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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by NikkiT2 on October 14, 2003, at 10:43:18
My blood pressure is still rising.. today 145/110.. From the time I was 16, it has always been around the 90/70 mark, and was this in August when I had my surgery. Ever since then though it has started rising and rising.
Nothing has changed in my life or diet (very low sodium already as I never add salt to cooking, and we don't use processed foods - I bought a 500g jar of salt in 1994 and still have two thirds of it left!!), I know I am overweight, but I always have been.
What else could be causing this?? (Oh, and no med changes when the blood pressure started rising, but did start Reboxetine last Wednesday)
Nikki
Posted by Bill LL on October 14, 2003, at 10:49:20
In reply to Blood pressure, posted by NikkiT2 on October 14, 2003, at 10:43:18
It happens with age. Mine used to be normal until I hit 45 years old. I take 2 medications for blood pressure: HCT (a water pill) and Altace (an ACE inhibitor). If your blood pressure is consistently above 140/90, you should see your doctor about bp medication.
> My blood pressure is still rising.. today 145/110.. From the time I was 16, it has always been around the 90/70 mark, and was this in August when I had my surgery. Ever since then though it has started rising and rising.
>
> Nothing has changed in my life or diet (very low sodium already as I never add salt to cooking, and we don't use processed foods - I bought a 500g jar of salt in 1994 and still have two thirds of it left!!), I know I am overweight, but I always have been.
>
> What else could be causing this?? (Oh, and no med changes when the blood pressure started rising, but did start Reboxetine last Wednesday)
>
> Nikki
Posted by djmmm on October 14, 2003, at 11:22:54
In reply to Blood pressure, posted by NikkiT2 on October 14, 2003, at 10:43:18
> My blood pressure is still rising.. today 145/110.. From the time I was 16, it has always been around the 90/70 mark, and was this in August when I had my surgery. Ever since then though it has started rising and rising.
>
> Nothing has changed in my life or diet (very low sodium already as I never add salt to cooking, and we don't use processed foods - I bought a 500g jar of salt in 1994 and still have two thirds of it left!!), I know I am overweight, but I always have been.
>
> What else could be causing this?? (Oh, and no med changes when the blood pressure started rising, but did start Reboxetine last Wednesday)
>
> NikkiI agree with Bill LL's last comment...you should see a dr. about the hypertension. Reboxetine does increase blood pressure. I would suggest a diet conducive to lower blood pressure and daily exercise
http://www.holistic-online.com/Remedies/Heart/hypert_diet_therapy.htm
Posted by stjames on October 14, 2003, at 12:28:21
In reply to Blood pressure, posted by NikkiT2 on October 14, 2003, at 10:43:18
Reboxetine, period. Due to its nor-adrenaline
effects. nor-adrenaline effects the cardiovascular
system also.
Posted by NikkiT2 on October 14, 2003, at 12:42:59
In reply to Re: Blood pressure, posted by djmmm on October 14, 2003, at 11:22:54
Well, I'm only 28.. So I wouldn't have thought that it was age related.
Its my doctor that has been taking the blood pressure readings, and she just keeps telling me to come back in one weeks time! But it is starting to worry me.
And I know i need more exercise.. but going outside is still a really big deal for me and upsets me.. and I have no money to join a gym. I've bought an exercise bike, but within 15 seconds of starting it I get really bad pains in my thighs.
And for the last 3 weeks I've felt nauseas all the time, and have totally gone off food - I simply don't like food anymore..Maybe I'm just too fed up!
nikki xx
Posted by Penny on October 14, 2003, at 13:14:51
In reply to Re: Blood pressure, posted by NikkiT2 on October 14, 2003, at 12:42:59
Have you kept a BP log at home? I say this b/c my BP tends to be significantly higher when taken by my doc (the 'white coat' effect). When I was in the hospital for a week, my BP shot up to about 150/100, and my pdoc in the hospital was concerned and started me on a low sodium diet, but the funny part was that first thing in the morning (when they would wake me up to take it) it was fine, but in the evening (around 8 p.m.) it was elevated. After I got out of the hospital, my regular pdoc told me to get a BP monitor and keep a log at home, which I did, and my BP went back to normal. But when he takes it at his office, it's almost always high.
Sooo...it could be the doc. Not you.
Other than that - I'm 27 and never had any BP trouble until this year. So, maybe age *is* a factor.
Just a thought.
P
Posted by NikkiT2 on October 14, 2003, at 14:24:24
In reply to Re: Blood pressure, posted by stjames on October 14, 2003, at 12:28:21
It started 3 weeks before I started reboxetine though.. so I know thats not to blaim.
Thanks though
Nikki
Posted by NikkiT2 on October 14, 2003, at 14:27:48
In reply to Re: Blood pressure » NikkiT2, posted by Penny on October 14, 2003, at 13:14:51
I've been having my blood pressure taken by a doc for 14 years though (since I went on the pill).. so I can't see that that is an issue.. and in middle of August it was 90/70 immiediately prior to me being taken up to the operating room for surgery - and I was certainly nervous then!!
Unfortunately I have no way of taking my b/p at home, and no money to buy a bp monitor!!
Nikki
Posted by MamaB on October 15, 2003, at 8:40:16
In reply to Blood pressure, posted by NikkiT2 on October 14, 2003, at 10:43:18
> My blood pressure is still rising.. today 145/110.. From the time I was 16, it has always been around the 90/70 mark, and was this in August when I had my surgery. Ever since then though it has started rising and rising.
>
> Nothing has changed in my life or diet (very low sodium already as I never add salt to cooking, and we don't use processed foods - I bought a 500g jar of salt in 1994 and still have two thirds of it left!!), I know I am overweight, but I always have been.
>
> What else could be causing this?? (Oh, and no med changes when the blood pressure started rising, but did start Reboxetine last Wednesday)
>
> NikkiNikki,
It COULD be the medication. What was your BP right before you started the medication? You need to tell your doctor(s) about this.
Posted by NikkiT2 on October 15, 2003, at 10:45:26
In reply to Re: Blood pressure , posted by MamaB on October 15, 2003, at 8:40:16
My doctor knows as they have been the ones testing my bp.
It was 135/108 directly before starting the medication. And 130/104 the week before that. It was 90/70 two weeks previous to that though.
I've only been on the meds for 10 days (I had a 3 month med break), so really can't see that its the meds
Nikki
Posted by Rick on October 15, 2003, at 19:32:20
In reply to Re: Blood pressure » Penny, posted by NikkiT2 on October 14, 2003, at 14:27:48
> I've been having my blood pressure taken by a doc for 14 years though (since I went on the pill).. so I can't see that that is an issue.. and in middle of August it was 90/70 immiediately prior to me being taken up to the operating room for surgery - and I was certainly nervous then!!
>
> Unfortunately I have no way of taking my b/p at home, and no money to buy a bp monitor!!If you're in the U.S., many large drugstores (including those in grocery stores) have free in-store sit-down blood pressure monitors. (I don't know if this is true in other countries.) Use them. Sometimes they may be a little inaccurate, but should give an idea of BP control, e.g. whether this happens just certain times of day, etc. An average of multiple readings is what's really relevant.
There are so many things that could be going on here. One example could be developing "White Coat Hypertension" where your blood pressure rises temporarily when you're at the doctor's office. Hormonal changes could contribute, and to a lesser extent mental changes. So could a relatively unlikely situation such as inadvertent lead ingestion from contaminated food or supplements. Also, there are occasionally readily curable, "secondary" physical causes of hypertension, although they are sometimes difficult to identify.
In any event, primary (i.e., not readily explainable by secondary physical factors) Blood Pressure increases are usually readily treatable, with lifestyle and/or drug interventions. But it's important not to wait too long. While your systolic BP (top number) is close to "high normal," the diatolic reading you gave is pretty high. And both represent big increases from your baseline of 90/70. Gaining even just 10 pounds can cause BP to shoot up in some people, and conversely losing 10 pounds can cause it to drop back down. IAnd, while it's not typical, it's by no meanns unprecedented for blood pressure to jump within a couple of months, even in someone under 30 and for no clear reason.
If your doctor hasn't done so already, you should be getting blood tests, especially glucose, kidney function, and thyroid function.
Rick
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