Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
164 Doctors are Online

Have fluctuating BP, that goes very high and have to put off work. Suggestion?

User rating for this question
Very Good
Answered by
Practicing since : 2007
Answered : 1201 Questions
Ihave seen my
Dr 2days ago with BP's that fluctuate going very high the highest 192/100 and he put me off work for the week I am feeling a bit better but this am BP 172/105 do you think I should go to work as I am in a sedentary position
Posted Wed, 31 Jul 2013 in General Health
Answered by Dr. Jorge Brenes-Salazar 1 hour later
Dear patient,

A diagnosis of Stage 2 hypertension can be made with those numbers and you will likely need combination therapy of medications to gradually bring it down to goal, which should be less than 140/90 most of the time. If you are feeling better and you have been started on medications for hypertension, you could probably go back to work with the blessing from your doctor; if medications have not been started then they probably should at this stage, it is not recommended to be "out there" with untreated Stage 2 HTN, and you should resume functions when the numbers show an adequate trend-down.

Truly yours,

Dr Brenes-Salazar MD
Mayo Clinic MN
Above answer was peer-reviewed by
Follow-up: Have fluctuating BP, that goes very high and have to put off work. Suggestion? 3 minutes later
how long will it take to answer the question
I have been on Micardis for two days and have to see the Dr in 3/7 for blood test results and he is also going to do a 24hr BP monitoring. The other issue I have is that of skipped beats could this be AF or ectopics and what is the difference
Answered by Dr. Jorge Brenes-Salazar 3 hours later
I am glad you are already taking medication, which needs at least 5 half lives (in the case of Micardis 5-7 days) to see full effect. You may need however a second agent but your doctor will determine so after the ambulatory blood pressure monitoring.

In terms of the skipped beats, the most common causes are premature atrial and then ventricular contractions which tend to be benign; atria fibrillation is a constant or paroxysmal irregularly irregular rhythm that lasts not only a few seconds, but tends to stay for longer periods of time. It is due to several sites in the atria trying to set the pace of the heart at the same time.

Hope this suffices.

Truly yours
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor