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Is it normal to have fluctuating blood pressure throughout the day ?

I am a 52 year old female who has been just diagnosed with high Blood pressure in the er two weeks ago. It was 220/116. I was under much stress so they thought it may have been situational. They gave me 25 mg of tropical and .5mg of Ativan . That got my pressure down. Also hooked me up to monitors and all looked good. So did blood work. Went to family dr. And she kept me on same thing plus .5 Ativan twice a day. Two days later she raised the topral to 50mg once daily because my pressure was staying around 172/114. Then it went down to around 104/73. Two weeks later I had a visit with her and it was up to 164/106. She gave me a chart to keep three times a day .my morning pressure is good 110/71. My mid day is165/101. My evening is 164/111. This has been four days in a row now. Is this normal
Asked On : Wed, 18 Apr 2012
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General Surgeon 's  Response
Hello Dnphros,
morning blood pressure( BP)-110/71 mm of Hg good control , midday BP 165/101 mm of Hg- higher BP ,not control, Evening BP-164/111 mm of Hg also higher, not control, normal person have fluctuating BP under normal range, BP is affected by many factor-age , gender,diet,smoking, alochol,obese, overweight, lacks of physical excercise, stress, sleep,, genetics. family history of hypertension,, chronic kidney disease, adrenal ,thyroid disease, BP reading change from sitting to standing, also affected by lying dowen, also change from right yo left arm, but difference more than 10 mm of mmHg suspicion of disease like obstructive arterial disease , in morning BP reading -lowest, higest in afternoon & evening , normal Bp-120/80 below this.120-139SBP,80-89DBP is prehypertensive,140-159 stage1 SBP,90-99 stage 1 DBP,160-179 stage 2SBP,100-109 stage2 DBP, above 180 SBP hypertensive crisis, above 110 DBP hypertensive crisis, SBP-systolic blood pressure,DBP-diastolic Blood pressure, hypertension leads to cardiovasculer complication-stroke, , thromoemolism, kidney faliure, brain-haemorrhage,thrmoembolism, hope my advice is useful to you, thank you.
Answered: Wed, 25 Apr 2012
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