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Doctor insights on: Do Doctors See A Lot Of Patients With White Coat Hypertension

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Taking BP meds, BP normal, does this indicate white coat hypertension?Without meds, very high bp

Taking BP meds, BP normal, does this indicate white coat hypertension?Without meds, very high bp

DX: PRIMARY HTN: YOU LIKELY HAVE PRIMARY HYPERTENSION. It is a combination of genetics Environment SBP<120. DBP<80. I would discuss with your doc adjusting the regimen. COREG CAN FLARE ASTHMA. DIOVAN (valsartan) IS BETTER IN DIABETICS TO IMPROVE RENAL FLOW. You need to be GF WHOLEAPPROACH.com & focus on weight loss. ...Read more

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Dr. Katharine Cox
320 doctors shared insights

Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


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Do doctors see a lot of patients with white coat hypertension?

Do doctors see a lot of patients with white coat hypertension?

Yes: Why is not certain but it occurs quite frequently, even if the doctor doesn't take the blood pressure, just being in the doctor's office seems to be enough to cause blood pressure to be up. In most cases the elevation is small but can be significant. With the availability of inexpensive and more accurate at home BP monitors one can get a better reading to report to your physician. ...Read more

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It "normal" to have "white coat hypertension" if a doctor?

It "normal" to have "white coat hypertension" if a doctor?

Does happen: You've taken the first step by acknowledging your difficulty. Psychologically the next step would be to identify your fears specifically and then confront them rationally careful to remove our tendency to catastrophize. Let your doctors know of your fear so they can help. There is a very nice review here: http://www.Webmd.Com/anxiety-panic/features/beyond-white-coat-syndrome? ...Read more

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How can I control my fast heartrate and white coat hypertension when I go to the doctor?

How can I control my fast heartrate and white coat hypertension when I go to the doctor?

Knowing is half...: Key to this is knowing that it is going on. If you get more comfortable in a healthcare setting/with your doctor it may be easlier to relax - however - if not, have your doctor set you up with a home blood pressure monitor and take it when you are at home resting calmly. Studies that look at resting blood pressure recommend taking it after ten minutes in a calm envir. - much more representative. ...Read more

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Can a clonidine 0.1 mg tablet be prescribed prior to a patient's medical office visit in order to better manage his/her true white coat hypertension?

Can a clonidine 0.1 mg tablet be prescribed prior to a patient's medical office visit in order to better manage his/her true white coat hypertension?

Physiology: It's normal physiology for BP to rise as part of our "fight or flight" response. This is normal, healthy, and desirable. BP medicines won't prevent it. There's no reason to take extra medicine before a doctor visit to "fool" the BP cuff. Just measure your BP at home and bring in a diary of bps. If you're concerned, bring your device in and compare results with the doctor's simultaneously. ...Read more

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How do you find out if you have white coat hypertension? Doctor says my BP is high+ pulse. 120/80 100 i don't want pills. I want to try dietexercise

Check BP often: In the clinical setting we can put a monitor on someone to randomly monitor BP over a day.A home technique is to get a dependable wrist BP monitor and check your BP several times a day at home or work. I don't know many who would medicate a 120/80 before trying a salt reduced diet/ reduced caffeine or nicotine and other lifestyle changes first. ...Read more

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What is another way of saying white coat syndrome (hypertension) since a doctor may not be pleased in hearing it said that way from a patient?

Office hypertension: 'white-coat hypertension' is also known as 'isolated clinic' or 'office' hypertension. Having your blood pressure taken by a nurse or technician, instead of the physician, may minimize the effect of office hypertension. It has about a 10-20% prevalence. The diagnosis of hypertension is usually not given to a patient until it remains elevated after 3-6 visits; unless there is ongoing organ damage. ...Read more

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When a person has white coat hypertension , how then does the dr. Decide what is real?

When a person has white coat hypertension , how then does the dr. Decide what is real?

Home blood pressure: Home readings are much more realistic than readings in the office. There are a number of good home cuffs - omron makes a good automatic cuff for around $50. Check pressures am, afternoon and pm for a few weeks. Share this with your physicians. They will be very happy to have that data, and can decide on further treatment. ...Read more

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How can my BP at dr be 135/82 and at home be as low as 115/63? Is white coat hypertension a reality?

How can my BP at dr be 135/82 and at home be as low as 115/63? Is white coat hypertension a reality?

Yes: White coat anxiety is a real entity. Additional stress and anxiety, and even the mere act of driving to the dr. May increase ones bp. That's why its good to take several measurements at the doctors over time. Another cause of discrepancies is the manner of checking the bp. It is likely that different devices are used. Some are the automated ones, some are the ones where the dr. Uses a stethoscope. ...Read more

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Do you always have to treat white coat hypertension? What are the treatments?

No: White coat syndrome is very frequent but doesnot need to be treated as long as blood pressure is normal when taken elsewhere ex home, drugstore. ...Read more

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How serious is white coat hypertension? Enough to cause a stroke if already hypertensive?

How serious is white coat hypertension? Enough to cause a stroke if already hypertensive?

Hypertension: Hypertension need treatment, because it is serious--can cause stroke, kidney damage, overload the heart regardless pre-existing and white coat or any color coat. ...Read more

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What causes white coat hypertension? Is it a temporary surge of adrenaline if normal otherwise?

What causes white coat hypertension? Is it a temporary surge of adrenaline if normal otherwise?

It depends: Many factors play in to it but my best guess is that one's fight or flight response is activated based on the potential threat of what the "authority" might say or do. People are understandably feeling vulnerable when they see a physician and it is most common for patients not to be aware of this vulnerability and the feelings associated with same. ...Read more

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How can I get "white coat hypertension?

How can I get "white coat hypertension?

Office visits: Some individuals have higher blood pressures when they visit the doctor or the dentist (white coat people) than when they are relaxed. This is not the same as true hypertension. Careful measurement outside the office is important. ...Read more

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How common is white coat hypertension in adults?

How common is white coat hypertension in adults?

Common: Probably 20% or more of the hypertension we measure in the office is not found on 24 hour monitoring but it should be addressed as it isn't only a "white coat" that can cause an elevation of blood pressure. Depending on the numbers you my well be hypertensive and need treatment, if only life style modification.Google : dash diet. ...Read more

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White coat hypertension--problem in kids or adults?

White coat hypertension--problem in kids or adults?

Depends /both: Apprehension can trigger the release of hormones from the adrenal glands that make your heart race and your blood pressure elevate. The process is commonly called the "fight or flight " response.It can occur at any age when the patient can process the "white coat" to mean something scary may happen. If one relaxes with age & repetition the affect diminishes. ...Read more

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Is it true that if one has hypertension that no BP med will prevent white coat hypertension and that this resolves spontaneously without intervention?

Is it true that if one has hypertension that no BP med will prevent white coat hypertension and that this resolves spontaneously without intervention?

Yes but ideally you: would like to be certain that you have only white coat hypertension by obtaining a long term home monitor for a month or so. You would not want to miss and leave untreated other causes of hypertension. ...Read more

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I get anxious, scared, when i get my BP checked and usually it comes 130/90, today 160/80, am i hypertensive or suffering from white coat hypertension ?

I get anxious, scared, when i get my BP checked and usually it comes 130/90, today 160/80, am i hypertensive or suffering from white coat hypertension ?

Checking Your BP: In my patients with this problem I have them purchase a simple home blood pressure monitor to normalize the situation and to follow trends. I hope in chandigarh that there is such an opportunity for you. If not perhaps a friend or neighbor has a machine to borrow? Blood pressure is a vital sign to monitor for health so i wish you well there in that wonderful and favorite country of india. ...Read more

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Taking BP meds, BP normal, does this indicate white coat hypertension?Without meds, very high bp

DX: PRIMARY HTN: YOU LIKELY HAVE PRIMARY HYPERTENSION. It is a combination of genetics Environment SBP<120. DBP<80. I would discuss with your doc adjusting the regimen. COREG CAN FLARE ASTHMA. DIOVAN (valsartan) IS BETTER IN DIABETICS TO IMPROVE RENAL FLOW. You need to be GF WHOLEAPPROACH.com & focus on weight loss. ...Read more

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White coat hypertension==what is it, is it real?

White coat hypertension==what is it, is it real?

Yep: There is a very nice review here: http://www.Webmd.Com/anxiety-panic/features/beyond-white-coat-syndrome? ...Read more

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