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Old 08-01-2007, 02:41 PM   #1
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Question My 16 year old son has high blood pressure - 136/88

My son is 16, 5 feet 5, 211 pounds, and has high blood pressure and has protein in his urine, three times tested. I'm very scared. His doctor has referred him to a nephrologist. We see him in September. Originally they told me the protein in the urine was okay but now they're more concern about the high b/p along with the protein.

What could this all mean?

 
Old 08-01-2007, 03:35 PM   #2
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Re: My 16 year old son has high blood pressure - 136/88

Quote:
Originally Posted by An-g08 View Post
My son is 16, 5 feet 5, 211 pounds, and has high blood pressure and has protein in his urine, three times tested. I'm very scared. His doctor has referred him to a nephrologist. We see him in September. Originally they told me the protein in the urine was okay but now they're more concern about the high b/p along with the protein.

What could this all mean?
Welcome to our board, Ang08! We may not be experts, here, but we have lots and lots of personal experience to draw from so we hope you learn from our experiences and we hope we'll learn from yours.

Assuming your son's blood pressure readings are CONSISTENTLY in the 136/88, they are not ideal but not that high...in people with no other health conditions, health care professionals like to see a bp less than 120/80...your son's bp is in what is considered the prehypertension stage...a very "good" stage to have hypertension in a sense...because if there isn't an identifiable cause of his hypertension, often, lifestyle changes can bring it down into the normal range.

Your son is relatively young to have primary hypertension, which is the kind of high blood pressure there is no "known" cause for, so the doctors should be looking for or at least eliminating causes,,,secondary hypertension, the kind of hbp that has a cause, is often treatable, and the high blood pressure curable...but again, this depends on the cause.

One cause of secondary hypertension that comes to my mind is sleep apnea which is a condition in which breathing is very shallow or actually stops for periods of time when sleeping. This condition can elevate bp's in healthy people. Although you don't have to be overweight to have this condition, being 5'5" and weighing over 200 pounds puts your son at higher risk for apnea. Many doctors are not well educated in this area of medicine, so you might want to do some reading so you can "eliminate" this as a cause or consider it a possibility. I have apnea, and I was the one to make the diagnosis---my doctor sent me to a specialist who confirmed what I thought to be the case. I mention this because the doctors don't know everything...you need to be actively involved in your son's health care for that reason alone.

Other things that can elevate pressures are over the counter medications (cold and allergy), caffienated drinks (and these can be very popular with some young people), smoking, alcohol consumption, and illegal drugs. I have no idea of what kind of lifestyle your son has, but one or more of these things could push your son's bp over the ideal...so make sure your health care professional knows about anything here---you wouldn't want your son taking medication when he could simply be eliminating lifestyle choices.

As far as protein in the urine goes, did he engage in any strenuous physical activity within 24 hours of the urinalysis? If so, rigorous physical activity can cause protein to spill into the urine and cause inaccurate results. I experienced similar results only to learn that I shouldn't have walked 20-24 miles 18 hours before my urinalysis...

It sounds like you have proactive health care professionals---find out what they know, what they don't know, and what they recommend. Unless it is life threatening, research, research, research before acting on their recommendations...as you might not agree with the treatment plans.

Take care...don't worry...you're one step ahead of everybody else because you're here and you're reading these boards.

Bethsheba

 
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Old 08-01-2007, 04:17 PM   #3
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Re: My 16 year old son has high blood pressure - 136/88

Hi Ang8,

Sorry to hear about your son's problems. I can imagine how concerned you must be. The information you've provided would suggest that the amount of protein leaking into his urine is not much more above the normal values.
As you mentioned, three tests were done to confirm the presence of protein. You did not mention which tests - were they the dipstick urine tests or the 24 hr microalbumin urine tests? The dipstick urine tests cannot be relied upon and you can quite often get a false positive. Also, bear in mind that many factors affect the outcome of these tests - such as having high (or elevated) blood pressure, physical activity before the tests (a possibility?), certain medications, etc.
Protein leaks, if present, reduce with time with or without treatment. They can dissapear on their own accord. There's a blood pressure medication, called an ACE inhibitor, which is often used to reduce the protein leakage and help protect the kidneys. (It also helps reduce blood pressure).

By referring your son to a nephrologist, his physician is making sure that whatever the reason for the protein leakage into your son's urine, (if indeed present) it will be detected and dealt with. You might both be pleasantly surprised after a 24hr microalbumine urine test and a renal ultrasound.


flowergirl

 
Old 08-02-2007, 08:22 AM   #4
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Re: My 16 year old son has high blood pressure - 136/88

I see my Doctor about 6 times a year regarding my high BP.

I have asked him what he thinks is the biggest cause for high BP and what the best first approach is to lowering it, and he says weight control. He says that a reduction of as little as 10 lbs can lower BP.

Myself, I'm about 10% overweight. I use the Body Mass Index (BMI) to determine this. It's a great benchmark. BMI calculators are easily found. You can calculate it by hand with the BMI formula:

BMI = ( Weight in Pounds / ( Height in inches x Height in inches ) ) x 703

so, you son's BMI would be calculated: 211 / 4225 x 703


My BMI is 27.5 and should be 25 or lower.


The FDA defines BMI ranges as follows:
  • Healthy Weight BMI from 18.5 up to 25 refers to a healthy weight.
  • Overweight BMI from 25 up to 30 refers to overweight.
  • Obese BMI 30 or higher refers to obesity. Obese persons are also overweight.


Do what you can to help your son slim down and I bet his BP will drop significantly.

Best of luck.

Last edited by Guy1_USA; 08-02-2007 at 01:40 PM.

 
Old 08-02-2007, 09:01 AM   #5
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Re: My 16 year old son has high blood pressure - 136/88

136/88 is not high blood pressure. It is elevated, but that could mean many things.

acp

 
Old 08-02-2007, 11:48 AM   #6
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Re: My 16 year old son has high blood pressure - 136/88

VentureMan,

I suspect you're right on...so important to just start with the basics!

Bethsheba

 
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