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Causes and risk factors for high blood pressure, white collar BP - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions

Doctor :   Hi
Doctor :   How can I help you?
Doctor :   are you there?
Doctor :   It shows you have moved away from the chat, so I close the window. Please log in again if you need further medical advice.
Doctor :   hi
User :   Doctor,Y'day I went to check my BP in night and it was very high at 165/105 and after 10 minutes I checked again it was even more high.
User :   My age is 29.I got scared and went to the nearby hospital and checked again thro.hand pump. At that time it was 130 / 90 only.I am much worried on this
Doctor :   its k
Doctor :   nothing to worry for
Doctor :   may be coz on anxiety
User :   Again I checked today morning in the same medical shop and still it is high at 157/105. I dont know why it is so high. I am 174 cm and 76 kg in ht. and wt.Doctor has prescribed cardace to take.
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often and how long you have?

Doctor :   Dear User. Please close this browser and log in from another browser. Once you make the payment, you can chat with us online, the free trial is over.
User :   Can I chat now
User :   I smoke only one or two cigarettes a day.Drink only once in a month or two.
Doctor :   r u back?
User :   I am back
Doctor :   k
Doctor :   proceed wdthe problems?
User :   As I told earlier my BP was high.
Doctor :   k
Doctor :   since how long ur smoking?
User :   I first checked at a medical shop in night after dinner it was 160/105. I went to a hospital and checked it was 130/90 thro. a hand pump.Again today morning it was high at 150/105.I am smoking for the last 4-5 years
Doctor :   k
Doctor :   since how long u having this problem?
User :   From y'day I am very much disturbed and worried.I am 29 years old.
Doctor :   Do you have Allergies / Diabetes / Thyroid problem / Heart disease/ Asthma etc
User :   I checked my BP two months back and it was only 130/ 90
User :   No, nothing.My Random Blood Sugar done last month was at 94 and LDL-140,HDL-43,Total -228
Doctor :   well there can be many reasons for the high BP?
Doctor :   what r the symptoms ur facing?
User :   What should I do know.I feel restlessness and disturbed.I started feeling how my BP will fluctuate every now and then.
User :   No symptoms
Doctor :   n 90 to 95 percent of high blood pressure cases, there's no identifiable cause
Doctor :   This type of high blood pressure, called essential hypertension or primary hypertension, tends to develop gradually over many years. The other 5 percent to 10 percent of high blood pressure cases are caused by an underlying condition. This type of high blood pressure, called secondary hypertension, tends to appear suddenly and cause higher blood pressure than does primary hypertension.
User :   The doctor also told it is because of anexity and called it as White collar BP.
Doctor :   yeah hes TRUE
Doctor :   Various conditions can lead to secondary hypertension, including kidney abnormalities, tumours of the adrenal gland or certain congenital heart defects. Certain medications including birth control pills, cold remedies, decongestants, over-the-counter pain relievers and some prescription drugs may cause secondary hypertension. Various illicit drugs, including cocaine and amphetamines can also increase blood pressure.
Doctor :   The risk factors for high blood pressure include: User :   I dont take any of the above.While I am going to check my BP I was very tensed and was thinking only about how much it will be and not able to divert myself.
Doctor :   yeah anxiety is the cause
Doctor :   # Heredity
# Obesity
# Heredity
# Smoking
# Age
# Stress
# Excessive alcohol
Doctor :   high BP be controlled by :-
Doctor :   # Stop smoking
# Maintain a normal body weight รข?? reduce if over-weight.
# Eating too much salt makes high blood pressure worse. Low-sodium diets are prescribed to help control high blood pressure. These limit the amount of sodium in the diet to less than 2 grams per day (about half the amount of sodium in the average diet).
# Eat a healthy diet containing soluble fibre, such as fruit and vegetables.
# Avoid high fat foods.
# Avoid coffee and colas
# Do not drink excessive alcohol.
# Exercise regularly to keep fit.
# Reduce stress and relax after work.
# Follow-up regularly with the doctor.
User :   Could anexity lead to 160+ So, what should I do. Doctor has prescribed Cardace tablet one every morning. The main reason for this is I started checking my heart rates very often while working,walking,eating,exercising etc because I have a treadmill at home and while working out in it it shows diff. heart rates that scared me.
Doctor :   well u can continue the medication
Doctor :   its absolutely fine
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