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  • is this symptoms of high blood pressure or acid reflux?

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    Old 04-30-2008, 07:14 PM   #1
    bittygirl
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    is this symptoms of high blood pressure or acid reflux?

    Hi,
    Im writing on behalf of my adorable boyfriend who has been suffering from high blood pressure for several years. He was diagnosed when i took him to the emergecy room. He was feeling lightheaded and dizzy and really short of breath and couldnt walk or talk his blood pressure reading was 250 over 150. This happend and he got on meds which has really been helpful. It was staying at about 150 over 90 but has since droped to around 130 over 80 but he continues to have spikes here and there. Anyway, he complains of some sort of weird pulling sensation from his neck down to the middle of his chest behind his breast bone. A pressure like feeling, not really painful though. Exercise makes it worse and he keeps thinking his blood pressure is going up because he felt it the first time. During these episodes he has, he also feels short of breath and his breathing is shallow up in his upper chest area. He gets a little dizzy too. His heart feels like it beats weird too like its having some sort of trouble or something. It doent pound most of the time its more fast sometimes but most of the time a normal pace. He doenst have burning or acid coming up or anything, so its hard to tell if its heart related or or acid reflux. He doent smoke but he drinks alot of coffee which I belive has acid in it and he has sleep apena and doesnt always wear his mask and gets less than 6 hours of sleep most nights.
    Im wondering if its a combonation of lack of sleep, high caffine intake ect, or if it really is high blood pressure symptoms, a heart thing, or acid reflux.
    does anyone else have these symptoms with high blood pressure while they are on medicine for it?
    thanks

     
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    Old 04-30-2008, 08:58 PM   #2
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    Re: is this symptoms of high blood pressure or acid reflux?

    Hi bitty girl,

    At least some of your boyfriends' problems could be side effects of his medication. For instance: shortness of breath - as you know, some antihypertensive medications can cause this. Beta blockers, calcium channel blockers, ACE inhibitors can all cause breathing problems in some people.
    Some medications cause an increase in heart rate and cardiac irregularities, others decrease the heart rate -such as calcium channel blockers and beta blockers. Given his blood pressure readings, he is probably on a lot of medication. More medications result in more side effects. The sensation in the chest could be from trying to take in enough air and not being able to. When experiencing breathing problems, it is common to feel chest discomfort and pain in the lungs. Your boyfriend should be discussing his symptoms with his physician.

    Shortness of breath is very common in people with acid reflux. You might also want to look into that. Even if your boyfriend had not had any acid reflux to begin with, he might have developed it from his medication (as I have). Unfortunately, at least two classes of antihypertensives have gastric side effects in some people.
    It sounds as if pheochromocytoma or another hormone related disorder is a very real possibility due to nature of his blood pressure spikes. I am sure he has been screened for this condition already, and has had his kidneys checked. I hope the cause of his blood pressure elevations is determined soon.

    Good luck,
    flowergirl

     
    Old 04-30-2008, 10:07 PM   #3
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    Re: is this symptoms of high blood pressure or acid reflux?

    thank you for the very good information. His kidneys have been checked and are ok but he had alot of protien in his urine. He has a slightly enlarged heart that I am concerned about but he lifts alot of weights and always has so it might be because of that. He needs to have the other test you suggested. He just told me that when hes exersising it feel really cold like in his chest and it feels like he gets a pressure in his heart and then it twists. This is strange. He has come home early the last 3 nights from his boxing workout because he just isnt feeling up to par. He has an apt this Friday I hope. Maybe they will do some more testing. The doctor changed his medicaiton and notified him in writing. The new meds are some generic thing and its 5mg. He was on 10mg before on the other medicine which is the same, just the real stuff. This is very weird.
    Thanks for all the info.

     
    Old 05-01-2008, 05:55 AM   #4
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    Re: is this symptoms of high blood pressure or acid reflux?

    Quote:
    Originally Posted by bittygirl View Post
    ...It was staying at about 150 over 90 but has since droped to around 130 over 80 but he continues to have spikes here and there.... During these episodes he has, he also feels short of breath and his breathing is shallow up in his upper chest area. He gets a little dizzy too. His heart feels like it beats weird too like its having some sort of trouble or something. It doent pound most of the time its more fast sometimes but most of the time a normal pace.....He doenst have burning or acid coming up or anything, so its hard to tell if its heart related or or acid reflux..... he has sleep apena and doesnt always wear his mask and gets less than 6 hours of sleep most nights....
    bittygirl,

    Your boyfriend sounds like he may have severe apnea but even if he doesn't he NEEDS to wear his mask. Apnea can cause a drop in oxygen levels at night wbich in turn can weaken and damage the tissues that hold back stomach acid and the tissues that help one breathe! It can also cause high blood pressure and send the heart rythms into a tail spin, which sounds like what is happening to your boyfriend.

    Just so you know, untreated apnea that is severe can cause death...have your boyfriend do some reading about Reggie White, the famous footballl player...he was only in his 40's when he died from complications from sleep apnea.

    Quote:
    ...Im wondering if its a combonation of lack of sleep, high caffine intake ect, or if it really is high blood pressure symptoms, a heart thing, or acid reflux.
    does anyone else have these symptoms with high blood pressure while they are on medicine for it?
    thanks
    The caffeine has nothing to do with it but the apnea definitely can be causing the spikes in bp, the heart thing, and the "acid reflux". I would encourage you to do some serious reading about sleep apnea, for the sake of your friend. It may save his life.

    Bethsheba

     
    Old 05-01-2008, 06:50 AM   #5
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    Re: is this symptoms of high blood pressure or acid reflux?

    thank you. Yes Im afriad this sleep apena has a lot to do with it.

     
    Old 05-01-2008, 07:46 AM   #6
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    Re: is this symptoms of high blood pressure or acid reflux?

    Make sure he tells the dr what you have told us. The wt lifting should stop until he checks with his dr. Also, have him ask the Dr. whether he should be taking aspirin to decrease the chance of a stroke or heart attack. Ask if he should reduce his protein intake because of the protein in his urine. You have your job cut out for you with your boyfriend & he is very lucky to have you as his girl. Fam

     
    Old 05-01-2008, 01:47 PM   #7
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    Re: is this symptoms of high blood pressure or acid reflux?

    Caffeine won't help. It is a vasoconstrictor, and in those with BP issues already it can cause a slight raise. It also paralyzes a little flap (sphincter) at the top of your stomach, making it a lot easier to get acid reflux. The possibly of acid reflux needs to be thoroughly checked and treated.
    There's a nerve that runs all the way down - it controls some muscles such as those in the esophagus and controls heart rate. (Look up vagus nerve) If the esophagus is irritated from acid reflux it can directly affect heart rhythm in this way. Higher heart rate can raise blood pressure. So if there is any acid reflux it must be dealt with. Question him a little more on that, I bet he will eventually admit to feeling some after meals or a few cups of coffee - it may not be very intense so he may not pay it much mind.

    Though I'm sure he'll hate to hear this (I know my husband would, lol), there may be some life style changes in his near future - such as diet.

     
    Old 05-01-2008, 03:50 PM   #8
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    Re: is this symptoms of high blood pressure or acid reflux?

    The jury's still out as to whether sleep apnea causes reflux or reflux causes apnea...probably some of both.

    While the causes are being debated, there are some early research being done that suggests cpap treatment eases or eliminates acid reflux. My sleep specialist told me this (he said it was a red flag to him that apnea might be present) and from people in my sleep disorders support group whose doctors told them the same thing.

    I personally don't care what causes what...I had the barium swallow and the other tests done 20 years ago, took meds for another 20 years and still woke up vomiting acid at night (and sometimes in the day time). Despite meds and watching my diet I lived with reflux and meds on a regular basis. Since using my cpap, I have been acid reflux med free and I don't have to eliminate spicy foods, which I love! Although, I didn't limit caffeine when I was diagnosed with hypertension, I didn't have reflux problems. I do limit the caffeine now, due to hypertension...but after a year, I am still symptom and med free.

    Bethsheba

    Strenuous exercise within 24 hours of laboratory testing can alter the results of protein in the urine. Your boyfriend might want to check with the lab to see what is "acceptable" exercise to do 24 hours within his lab work. If he worked out as hard as you say before his labs, the results may not be accurate.

    Last edited by bethsheba; 05-01-2008 at 03:54 PM.

     
    Old 05-01-2008, 06:05 PM   #9
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    Re: is this symptoms of high blood pressure or acid reflux?

    hey thanks guys for the info.
    Yeah I forgot to mention that he takes asprin on a regular basis because he gets scared thinking somehting really bad is going to happen to him.
    As for the vagus nerve, He mentioned this to me, in fact he seriosuly thinks this is whats going on. He brought it to the docs attention and the doc blew it off. It was like the doc heard of it before but didnt know much about it. I wonder if most doctors know anything about this vagus nerve? What can be done for this if this is what it is?

     
    Old 05-01-2008, 06:37 PM   #10
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    Re: is this symptoms of high blood pressure or acid reflux?

    Quote:
    Originally Posted by bittygirl View Post
    As for the vagus nerve, He mentioned this to me, in fact he seriosuly thinks this is whats going on. He brought it to the docs attention and the doc blew it off. It was like the doc heard of it before but didnt know much about it. I wonder if most doctors know anything about this vagus nerve? What can be done for this if this is what it is?
    It is interesting that he found that link already. What was the doctor? Some GI docs may know about it because it affects a lot of the GI tract and because it's a cranial nerve thats very tied into part of the nervous system - neurologists should know about it. I'm not sure how much cardiologists may know... But everything the vagus nerve controls is so mixed that it usually goes out of any one doctor's specialty. Pretty much count that it's out of a PCP's depth - unless you find a really really good one.


    Bethsheba, there's no doubt that sleep apnea must be treated. That causes so many problems, one of those being disrupting some of the nervous system. I'm very glad to read that treating your's helped you so much. GI issues are very painful, so finding relief must have been wonderful.
    I suspect my husband may have mild sleep apnea... of course he isn't interested in getting it diagnosed. It's rather disturbing to hear how he sounds sometimes in his sleep. I haven't noticed any blood pressure problems (his BP, HR, and functionality of both are almost too perfect, it's not fair! lol) or other health issue yet, but worry that's affecting his sleep quality.

     
    Old 05-02-2008, 06:55 AM   #11
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    Re: is this symptoms of high blood pressure or acid reflux?

    Hello aether,

    Sorry I ranted in my last post...ironically, the night before I woke up 3 or more times (that I remember) because I was so congested I kept ripping off my cpap mask. I wrote that post when I was seriously sleep deprived. Interestingly enough, my pressures yesterday ranged in the 150's/100's. Took an over the counter allergy pill last night (never used these before) and pressures are back to normal this am---117/81. Can't believe the difference.

    But back to the acid reflux. Yes, I am very lucky to have accidentally found the solution to my reflux. Now that I've had some sleep, I realize that I was 14 years old when I first began having the tests done for my digestive problems. My first prescription was for Tagamet, which several years later went generic. In the years before cpap, I was on prescriptions for prilosec and pepcid, if I recall correctly. Although I had pain, acid in my throat and nose was more of a problem...and of course, the vomiting. The pain was minor considering the times I had to excuse myself from events (a concert comes to mind) to use the bathroom to vomit because of excess acid. Not to be gross but those are the facts.

    Cpap treatment is certainly not going to work for everyone...but how unfortunate, that the doctors do not actively look for apnea when reflux exists.

    Thanks for your posts, aether. Appreciate the info that you share...every bit helps and leads to more knowledge!

    Bethsheba

    Last edited by bethsheba; 05-02-2008 at 06:59 AM.

     
    Old 05-04-2008, 07:23 PM   #12
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    Re: is this symptoms of high blood pressure or acid reflux?

    well my boyfriend just had an ekg and like always, it is normal. Hes going for a stress test in a couple of weeks. Yeah, it might be a good idea for him to look into the vagus nerve thing with a specialist. He was just seeing a GP. Also the GP has raised his BP meds back to 10mg. Not sure why they lowered it in the first place when they switched meds on him. Very strange. He seems to be doing a lot better now but we will see when he goes and does his workout tomorrow night if he starts getting bad again.
    Thanks for all the imput.
    So does the allegry pill make BP go down when its up?

     
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