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Doctor insights on: Fluctuating Blood Pressure

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What could cause wildly fluctuating blood pressure ?

What could cause wildly 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

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Dr. Jan Lei Iwata
2 doctors shared insights

Blood Pressure (Definition)

Blood pressure is a measurement of the force placed on the blood vessels and is comprised of the "systolic" pressure (the top number on a blood pressure meter) which is the peak pressure when the heart is pumping, and the "diastolic" pressure (the bottom number on a blood pressure meter) which is the pressure during the resting phase ...Read more


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Grandmother on 4 blood pressure medications - still having a fluctuating blood pressure reaching 200/100+. Any ideas?

Grandmother on 4 blood pressure medications - still having a fluctuating blood pressure reaching 200/100+.  Any ideas?

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

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Have severe pressure in lower right side of head,worse at night.I have high fluctuating blood pressure.

Have severe pressure in lower right side of head,worse at night.I have high fluctuating blood pressure.

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

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Fluctuating blood pressures range from 130 to 200 systolic. recent onset of seizures. EEG came back normal. 4 months postpartum. Can it be eclampsia?

Fluctuating blood pressures range from 130  to 200 systolic. recent onset of seizures. EEG came back normal. 4 months postpartum. Can it be eclampsia?

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

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Fluctuating blood pressure normal day 93/66-110/77 and on occasion it will be as high as 170/118. Heart rate increase 105-120 upon standing. POTS?

Fluctuating blood pressure normal day 93/66-110/77 and on occasion it will be as high as 170/118. Heart rate increase 105-120 upon standing. POTS?

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

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I don't have a balance. I have tinnitus and vertigo. Headness to the right. Fluctuating blood pressure 144/180 or 57/30, heart is fine the doctor said?

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

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3 years of fluctuating blood pressure-tachycardia-excessive sweating-shortness of breath-headaches-CatScan shows nodular thickening left adrenal gland?

3 years of fluctuating blood pressure-tachycardia-excessive sweating-shortness of breath-headaches-CatScan shows nodular thickening left adrenal gland?

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

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I have fluctuating high blood pressure. What shoul i do?

I have fluctuating high blood pressure. What shoul i do?

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

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Fluctuations in blood pressure with slightest exertion, what to do?

Fluctuations in blood pressure with slightest exertion, what to do?

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

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Why would I have such a dramatic spontaneous fluctuation in my blood pressure? What could be my problem? I' am a 28 year old male in fairly fit condition but for the last three years I have had episodes of dramatic fluctuations in my blood pressure. My no

Why would I have such a dramatic spontaneous fluctuation in my blood pressure? What could be my problem? I' am a 28 year old male in fairly fit condition but for the last three years I have had episodes of dramatic fluctuations in my blood pressure. My no

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

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Why does your blood pressure fluctuate?

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

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Why is my blood pressure fluctuating wildly?

Why is my blood pressure fluctuating wildly?

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

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Why does my blood pressure fluctuate so much.

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

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Exactly how much should blood pressure fluctuate?

Exactly how much should blood pressure fluctuate?

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