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Old 01-12-2005, 01:51 PM   #1
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Early hyper tension -- any suggestions

Hello,
Iam new to this board, 35y and come with a history of family HBP ( dad, grand mother etc.,), stroke etc.,

About a couple of months back doctor measured the BP and it was 140/90 and after a month he measured it again and it as normal ( ~125/82). He did not prescribe any medicines and asked me to measure BP at home using an automatic machine and asked me control salt ( cut down on junk food) and continue doing 30 min exercise. I started noting down the readings every day morning and evening. Most of the weeks it was normal. However I notice some weeks (7days or so) it goes up to say 140/90 and then again drops to normal. Here are some initial set of questions:

1) What can I do on my own to control BP (without doctors help)? -- Read a bit about DASH diet, any other good things ?
2) Are there are any root causes for HBP ?
3) Any good alternatives to control HBP ? -- such as Vit C etc., ?


Thanks much.

 
Old 01-12-2005, 02:36 PM   #2
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Re: Early hyper tension -- any suggestions

Same thing as you.... Genetics on my mom's side..... Don't go on meds.... I repeat don't go on meds. 140/90 at the doc. is no big deal imo. B/P meds. have a lot of side-effects & have messed up my lifestyle over the past two years. Take your B/P a few times a week at different times for a month or two. I am 34 & on 2 B/P meds. Atenolol 100 MGS & Lotrel 5/20. My B/P on these meds. averages 114/66. It goes down to 108/59 with a pulse of 52 at times. They have ruined my lifestyle. 140/90 at the doc. & you need to consider meds.... give me a break. With your #'s at the doc. 50% of the population would be on B/P meds. Take care of yourself. Drink in moderation, keep your weight down, excercise & monitor your b/p away from the doc. for a couple of months. Bring in your readings next time. Trust me. I'm speaking from experience & I am 34, 5' 11" 150.

90-95% of high blood pressure there is no known cause for. They can test for secondary causes through blood tests & etc. Your #'s aren't that bad at all.

Last edited by Lillians Axe; 01-12-2005 at 02:38 PM.

 
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Old 01-12-2005, 03:46 PM   #3
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Re: Early hyper tension -- any suggestions

Honestly I don't think either one of you need to be on meds at all. There is not enough evidence to prove otherwise. Axe, I think you are way too overmedicated and KKotha you have not given enough stats to prove otherwise either. Your BP sounds normal for every day living. For me I am salt sensitive and even though my mom and her mom and her mom have had high BP they also smoked ate a ton of salt and never excercised and all had high bp by the age of 25. I never did any of those things and I am an athlete (not to beat a dead horse) and eat healthy and was not diagnosed until 42. In fact I always took after my dad having low BP like 117/70 for years until 42....go figure. I say try everything before you ever take these "satan's spawn" that the phramaceutical companies would love for you to be addicited to..just my opinion..Lisa

Last edited by Moxie75; 01-12-2005 at 03:47 PM.

 
Old 01-13-2005, 03:24 AM   #4
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Re: Early hyper tension -- any suggestions

Kkotha,

Welcome to these boards!

First of all, I think there's a slight misnomer in your subject heading..."early hypertension". I want to put your mind at ease a little. Unless your BP, monitored at home is consistantly sustained at or above 140/90, you do not have hypertension, early or otherwise.

As others say here, about 90% of cases of true hypertension are called "primary" and due to a genetic predisposition. The other 10% are due to secondary causes, such as renal stenosis or adrenal tumors and are pretty rare.

Some folks have such a heavy genetic component (like MOXIE) that even exercise and eating really well etc doesn't lower BP enough and meds are eventually required.

Your doctor was wise to ask you to keep an eye of your #s at home instead of immediately leaping to medication. Some physicians, in my opinion are a bit over-zealous these days and start pushing drugs very aggressively and way too early.

What kind of monitor did you buy for yourself? The only kinds that are truly reliable are the upper arm-cuff devices. Wrist and finger monitors are generally unreliable and can give inconsistant and/or faulty readings.

The newest guidelines for determining hypertension are found in The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure ( better known as JNC 7).

Below is a link to the report in various forms, plus more info on the DASH diet:

[url]http://www.nhlbi.nih.gov/guidelines/hypertension/index.htm[/url]

Basically, the guidelines break down as follows:

Normal- below 120/80
Pre-hypertension- 120-139/81-89
Stage 1 hypertension- 140-159/90-99
Stage 2 hypertension- 160/100 or higher

The "prehypertension" classification is brand new. Numbers that fall into that range used to be called "normal".

However, it is now felt that even though #s like this do not pose an immediate danger, nor do they require medication, it is wise to make some lifestyle modifications at this stage to prevent the possibility of bona fide hypertension later down the pike.

Summary of changes you can make.. (as already stated by Moxie and Axe):
1) Exercise at least 30 minutes most days of the week.

2) Eat a diet high is fresh fruit and vegetables. Reduce your total saturated fat and trans fat intake. Eat less red meats, more chicken and fish.

3) Reduce your sodium consumption. THIS IS EASIER SAID THAN DONE!!
Try not to add too much table salt to your meals or while cooking.
Try to shoot for no more than 2400mg sodium per day. That's equal to only one teaspoon. READ LABELS on eveything. You'll be amazed how much salt is added to canned or processed foods.

4) Moderate alcohol intake. If you drink, try to have no more than 1 drink a day (for women)...2 drinks a day (for men).

5) Maintain a good healthy weight.
BP may normalize with as little as a 10 pound weight loss alone !!

There you have it. Things You Can Do For Your Blood Pressure 101

The DASH diet is terrific not just for blood pressure but for overall health. But it's very tough to stick to. Moderation is the key...you don't have to go crazy, especially with essentially pretty normal #s at this point.

BP is meant to fluctuate by the way, so I wouldn't be too concerned if you get the occassional (or even a week's worth) of 140/90, as long as most of the time over the next couple of months, it's lower than that, and ideally, below 120/80, give or take a point or two.

Hope all this this helps!
zuzu xx

Last edited by zuzu8; 01-13-2005 at 03:33 AM.

 
Old 01-13-2005, 06:25 AM   #5
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Re: Early hyper tension -- any suggestions

Nice points Moxie & Zuzu.... Moxie, I agree with you 100%. Do everything that you can to avoid the meds!!!!

 
Old 01-13-2005, 08:19 AM   #6
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Re: Early hyper tension -- any suggestions

While you are charting your bp, you might also note what is going on in your life. If you have a stressful event that will push up your bp. So things like work stress over a deadline, etc., family stress like a sick spouse/kid/pet, even things like a bad traffic day could push up your bp. Are you getting adequate sleep those weeks your bp is higher? Some research suggests increases in bp if you are fatigued. This is normal - people experience higher bp when they are stressed and upset. Its when your numbers are high and you are calm with no stresses that you have a problem.

 
Old 01-14-2005, 05:18 AM   #7
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Re: Early hyper tension -- any suggestions

Well, to be blunt.....

You can diet and cut out junk food and exercise like a racehorse and still die or be incapacitated by a stroke or heart attack because of high blood pressure...not to mention the damage to kidneys, etc.

I am not a fan of BPM but if you have a history in the family.....what are your choices. Much HBP is due to diet and lack of exercise but if not, there is nothing you can do about it.

Sometimes I see the people on these boards almost like the anti-vaccination freaks out there that will do everything short of selling their souls to get you to not vaccinate your kids.

Good luck and realize that sometimes you fight valliantly and still lose. But I have been on BP meds for 7 years now and while they do come with some minor side effects...most of them have been like taking aspirin. You gotta realize that most of the negative stuff on these boards is the worst of the worst kind of thing.

OC9
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Last edited by Onclou9; 01-14-2005 at 11:33 AM.

 
Old 01-14-2005, 06:47 AM   #8
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Re: Early hyper tension -- any suggestions

Onclou9,

I have looked at one site where people rate the different meds. Lotrel 5/20 & Atenolol 100 MGS have ruined my lifestyle. Different side-effects everyday at 34 is no way to live. Yesterday my B/P was 113/67.... do I need to be on so many meds??? No. I am not so anti B/P med. for no reason. A small % of the population do need them, but I want the makers of these drugs to do more extensive testing to get rid of the side-effects and minimize them. If you think that this a small % of the population, you are incorrect. The majority that I have seen do have a lot of side-effects. There is one website where patients rate the drugs from 1-5. Look at all of the side-effects. What is worse??? Living like a zombie that feels like junk or having slightly elevated blood pressure??? Some people do need the meds., but they have ruined my lifestyle & at 34 I don't deserve that. I am not in the minority.

Most of HBP is not because of diet & excercise (lack of). It is genetic in many cases. 90-95% of HBP has no known cause. The meds. have made my lifestyle much worse over the past 2 years & many others have gone through the same thing with trial and error. If one has perfect blood tests, EKGS, thyroid tests+, then why are docs. so quick to to not try weaning more people off of these meds. when they are borderline??? My G/F who is 23 has had high readings of 143/78, my Mom has had readings of 150/100 at the doc.
Her father had a reading of 160/100 after work at the doc.... All have decent readings away from the doc. for the most part. All of the docs. wanted to put these people on B/P meds. They all refused. I don't blame them.

Last edited by Lillians Axe; 01-14-2005 at 07:00 AM. Reason: Add More To Post

 
Old 01-14-2005, 06:53 AM   #9
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Re: Early hyper tension -- any suggestions

And, there are some people, like my wife, who never exercise, eat total junk and are overweight. Her BP is typically around 105/65. And, even at the Dr., it doesn't change. In fact, her BP while waiting for a medical procedure (which she was scared to death of) was something like 108/68.

While I can admire her BP, I wouldn't necessarily trade shoes with her. Her family history includes a dad who had bypass surgery in his early 40's and to this day has constant angina problems. Her father also never had problems with BP.

Remember, BP is only a statistical risk factor for cardiovascular disease (CVD). And, the relationship between BP and CVD only shows up in large studies. There are many folks with high blood pressure who can live a very long life with no problems. And, there are many folks with low blood pressure who can die from CVD.

Pal

 
Old 01-14-2005, 07:22 AM   #10
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Re: Early hyper tension -- any suggestions

Quote:
Originally Posted by Lillians Axe
Onclou9,

I have looked at one site where people rate the different meds. Lotrel 5/20 & Atenolol 100 MGS have ruined my lifestyle. Different side-effects everyday at 34 is no way to live. Yesterday my B/P was 113/67.... do I need to be on so many meds??? No. I am not so anti B/P med. for no reason. A small % of the population do need them, but I want the makers of these drugs to do more extensive testing to get rid of the side-effects and minimize them. If you think that this a small % of the population, you are incorrect. The majority that I have seen do have a lot of side-effects. There is one website where patients rate the drugs from 1-5. Look at all of the side-effects. What is worse??? Living like a zombie that feels like junk or having slightly elevated blood pressure??? Some people do need the meds., but they have ruined my lifestyle & at 34 I don't deserve that. I am not in the minority.

Most of HBP is not because of diet & excercise (lack of). It is genetic in many cases. 90-95% of HBP has no known cause. The meds. have made my lifestyle much worse over the past 2 years & many others have gone through the same thing with trial and error. If one has perfect blood tests, EKGS, thyroid tests+, then why are docs. so quick to to not try weaning more people off of these meds. when they are borderline??? My G/F who is 23 has had high readings of 143/78, my Mom has had readings of 150/100 at the doc.
Her father had a reading of 160/100 after work at the doc.... All have decent readings away from the doc. for the most part. All of the docs. wanted to put these people on B/P meds. They all refused. I don't blame them.

Hey Lillian,

Oh don't get me wrong, I know the drug makers would have all of us on HBP meds if they could. So I am not the anti-conspiracy theorist that believes everything that doctors say. But I also don't think, like some, that my Dr. is behind his closed office door wringing his hands and laughing like a mad man each time I leave the office with a BP script either.

If I were you...sounds like we both have a bit of white coat syndrome....I would do this. Go to your local fire station several times over the next two months or so while not on meds. Go in the AM, mid day, PM, before eating, after eating, while in a hurry, while completely relaxed, after sitting in traffic, etc. Get the gammet of emotions and stressors. Take detailed readings of your numbers along with date and time and conditions. If you average normal, you don't have high blood pressure in my mind. We spike BP during exercise, sex (yeee haw), stress times, etc. That takes the white coat out of it entirely and you get to rub elbows with good looking firemen--my station has a hottie woman working there . From what I understand, unless you are spiking into stroke level, you should be fine. But do some research and talk to your doctor about that. I don't see that you never expect a spike in the high range--you would be dead for that.

What is the website you were talking about regarding rating meds....I would love to see that.

Thanks,
OC9

I have HBP and cholesterol and was spiking numbers regardless of hoe
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Old 01-14-2005, 08:38 AM   #11
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Re: Early hyper tension -- any suggestions

Onclou9,

I would like to post the site, but they will ban me from this one if I do it. Got to google, type in Atenolol stomach.... you should find the site easily that way.

I have taken my measurements at drug stores+ for 2 years. My spikes are 140/80 maybe once every 6-9 months on meds. My average on meds. is 114/66 now with a pulse rate of 52-55. I am going to a specialist to try & get off of 100 MGS of Atenolol & 5/20 of Lotrel on 2/10. I have had enough of GP's. Been to 3 in the past 2 years & I feel worse than ever after dealing with these meds. If you need more help with the site ask me. I have taken over 300 measurements of my B/P during different parts of the day. I do have white-coat. At the doc. it will be 156/86, because I have to drive 30 minutes in traffic, sit in a waiting room for 25 minutes+, they measure your weight, then you sit in another room for 20 minutes. By this time, I am nervous enough.....

 
Old 01-14-2005, 08:50 AM   #12
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Re: Early hyper tension -- any suggestions

Remember, that 140/90 threshold was 145/95 until recently - thanks to the drug companies who want to sell more drugs & insurance companies who want more excuses to not insure people

The FAA still says 145/95, that is all I care about

I was 130's/low 90's until i was put on meds, I have been screwed up ever since

 
Old 01-14-2005, 08:58 AM   #13
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Re: Early hyper tension -- any suggestions

I watched 20/20 last Friday which was about 2 obese families in Columbus Ohio and their efforts to lose weight through diet and exercise. Actually I watched it because my doctor was in it as the families' physician. Anyway, every one of the 2 families, husbands, wives, kids, all were at least 135 pounds overweight, and some were closer to 200 pounds overweight. They ate junk food and almost never exercised. None of them had high blood pressure! It isn't fair! I eat fairly decently, get moderate exercise and am only 35 pounds overweight and I have high blood pressure!

I guess the moral of the story is that some people will get high blood pressure no matter what they do, and for most of them diet, weight reduction, exercise, stress reduction, yada, yada, yada, will not give them normal blood pressure.

 
Old 01-14-2005, 09:52 AM   #14
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Re: Early hyper tension -- any suggestions

It's all nonsense imo. I feel great today, except that I felt lethargic & tired. Went to take my b/p & it was 112/64 with a pulse of 49.... gotta love 100 MGS of Atenolol & 5/20 of Lotrel. I asked my doc. if I could wean last time & he was very wishy-washy. No wonder I feel so tired. My body has been used to a B/P of 137/74 with a pulse in the 70's for my entire life. Now at 34, I'm getting readings that are 23 points lower on the systolic & 7-10 points lower on the diastolic. I am over-medicated. No doubt. A pulse rate of 49.... give me a break. No wonder I feel so tired. I am 5' 11" 151. My body can't take this much medication. I have anxiety that causes HBP at the doc. Why can't they get that through their thick skulls and prescribe anxiety meds. 1st, instead of prescribing B/P meds. 1st??? A pulse rate of 49.... Niiiiice.

 
Old 01-14-2005, 10:03 AM   #15
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Re: Early hyper tension -- any suggestions

Axe,

Why keep asking your doctor?? Wean yourself off. You are in constant ankst about this. I may get yelled out for saying this again but 49 pulse rate? unless you are an athlete that is too low to have much energy or stamina for anything. I don't think you are an athlete are you? You said you are a model and God knows models hate excercise..heheehe just kidding. I heard a model say that on tv the other day. I use to model too in the early 80s. Showing my age now. Anyway my husband is a bodybuilder of 25 years and his pulse is 60 beats a minute and he is on no meds..What do you think about what I said? Lisa

Last edited by Moxie75; 01-14-2005 at 10:03 AM.

 
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