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Doctor insights on: White Coat Syndrome

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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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How do you cope with white coat syndrome ?

How do you cope with white coat syndrome ?

Breath: Breath in slowly & deeply through your nostrils. Fill your lungs with air (but not to the point of discomfort). Hold for a count of five then slowly begin to exhale through an open mouth. Repeat at least 12 times, longer if you need to. ...Read more

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Why don't my BP meds prevent white coat syndrome. Bp 115/65 at home but 150-160/80 at dr. Appt.

Why don't my BP meds prevent white coat syndrome. Bp 115/65 at home but 150-160/80 at dr. Appt.

Relax: Your BP has been well controlled since BP at home is wnl. Most likely at doctor's office, you are nervouse and subconsciously keep reminding yourself: I am at doctor's office again now, how about BP high again? The fear itself could facilitate the anxiety and cause elevation of your bp. Suggest you smile and thinking about your happiest moment in your life while taking BP at md's office. Good luck. ...Read more

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Can a patient you may treat who is hypotensive show systolic numbers in the 120-140+ range due to "true" white coat syndrome?

Can a patient you may treat who is hypotensive show systolic numbers in the 120-140+ range due to "true" white coat syndrome?

Hypertension: White coat syndrome or stress induced hypertension can be just as much medical risk as chronic high normal blood pressure. Stage 1 hypertension diagnosis is made at a BP of 140/90 (either number) or higher on 2 or more visits regardless of the "white coat" response. ...Read more

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My BP seems to be very sensitive to stress and anxiety but normalizes when relaxed. Can spike due to white coat syndrome. What if anything can done?

My BP seems to be very sensitive to stress and anxiety but normalizes when relaxed. Can spike due to white coat syndrome. What if anything can done?

Many options: One could stay out of doctor's offices. Not really. The underlying diagnosis - whether it be performance anxiety, generalized anxiety, social anxiety, mixed anxiety/depression, or even simple phobias like that of needles - are easily treated. Relaxation protocols, meditation, cognitive-behavior therapy, cutting back on nicotine/caffeine, exercise, biofeedback, and medications/natural remedies. ...Read more

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When a person really has white coat syndrome (normal at home), how high can that person's blood pressure readings actually go up to?

When a person really has white coat syndrome (normal at home), how high can that person's blood pressure readings actually go up to?

It depends, there is: No exact number. When an object precipitates anxiety, it could lead to increase in blood pressure. But there is no formula to calculate how high the blood pressure will rise to. ...Read more