Doctor insights on:
How Does Your Blood Pressure Get High
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
Requires both muscle: to work harder to drive blood forward & ?es valve leaflet loads to block reverse blood flow. Heart muscle requires more blood flow for more work (more susceptible to damage of artery Ds), muscle gets thicker/stronger but also stiffer (no longer allows blood return from veins at low pressure) over time. Both lead to ?ed heart attack rates, enlargement, congestive failure, atrial fibrillation, etc. ...Read more
Blame your parents: Well don't blame them, i was just kidding. But the problem runs in families. Diet especially high salt intake can lead to hypertension in some patients. As people get older they are much more likely to get high blood pressure. Some rare causes are related to things like tumors in the adrenal glands or kidney problems. ...Read moreSee 1 more doctor answer
It's not the numbers: A normal BP is less than or equal to 135 on top and 85 on bottom. The lower, the better unless you're dizzy or passing out. Some very healthy people normally run a BP of 80-90 on the top number and that's fine. High bps increase long term risk. Very high bps (like >200/>110) that are also associated with symptoms like chest pain, breathlessness or confusion are considered an emergency. ...Read more
How low can you go?: Is not just about limbo, it can also be about your blood pressure. If your top number is 90 or less, the key is how do you feel? Dizzy, lightheaded [especially when you sit up or stand up], heart running fast, even passing out .... Not good. Talk with your doc! on the other hand, some people - especially athletes or yogis - feel fine & it's a sign of how healthy, body& mind, they are. ...Read moreSee 1 more doctor answer
Multiple things: Heart failure, adrenal insufficiency, unstable cardiac arrthymias (abnormal rhythms), sepsis with septic shock, neurogenic shock, cardiogenic shock, and most commonly dehydration. It depends how low it is, if low normal and you are not symptomatic you shouldn't get it higher. Smaller patients tend to have lower blood pressures as a whole. ...Read more
Treat it: There are a number of medications that can be used for hypertension.Some are potentially harmful to baby, some less so.Treatment is based on many factors by your treating doc. Sometimes an early delivery must be planned to reduce damage to mom.Delivery is usually followed by an improvement, although it can take some time. ...Read more
Medication, exercise: You and your doctor should talk about the best way to control high blood pressure. Whether you need to go on medication will depend on how high your blood pressure is and your risk factors for heart disease and stroke. Many people need more than one drug to control high blood pressure. Following the dash diet and getting at least 30 minutes of aerobic exercise 5 days a week usually help as well. ...Read moreSee 1 more doctor answer
More like HOW FAST: A more important variable to consider for your question is the speed at which pressure rises. If a person's BP goes up SKY HIGH to REALLY HIGH numbers but does so over a period of 10 years that person may not have any headaches compared to a person who has a much smaller rise in baseline pressures but they do so inside of 24-48 hrs. Make fast? Wanna chat more? www.healthtap.com/dr-drsaghafi ...Read more
Lots of reasons: This is a complicated question because there are so many different scenarios: from having Insulin resistance, to being on diabetes medications, to having poor glucose stores in the body, to having an insulin-producing tumor, to having other medical conditions, causing malabsorption. The list goes on. ...Read more
Lifestyle, then meds: Therapeutic lifestyle changes like weight loss, exercise, sodium restriction (see dash diet) are first, but looking for adverse effects of medications, kidney or hormonal issues, or blood vessel blockages to the kidneys may be culprits as well. If the blood pressure is still elevated and confirmed by home or ambulatory monitoring, then medications (often several in lower doses) may be indicated. ...Read moreSee 1 more doctor answer
Get Family History!: Holiday family gatherings are excellent times to ask family members about their health histories. Learning about what symptoms, conditions, treatments they had can be helpful. It is also important to find out how their siblings prevented getting a condition like hypertension. Did they eat right stay slim, exercise, avoid tobacco, manage stress? Those are things people can do to try to prevent it. ...Read moreSee 1 more doctor answer
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