Doctor insights on:
Do Doctors See A Lot Of Patients With White Coat Hypertension
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 moreSee 2 more doctor answers
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
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
I think I have white coat hypertension. Always high readings in dr. Office but normal at home. How do I explain to doc?
You dont have to.: White coat syndrome is a common cause of elevated blood pressure and is usually checked at the office. Home BP kits are the best way to detect white coat htn. Commonly, after 5-10 min in the room, we recheck the pressure and it is lower. Your doc is aware of this and therefore you don't have to explain it to him/her. ...Read moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
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
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
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
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 moreSee 1 more doctor answer
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