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Old 06-30-2008, 09:08 PM   #1
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Blood pressure issues?? 192/110??

OK, let's see. This morning I called to get an appointment with a new family practice doc in my new state and was surprised to get one this afternoon. That was quick!

The anxiety started kicking in about how it would go - needing refills on pain meds and Ambien, but not knowing this doc. (Referral in process to new neurosurgery clinic but no appointment yet.)

Pain has been really escalating the last few days - had company in town for the weekend, did more than I should have.

At the appointment, blood pressure was 160/100. When my pain is controlled, it is 115/74 or so. This is HIGH for me!!

Doc was super nice, really took it seriously. Said he is uncomfortable with long term treatment of my pain since he is not a pain specialist, but did change my meds from Percocet 3 a day to Oxycontin ER 10mg twice a day. (Obviously, my pain was not under control with the current percocet dose of 15mg per day, so this will increase it just a bit.)

I was embarrassed that I cried talking to the nurse and then to the doctor. I just couldn't help it. I HATE to cry our of control like that!! But the combo of stress and worry - I guess I should have expected it.

After the appointment, the pharmacy did not have the Oxycontin ER 10mg. They had to call 5 different pharmacies to find it. I know that really increased my anxiety!

So I come home and relax for several hours. Then my dad calls. Haven't had the best of relationships with him and I always have increased anxiety when talking to him. After an hour and a half phone call which went fine, DH gets the bp cuff machine and my bp is 192/110!!!!!!!! Holy cow!

We will take it again in the morning, but how freaked out should I be? Should I take a Xanax to help calm me down (although I don't feel wound up?)

I am positive I don't have high blood pressure issues. I also don't believe I have any symptoms of high blood pressure. However, I DID have more caffeine than normal today (about double what I normally drink) and I had it after the doctor appointment.

Should I worry?

Thanks,

Cheri
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Old 07-01-2008, 03:49 AM   #2
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Re: Blood pressure issues?? 192/110??

If you're BP isn't down significantly this morning you need to either call the GP's office or go to the ER. It sounds like you've been under a lot of stress and that can make it worse, but the 192/110 number is dangerous and needs medical intervention.

Tigg.

 
Old 07-01-2008, 08:02 AM   #3
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Re: Blood pressure issues?? 192/110??

Cherir, I think we are built from the same mold. I almost have to chuckle. When my pain is out of control my blood pressure spikes just like yours are. In fact on my last visit, my doc wanted to start me on blood pressure meds then I had to remind him to look at my history notes. Six months ago, we went thru something similiar and we had to purchase one of those blood pressure cuffs from Wally for about $50 to keep a check on mine. We took the blood pressure 6 times a day and posted my pain numbers next to it. It was amazing to see everytime my pain went up, my bp went up. So you might consider doing this for peace of mind.

With that said, this points out clearly that your pain is not being adequately controlled and you need an adjustment. I highly recommend you do this and take it to your next doctors appt.

In the mean time, take all your meds around the clock and if your numbers are still reading that high, please go straight to the doctors. I would also try to remove as much stress as much as possible for the next couple of days.

I am here for you....I have been thru this -- remember though if you are having any other symptoms yours could be different from mine. Good luck.

 
Old 07-01-2008, 10:38 AM   #4
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Re: Blood pressure issues?? 192/110??

Update: Well, I don't know if was a combination of new meds, super high bp, or what, but by the time I realized I should have taken an Ambien, it was way too late (IMO) so I was still up at 6:30 this morning. Went to bed and got up at noon, so did get some needed sleep.

Hubby just took my bp, and it is back down to 158/99. Going down so that is good. I still have quite a bit of pain. I wonder if it takes a while to adjust to the long acting med over 5-325 every 6 hours? My left leg is burning like crazy. (Another reason I couldn't sleep.)
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1/09 Spinal Cord Stimulator, ANS/St. Jude Eon Mini
11/07 - acute & chronic S1 nerve root irritation
12/21/06 -360 PLIF L5-S1 w/inst.
3/21/06 - L5-S1 fusion w/o inst.
12/21/05 - Lam/Disc. L5-S1.

 
Old 07-01-2008, 11:02 AM   #5
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Re: Blood pressure issues?? 192/110??

even 158/99 is to high, you might be starting to get high BP. Didn't your Dr take it when you went in to see him just yesterday???? I would have assumed it would have been screaming high than since you were asking for an increase in Pain meds and it was a new Dr, was it high than? I am sure its just stress but its good your keeping an eye on it. I have been known to go into the Dr with really high BP to, but never what yours is and at the end of the apt is back down to a normal level. Just watch it and if you see it climbing up again it could be from the increased pain, stress and the new pain meds your on. You can look online and see what a normal healthy BP should be so you know what is normal and what isn't.

good luck with it, SS

 
Old 07-01-2008, 12:29 PM   #6
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Re: Blood pressure issues?? 192/110??

Yes, at my appointment yesterday it was 160/100. Just a month ago, and for months prior (when not in a pain flare) my bp is 115/72ish consistently.
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1/09 Spinal Cord Stimulator, ANS/St. Jude Eon Mini
11/07 - acute & chronic S1 nerve root irritation
12/21/06 -360 PLIF L5-S1 w/inst.
3/21/06 - L5-S1 fusion w/o inst.
12/21/05 - Lam/Disc. L5-S1.

 
Old 07-03-2008, 03:17 AM   #7
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Re: Blood pressure issues?? 192/110??

Cheri, Sorry I didn't post sooner, but I've been sick lately and not on-line much. I need to go get some sleep, but I just wanted to let you know that I had a very similar thing happen to me in March of this year. I went to a specialist appointment and when the nurse took my BP it was 183/129! I had never had any issues with high blood pressure in my life.

Not sure of your age, but I am 46 and have discovered it is most likely because I am peri-menopausal. Peri can begin as early as your mid to late 30's and it has an unbelievable number of symptoms, including hypertension. This may not be the case for you, but I just thought I'd throw it out there as a possibility. Not that pain flares don't also contribute to high BP, but for me, I found that mine was still high, even when my pain was around "normal" levels. I purchased a home kit and it turned out to be the best way to judge if the BP was elevated only during episodes of high pain levels or if it was a constant thing. I found it was constant.

If your diastolic (lower number) continues to be 90 or over, I would recommend looking into this further. Mine is finally controlled by medication. Even though I wasn't thrilled with the idea of having to take even more meds every day, it's better than the risk of stroke and kidney problems associated with hypertension. I don't mean to sound morbid or scare you, but I know I had no idea how volitile it could be, til it happened to me.

Take care and please don't let this slide. I know that specialist's appointment could very well have saved my life. Sending you positive thoughts and hugs, CMP/MM

 
Old 07-03-2008, 06:55 AM   #8
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Re: Blood pressure issues?? 192/110??

CMP has a very valid point. How are you doing, cherir?

 
Old 07-03-2008, 07:21 AM   #9
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Re: Blood pressure issues?? 192/110??

Cherir,
please take good care of yourself; high BP is not a good thing. I know what my father is going through and what it did to his body as athletic as he was all his life...

The best time to check your BP right after you woke up, while still in bed. And if for couple of days it's high - you talk to your DR.

Best of luck to you, dear heart...

 
Old 07-03-2008, 08:59 AM   #10
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Re: Blood pressure issues?? 192/110??

Well, another update on me is this: Tuesday night, after 1.5 days on the new oxycodone ER 10 2X a day, my nerve pain was still off the charts and after reclining for hours, I sat up and realized my bladder was killing me and I could not pee. We promptly went to the ER.

At the ER, my blood pressure was 172/110 and they were worried about cauda equina. I thankfully did not have that, and after about an hour (just before they were finally getting ready to catheterize me, I was able to pee. They did cath me to see if I had residual urine (and I barely felt the cath at all, so that was weird I thought). They ran all kinds of blood work and said I was picture-perfect.

I also asked about my blood pressure, mentioned it had been 160/100 the day before, then 192/110 and I got a lecture!!!! The doc was NOT happy that I am checking it so often. He is big believer in anxiety-driven high blood pressure. He told me to stop checking!! Maybe twice a month or so.

That really p'od me, but I was emotional from the pain and just thankful I could pee again.

He wants me in to see the neuro ASAP which we are patiently waiting. (He's not sure if I was having bladder spasms or what, but he wants me to get it checked out.) Called the old neuro and he said they sent the referral off 2 weeks ago and the new clinic was supposed to call me or them to let us know when they could get me in. Since no one got a call, my old neuro is calling again and I should hear back today. (this is a direct referral to have the trial of the spinal cord stimulator. If I made the appointment on my own, I'm not sure I could get that protocol without having to go through everything the "new" doc would want to try, that I've already tried.)

Good news is that by yesterday morning, my pain was getting under control. I had a really great pain-controlled day yesterday, and this morning I woke up feeling so good that I wondered if hubby and woken me up earlier to take my pill (he sometimes does if he knows I was up really late and will wake up too late to stay on schedule). He had not, so I am really encouraged. I also started taking some Tylenol with the oxycodone and am thinking that is helping.

So, although a scary ER visit, all is well now (knock on wood). lol Oh, and my bp was down to 125/85 before I left the hospital.
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1/09 Spinal Cord Stimulator, ANS/St. Jude Eon Mini
11/07 - acute & chronic S1 nerve root irritation
12/21/06 -360 PLIF L5-S1 w/inst.
3/21/06 - L5-S1 fusion w/o inst.
12/21/05 - Lam/Disc. L5-S1.

Last edited by cherish1; 07-03-2008 at 08:59 AM.

 
Old 07-03-2008, 09:51 AM   #11
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Re: Blood pressure issues?? 192/110??

Cherir definitely follow up on the numbness but with I first started oxycontin I had bathroom issues - I believe Moldova did too. It felt almost like the bladder goes to sleep. I remember sitting on the toliet for up to 15 minutes just to pee. LOL (so bring some reading material). Be sure to drink a ton of water and keep things moving. After a couple of weeks, things straightened out for me.

I think the ER doc is right to some aspects that anxiety does increase the blood pressure but so does the pain. I don't agree with not keeping tabs on it though but then again I am not a doctor. I know my doctor was pleased to see the records because we knew the cause was due to pain.

 
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