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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For White Coat Syndrome?

I have white coat syndrome. My current doctor doesn t believe me. My blood pressure at home averages 127/77. When I go into the doctor s office it goes sky high to 190/95 or more. I tried taking an ace inhibitor once that another doctor prescribed for me because of my high blood pressure in the office and bottomed out. I got the term bottomed out from my doctor when I described what happened after I took the drug. I happen to have a home blood pressure monitor and took my blood pressure after taking just one dose ( lowest dose of Altace) and my blood pressure went down to 55/46 and my pluse was very low also. I felt like all the life was drained out of me and I was so cold I shivered for hours (which is the only thing that was keeping me awake because I felt like blacking out) I was too weak to walk, dizzy if I tried to stand up, I was white in the face, and clammy....etc. I almost called for an ambulance. (maybe I should have) On another occassion I was given a nitro patch once in the hospital after going in for chest pain and had a really bad reaction to the nitro patch. In other words my heart stopped beating; but, they got me back by ripping off the nitro patch, turning me upside down and putting something in my IV. I was in the hospital for 10 days with them trying to find out why that happened. I know why it happened. It was the nitro patch. Nothing was wrong with my heart except for a mitral value click not even a prolapse. My current doctor did a heart ultra sound to see if my heart muscle was thick to prove to me I had high blood pressure. The results did come back with a certain degree of heart thickness (I m 62) ; but, he didn t stress taking blood pressure medication after that test was done. I don t know what to do with only having occassional high blood pressure when under stress like when I go to the doctor s, dentist....etc. and it s obvious I can t take blood pressure medication. Is this kind of blood pressure problem unhealthy and if it is what can I do about it. Would some kind of bio feedback training be helpful? In my earlier years I was under a lot of stress from major life events; but, now I m not except when I go to the doctor. I m afraid to try another blood pressure medication because of my sensitivity to them. Is it necessary to take blood pressure medication for this problem?
Mon, 30 Jun 2014
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Psychiatrist 's  Response
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
Relaxation exercises are a good treatment option for white coat syndrome.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy
                                        
Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.
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What Is The Treatment For White Coat Syndrome?

Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. Relaxation exercises are a good treatment option for white coat syndrome. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.