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Suggest Treatment For Poorly Controlled Blood Pressure

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Posted on Tue, 24 Jun 2014
Question: Hi doctor, my BP was increased to 140/95 about 2 tear ago and my doctor said it is because of stress because I had just lost my father than and he put me on low doze of Amlodipins Besylate 2.5 mg and I was adviced to cut down on my salt intake which I did. After few weeks my BP came down to 124/85. I stopped taking my meds. About one year ago my BP again got up to 135/100 and since then I regularly took my meds and my BP generally stayed about 130/85. I am a smoker, smoke about one pack a day and from last few months I have been drinking about half point of vodka every day and food I eat has little bit more salt than before. On 25th of may I went to party had few drinks and high salt snacks and food. Next morning my BP was 147/100. I spoke to my doctor he said don't worry its because of high salt. He adviced me to cut down salt, which I did to almost no salt in my food. I cut down to only 3 cigarettes a day. Walking 4 mils per day. But I am still drinking half point alcohol (vodka) every day. On May 28 my doctor put me on HCTZ 25 mg once daily for two weeks. But my BP is still high, I monitor it twice a day, systolic varies 135-124, diastolic 92-100. Today my BP is still high 135/96. I am seeing cardiologist on XXXXXXX 10th. I have put control on salt, smoking, exercise, except alcohol. My question is this, is alcohol is the reason that my BP is still high? Please Advice.
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Answered by Dr. Ivo Ditah (1 hour later)
Brief Answer:
Alcohol could be the possible cause!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this poorly controlled blood pressure. Your numbers are not too scary but moving from great and perfectly controlled values to less than stellar should certainly be concerning. Sound BP control is capital in preventing short and long term complications related to hypertension.

Alcohol is an excitant. It increases the excitatory response of the body and could be the reason for this. Also. this is the only consistent change that has coincided with your poorly controlled numbers. I will recommend you do all and get off it for about a week and see what the new numbers are. This would help to make sound evaluation and guide a decision on this..

I hope this addresses your query fully. I wish you well and tank you so much for using our services. I wish you well and feel free to ask for more information and clarification should need be.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3984 Questions

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Suggest Treatment For Poorly Controlled Blood Pressure

Brief Answer: Alcohol could be the possible cause! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this poorly controlled blood pressure. Your numbers are not too scary but moving from great and perfectly controlled values to less than stellar should certainly be concerning. Sound BP control is capital in preventing short and long term complications related to hypertension. Alcohol is an excitant. It increases the excitatory response of the body and could be the reason for this. Also. this is the only consistent change that has coincided with your poorly controlled numbers. I will recommend you do all and get off it for about a week and see what the new numbers are. This would help to make sound evaluation and guide a decision on this.. I hope this addresses your query fully. I wish you well and tank you so much for using our services. I wish you well and feel free to ask for more information and clarification should need be.