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Information regarding blood pressure reading - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   hi
Doctor :   Hi
User :   i want to clarify some doubts with respect to BP
Doctor :   ok
User :   Will there be a variation in blood pressure when it is taken in a lying down position and when seated on a chair
Doctor :   yes
Doctor :   when u lay down it is high
Doctor :   when u stand it lowers
User :   so what is the correct way to take it then
Doctor :   but variation is small
Doctor :   ex top number is less than 5mm of HG
User :   My husband is having a BP problem
User :   When the bp was taken at a lying down position it was 135/85
User :   when he was seated it was 140/100
User :   can there be so much variation
Doctor :   stand up or seat are equivaleent
Doctor :   so blood pressure will be more
User :   it is reverse in my husbands case
Doctor :   but the BP when he lays down is near normal
Doctor :   But personl always does not sit and relax
User :   if u notice when he was lying it was 135/85
Doctor :   so we need to consider BP when he is actively moving'
User :   whereas while sitting it was 140/100
Doctor :   there are mant reasons
User :   so how do we do that
Doctor :   *many
Doctor :   take te average 4-5 reading of the blood pressure when he is sitting only'
Doctor :   do not compare
Doctor :   these changes in BP are called Ortho static changes
Doctor :   when u stand up blood coming to heart decreases
Doctor :   this is nomrla
Doctor :   but this impaied
Doctor :   because he has abnomral nervous signals
User :   i did not get your point
Doctor :   What is your Questions?
User :   actually when he was lying down it was low and when he was sitting it was higher
User :   why this variation
User :   and the bp readings stated is it abnormal
User :   he is already on to some medication
Doctor :   the variation is due to abnomral signals in nerves due to blood pressure itself
User :   ok
Doctor :   Normal mechanism is impaired
User :   if we were to consider that his BP is 140/100 is this an alarming one
Doctor :   Not alrming
Doctor :   worrisome
Doctor :   How old is he?
User :   he is 41
Doctor :   I better recoemmnedn you few things
Doctor :   Take the BP when he sits
User :   ok
Doctor :   Any thingless than 140/90 are good
User :   ok fine
Doctor :   Ideally top #. 120-140 are reasonnable
User :   if it say higher than the recommended figure then what needs to be done
Doctor :   120-130 are very good
Doctor :   if u try to be very aggressive he will faint'
Doctor :   So i recommend above 120 as safe
User :   no, the issue is he is staying in a different place and he is not having food from home
User :   this will mean there will be more of masala in the food
User :   salt he has told them to reduce, however the masala is something which is still quite high
Doctor :   ok let us correct BP first
User :   ok
Doctor :   let us assume he will not follow salt
User :   ok
Doctor :   then ur number should be User :   ok
Doctor :   if more than that get extra medicine
User :   fine
Doctor :   Didi I solve your query
User :   the top reading should be less than 140 is what you told me right
Doctor :   YEs
User :   what about the lowe one which is at 100
User :   is the reading of 100 okay
Doctor :   it is not OK
Doctor :   But correct one forst
Doctor :   *first
User :   ok
Doctor :   it should be User :   what is the ideal for the lower one
User :   ok fine
Doctor :   80-90
User :   ok
User :   thanks for clarifying my doubts
User :   have a nice day
Doctor :   bye
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