/15/2013

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Dr. Kerry Friesen answered

Specializes in Preventive Medicine

Try: Try a 10 minute daily walk. Eat more fresh fruit and vegetables. Learn to relax by breathing deeply.

Answered 12/30/2016

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Dr. Jimmy Bowen answered

Specializes in Physical Medicine and Rehabilitation

If: If taking a diuretic please remember to supplement your magnesium, not just your potassium.

Answered 6/25/2015

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Dr. Thomas Namey answered

Specializes in Rheumatology

Magnesium: Magnesium and potassium supplements have been shown to lower blood pressure!

Answered 3/20/2014

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Diet: Diet and medications. Diet low in sodium and two or more meds in low doses are helpful and tolerable.

Answered 11/29/2013

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Dr. Thomas Namey answered

Specializes in Rheumatology

Cheap:: Cheap: hctz (hydrochlorothiazide). Preferred: abrs, ace inhibitors, beta-blockers. Talk to doc!

Answered 3/27/2013

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Never: Never miss your anti-hypertensive, and do not double up if you think you missed.

Answered 8/29/2013

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Never: Never miss your meds, and always take at same time daily.

Answered 3/29/2013

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You: You can check your blood pressure at many supermarkets and pharmacies.

Answered 5/30/2014

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When: When checking bp, be relaxed and seated at least 5 minutes to get accurate reading.

Answered 6/2/2014

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Before: Before you use a home blood pressure cuff, bring it to your doctor to have calibrated first.

Answered 1/14/2015

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Make: Make sure you have been relaxed and seated for about 5 minutes prior to the first BP reading.

Answered 6/10/2014

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

High: High blood pressure can have long term effects on your heart and blood vessels.

Answered 6/20/2013

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Dr. Thomas Namey answered

Specializes in Rheumatology

ACE: Ace and arbs confer benefits beyond blood pressure reduction, compared with diuretics & ca-blocker.

Answered 5/1/2014

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Treat: Treat it aggressively. Untreated hypertension puts you at risk for a myriad of complications.

Answered 9/29/2016

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Best: Best to always take anti-hypertensive meds at same time daily. Never miss.

Answered 7/26/2013

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Remember: Remember that modern BP meds can prevent complications, so, do not miss pills.

Answered 9/29/2016

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Dr. Brad Douglas answered

Specializes in Obstetrics and Gynecology

Take: Take your own blood pressure at home and make sure you take prescribed medications.

Answered 9/29/2016

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Meditation,: Meditation, yoga, and muscular relaxation are particularly effective in treating hypertension.

Answered 9/29/2016

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Dr. James Henning answered

Specializes in Anesthesiology

HBP: Hbp at least doubles the risk of all heart disease, stroke, kidney failure and arterial disease.

Answered 9/10/2013

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Dr. James Henning answered

Specializes in Anesthesiology

Weight: Weight loss, reduced salt, alcohol and fat intake (potassium is good) all lower, & may prevent, bp.

Answered 12/23/2013

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Dr. James Henning answered

Specializes in Anesthesiology

There's: There's a direct relationship between mortality (the risk of death) & the height of one's bp!

Answered 12/23/2017

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Dr. James Henning answered

Specializes in Anesthesiology

Up: Up to 70% of high blood pressure in adults may be directly related to being overweight!

Answered 2/20/2015

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Less: Less salt. More exercise. No smoking. Keep weight down.

Answered 4/9/2014

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A: A healthy lifestyle: 0 cigarettes, 5 fruits & veg., 10 minutes/d relaxation, bmi < 30, exercise 150.

Answered 11/22/2013

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Dr. James Henning answered

Specializes in Anesthesiology

Regular: Regular exercise facilitates weight loss, lowers bp, and reduces cardiovascular risk.

Answered 9/29/2016

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Maintenance: Maintenance of exercise, fitness, and appropriate weight can control BP issues.

Answered 11/7/2014

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Proper: Proper diet, exercise, good dietary approaches, and ability to stress manage provides best outcomes.

Answered 1/13/2015

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Dr. James Henning answered

Specializes in Anesthesiology

Because: Because of our genes, people with hbp will respond more favorably to some drugs than to others.

Answered 10/27/2017

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Dr. James Henning answered

Specializes in Anesthesiology

Drug: Drug therapy is recommended for people with bps of 140/90 and above.

Answered 3/8/2014

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Not: Not all anti-hypertensive meds fit everyone. If tolerance problems, find another until comfortable.

Answered 4/14/2014

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Usually: Usually takes a combination of lifestyle and medication.

Answered 2/18/2014

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Not: Not all meds are tolerated by all people, so, find a med that you can tolerate without side effects.

Answered 9/29/2016

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Medications: Medications for blood pressure can affect other medical issues.

Answered 9/29/2016

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Weight: Weight loss, exercise and dash diet with low sodium, meds, beta blockers, ace, arbs, and calcium channel blockers.

Answered 3/29/2013

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Dr. William Harris answered

Specializes in Family Medicine

With: With a healthy lifestyle, you may avoid, delay, or reduce the need for medication.

Answered 5/13/2013

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Dr. William Harris answered

Specializes in Family Medicine

Losing: Losing weight not only will decrease your blood pressure, but make your BP meds more effective.

Answered 9/29/2016

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Dr. William Harris answered

Specializes in Family Medicine

Regular: Regular physical activity 30-60 minutes 4-5 days a week can lower your blood pressure 5-10 points.

Answered 9/29/2016

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Dr. William Harris answered

Specializes in Family Medicine

Don't: Don't exercise on weekends only - spread your sweating out through the whole week. Injury risk!

Answered 3/29/2013

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Dr. William Harris answered

Specializes in Family Medicine

Eating: Eating whole grains, fruits, veggies, and low-fat food/dairy can lower BP by up to 14 points.

Answered 6/10/2014

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Dr. William Harris answered

Specializes in Family Medicine

Make: Make the dash diet a lifetime plan and eating guide. Short-term diets for anything don't work.

Answered 8/16/2014

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Dr. William Harris answered

Specializes in Family Medicine

Read: Read labels and keep a food diary: limit daily sodium intake to 2000mg per day to reduce bp.

Answered 11/17/2013

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Dr. William Harris answered

Specializes in Family Medicine

Eat: Eat fewer processed foods (chips, frozen dinners, bacon, balogna, etc.) to reduce sodium intake & bp.

Answered 9/29/2016

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Dr. William Harris answered

Specializes in Family Medicine

Use: Use only pepper, herbs, or spices to add flavor to food! salt and sodium increase blood pressure!

Answered 9/29/2016

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Dr. William Harris answered

Specializes in Family Medicine

If: If you drink more than moderate amounts of alcohol, it can raise blood pressure by several points.

Answered 5/13/2013

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Dr. William Harris answered

Specializes in Family Medicine

If: If you're a heavy alcohol drinker, gradually taper off your intake in order to lower blood pressure.

Answered 1/4/2014

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Dr. William Harris answered

Specializes in Family Medicine

Don't: Don't binge drink alcohol (>3 drinks in a row)! this causes large and sudden increases in bp!

Answered 11/25/2013

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Dr. William Harris answered

Specializes in Family Medicine

Avoid: Avoid tobacco products: they raise BP by >10 points for an hour. Regular smokers elevate bps all day.

Answered 6/10/2014

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Dr. William Harris answered

Specializes in Family Medicine

To: To keep blood pressures lower, limit coffee to 2 cups per day (about 200mg per 24 hour).

Answered 8/20/2013

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Dr. William Harris answered

Specializes in Family Medicine

Stress: Stress and anxiety can increase blood pressure: identify sources of these and eliminate them!

Answered 9/29/2016

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Dr. William Harris answered

Specializes in Family Medicine

Monitor: Monitor your blood pressures at home and take your blood pressure diary to doctor visits for review.

Answered 1/21/2017

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Dr. William Harris answered

Specializes in Family Medicine

Visit: Visit your fp monthly for BP and med reviews until pressures are stable; then go to quarterly visits.

Answered 6/10/2014

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Dr. William Harris answered

Specializes in Family Medicine

To: To help improve your BP control, get support from family and friends to keep you motivated!

Answered 7/6/2015

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Dr. Victor Bonuel answered

Specializes in Internal Medicine

Minimize: Minimize salt, caffeine, & stress/get enough rest & exercise/maintain BP below 130/80. Take deep breaths.

Answered 1/31/2015

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Dr. Thomas Namey answered

Specializes in Rheumatology

Salt: Salt food after cooking, not during your cooking. Try and avoid salty condiments!

Answered 2/18/2014

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Dr. Steve Martinez answered

Specializes in Breast Surgery

Use: Use spices instead of salt to season your foods.

Answered 9/29/2016

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If: If you must use salt, use sea salt, a blend of salts, or kosher salt and add it just before eating.

Answered 9/29/2016

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Dr. Victor Bonuel answered

Specializes in Internal Medicine

Medications: Medications alone won't control your bp. Help yourself by dieting, exercising & attaining ideal weight!

Answered 10/14/2018

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Dr. Thomas Wright answered

Specializes in Phlebology

Diets: Diets rich in fresh foods that contain potassium are as important as low sodium for prevention.

Answered 9/9/2014

5.1k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

If: If on a "water" pill, spironolactone is better than hctz (hydrochlorothiazide) and definitely better than lasix!

Answered 9/28/2017

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Dr. Thomas Namey answered

Specializes in Rheumatology

Don't: Don't add salt to food before cooking. Add it afterwards. You'll really cut down on salt intake!

Answered 5/18/2014

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Dr. William Haynes answered

Specializes in Internal Medicine - Endocrinology

The: The only exercise that may worsen hypertension is regular swimming. If BP is high switch exercises.

Answered 8/8/2014

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Consider: Consider yourself somewhat lucky if you can tell when your blood pressure is up. Most people can't!

Answered 9/29/2016

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Dr. Tod Haller answered

Specializes in Ophthalmology

ALL: All patients with high BP must have a yearly dilated eye exam with an ophthalmologist!

Answered 6/10/2014

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Dr. William Harris answered

Specializes in Family Medicine

It's: It's better to take 2-3 low-dose meds, not 1 high-dose pill: more benefit, fewer side-effects.

Answered 9/29/2016

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Dr. Thomas Wright answered

Specializes in Phlebology

Most: Most people with hypertension benefit from a low salt diet but not below 2, 300 mg of sodium.

Answered 6/9/2014

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People: People whose diets are rich in potassium may be less prone to high blood pressure.

Answered 7/5/2018

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DO: Do take blood pressure medications as usual on appointment days!

Answered 6/5/2014

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Dr. Thomas Wright answered

Specializes in Phlebology

If: If you are having headaches get your blood pressure checked as that can be a sign of poor BP control.

Answered 6/10/2014

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Dr. Alan Ali answered

Specializes in Psychiatry

Blood: Do blood pressure checks on regular basis, cut down salt intake, make life style changes.

Answered 6/23/2014

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Do: Do buy a blood pressure machine for your house. Buy an expensive one. Use it. Monitor your pressure.

Answered 7/23/2013

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Eating: Eating fish (not fried) once per week may help control your blood pressure better.

Answered 7/25/2013

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Swollen: Swollen ankles? Cut your salt intake and consider getting a water pill from your doctor.

Answered 7/25/2013

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Dr. Thomas Wright answered

Specializes in Phlebology

Dietary: Dietary sodium & potassium affect blood pressure. Sodium raises, potassium lowers it.

Answered 9/19/2014

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Sleeping: Sleeping well, eating healthy, and exercising regularly can control high blood pressure.

Answered 7/6/2015

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For: For uncontrolled hypertension, despite medication and low sodium, get evaluated for sleep apnea.

Answered 1/16/2014

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Dr. Jodi Luchs answered

Specializes in LASIK Surgery

Be: Be sure to see your eye doctor regularly to look for hypertensive retinopathy.

Answered 9/1/2013

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Dr. William Harris answered

Specializes in Family Medicine

Most: Most BP meds do 2 things. Pick a med that will assist with other conditions that you have!

Answered 6/10/2014

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Dr. Su Fairchild answered

Specializes in Integrative Medicine

Chelation: Chelation can be of benefit in helping to control treatment resistant high blood pressure.

Answered 9/9/2013

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Dr. Thomas Wright answered

Specializes in Phlebology

Even: even occasional high blood pressure reading in childhood predict high BP as adults.

Answered 6/10/2014

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Dr. Steven Koos answered

Specializes in Oral and Maxillofacial Surgery

Don't: Don't think that because you can't feel symptoms that hypertension is not dangerous - get treatment!

Answered 9/15/2013

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Dr. William Harris answered

Specializes in Family Medicine

Don't: Don't take diuretics to treat high blood pressure if you have gout - they increase uric acid levels.

Answered 9/22/2013

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