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Is BP of 114/86, normal? - Online Doctor Chats

Date : 23-Apr-2014
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
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Doctor:Hi there, What can I do for you?
User:My B.P is 114/86 ..Is t fine or high?
Doctor:It's a pretty good number!
User:but 86 ?
User:my worry is why my diastolic is high ?
Doctor:The diastolic number (the lower number) is 86, that is a fine number
Doctor:there will always be very minor variations in the blood pressure throughout the day
User:Have been checking it since 2 weeks
User:systolic is 120-114 but diastolic is 86 -87
Doctor:It is a good idea to check your BP first thing in the morning for 2 to 3 days continuously
User:u mean early morning
User:what if it remains same -
Doctor:Also remember that every human being will be a bit different
User:as in?
Doctor:Let me ask you a question. How did medical science arrive at the number of 120/80 being normal?
User:no clue
User:last month was feeling some kind of palpitations and all - So my doc prescribed me inderal 10 mg ..was it okay
Doctor:It was determined by checking 1 million american military recruts between the age of 20-30 in the year 1970
Doctor:You are not american, you are not built like a soldier and your general stage in life is different
Doctor:Don't hold fast and hard to this number!
User:till what reading - you will say B.P is normal
Doctor:It will cause severe anxiety
User:yes true
User:so now even when i dont feel palpitation , i am having medicne - please advice what should i do
Doctor:I am very very sure you will live a long happy life with that BP
Doctor:now as to the palpitations
User:really hahah
Doctor:i would not recommended that you continue inderal for a very long time.
User:ya , i will have side effect ?
Doctor:i think that you should discontinue it after 2-3 weeks of use and see if there is a repeat of the palpitations
User:ok will do so
User:Have asked you that till what reading u sy that B.P is normal
Doctor:No, it's a very safe drug. the problem is we shouldn't just give a drug tat will mask symptoms. If you have palpitations, we should see why they are happening
Doctor:at your age, reading of 110-125 systolic
Doctor:and 70 to 90 diastolic would be ok
Doctor:but i would be very bothered if your BP stayed around 130/90 for very long. Then I would probably give you an antihypertensive
User:actually have heard if B.P remains more that 120 /80 then it mite effects body parts
User:what is antihypertensive?
Doctor:statistically the chances are almost null. 120/80 is an average. It also depends on a persons genetics and if they have inherited any other probles with their blood vessels
Doctor:Anti Hypertension meds are 'BP' Meds, drugs that bring down your BP
User:u mean to say , have to take that fr lifelong
Doctor:Sometimes you do and sometimes you don't, it depends on the person and why they are hypertensive
Doctor:For example, if your hypertension is due to being overweight.. then losing the weight will negate the need for any more meds
User:My doc said that inderal will also lower down my B.P
Doctor:On the other hand of the Hypertension is due to say... a kidney probblem
Doctor:you would need to be on the drugs life long
User:I am 65kg and 5.2
Doctor:You are FINE! I'm happy with you're BP and your weight is fine as well.
User:kidney Problem?
Doctor:Get another opinion. I do not believe in prescribing drugs at a moments notice.
Doctor:I am not saying you have any kidney issues
Doctor:i am just giving an example
User:i am not sure why it is happening ?
User:how to detect ?
Doctor:Ma'am, if you keep stressing about your BP, your BP will go up. How about managing your stress better?
User:that what is the cause i am havig bp
Doctor:I am not going to say you have hypertension, this is a normal number
Doctor:I think you need to look into lifestyle modifications like meditation and relaxation therapy to better those numbers any furthur
User:ok sure , will do so
Doctor: XXXXXXX don't worry. you have a long life ahead of you, if those numbers go up any furthur, then we will look into the causes and the need for medications
Doctor:For now. Go out, live a healthy lifestyle, relax and enjoy!
Doctor:Ok. Take Care, feel free to come back anytime
User:thanks again
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