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Doctor insights on: Fluctuating Blood Pressure

Several reasons...: Anxiety, inadequate medication, withdrawl effects from certain medications such as Clonidine which may not be administered frequently enough to last 24 hours and excess salt intake are some of the causes. Rarely conditions such as pheochromocytoma (tumours secreting adrenaline) can cause fluctuating and episodic high blood pressure. ...Read more

Add meds.: Keep adding medicines until pressure goes down over time. Give appointments every week. Monitor BP at home. Use Clonidine to lower BP higher than 200/100. Even consider Clonidine patch. Refer her to a hypertension specialist, or to a nephrologist ( kidney). Rule out pheochromocytoma. ...Read more

Exam needed: Because of your age & complaints it is best for you to seek a doctor's evaluation right away. Take care ---- ...Read more

No.: Eclampsia occurs during pregnancy, not afterward. New onset seizures requires investigation, including brain imaging (e.g., MRI). Rarely adrenal tumors can cause wildly fluctuating blood pressure. You need thorough medical assessment. ...Read more

Vital signs: What you describe is very typical for anxiety disorder. ...Read more

Fluctuating BP: Fluctuations in blood pressure can have many causes, and BP should be measured in a calm, resting state and not during or immediately following any stressful or exertional activity. Other common causes include medications. POTS is defined as the development of orthostatic symptoms associated with a heart rate (HR) increment ?30, usually to ?120 bpm without orthostatic hypotension. ...Read more

Question cant be ans: I have a feeling you have just made a question, which does not make any sence.I am sorry but your question can not be answered .Bp can not be 144/180 and 57/30 for no reason. Who checked your blood pressure, if you did it yourself with a digital machine, it may need calibration, but it can still not show 144/180, may be 180/144.If that is the case go to nearest er and get checked as it can be serious. ...Read more

Adrenal: I hope your doctor has discussed this finding with you. It may well be nothing to be concerned about but your doctor must advise you. If you can, please let me know what transpires. ...Read more

BP: no higher than 140 systolic or 90 diastolic ...Read more

If it fluctuates: It is due to unstable nervous (automatic) controls and in my experience is usually a sign of poor diet, especially sugar in all its forms. ...Read more

Stress: Blood pressure fluctuates to accommodate normal stress of daily living -- it is a good thing! ...Read more

Blood pressure: Extreme BP fluctuations are triggered by extreme physical or metabolic stresses. ...Read more

Nothing unless . . .: Blood pressure varies according to a number of variables including body position as well as rest vs exertion. To make diagnosis of hypertension (high BP) and adjust medications, we measure BP when sitting after resting a few minutes. So don't worry about fluctuations w/slight exertion unless you have other symptoms. Regardless, chat w/your family doc about your concerns. ...Read more

Normal: That's how God made us. It's physiologic and serves a teleologic purpose. ...Read more

No high impact: Regular exercise beneficial, high impact sports not recommended. ...Read more

The : The most important cause to rule out in situations like this is the presence of a tumor of the adrenal gland, called a pheochromocytoma. Even with these symptoms such a tumor is rarely found. The diagnosis can usually be made by analysis of a 24 hour urine collection or by blood tests. Other possible causes of these types of symptoms include: panic attacks, labile hypertension, anxiety, hyperthyroidism, migraine headaches, central nervous system lesions, seizures, carcinoid syndrome, drugs (including cocaine, lsd, amphetamines, and others), and tyrosine ingestion combined with monoamine oxidase inhibitors (which are a type of antidepressant drug). In many patients with episodic hypertension in whom a pheochromocytoma is not found the cause remains unknown, and treatment is difficult. The symptoms most likely involve activation of the sympathetic system, but the cause of sympathetic activation is unclear. It may stem from emotional factors that are repressed from conscious awareness. This condition is sometimes called pseudopheochromocytoma, and most often includes rapid elevation of blood pressure; sudden onset of physical symptoms, such as headache, chest pain, dizziness, nausea, palpitations, flushing, and/or sweating; and a lack of emotional causes, such as fear or panic, although fear can occur as a result of the worrisome physical symptoms. Episodes can last from ten minutes to several hours; they can occur several times per day or only once every few months. Between episodes the blood pressure may be normal or mildly elevated. ...Read more

It needs to adjust: If it didn't you would faint every time you stood up. It needs to adjust to gravity and temperature as well as other conditions. ...Read more

It depends: It is normal for ones blood pressure to vary from moment to moment. Check your pressure each morning, sitting and standing, for 1 or 2 weeks. The major determinant of a significant change usually is the amount of salt one ingests (for example, the day after a salty meal, one expects a significant rise in blood pressure). If ones pressure is consistently greater than 125 systolic, see your dr. ...Read more

BP Varies: It is normal for the blood pressure to fluctuate throughout the day. Being active, feeling stressed or having strong emotional thoughts, caffeine, salt intake, and many other factors can make the blood pressure rise. Resting or relaxing, sleeping, deep breathing or meditation can lower the blood pressure. ...Read more

A lot, say 30 points: Pressure varies a lot throughout the day. When a person exercises, the pressure can normally go up from 110/70 to 180/90. Many people have higher pressure in the morning when they wake up and it goes down throughout the day. Pressure is lowest while sleeping, normal is <120/70. Expect the top number to vary by 30 points throughout the day, routinely. ...Read more