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What Causes Elevation In BP Readings When I Wake Up?
Question: Please my blood goes up when I wake up in the morning as well as in the afternoon after siesta. I need help. Blood pressure meds do not help either.
Brief Answer:
I'm waiting for the new data to be uploaded.
Detailed Answer:
Hi and thank you for asking!
I read your query very carefully and understood your concerns.
Your symptoms are typical for what we call morning hypertension. To treat it first it should properly evaluated.
If you were my patient I would recommend:
- Blood work
- Ecg
- Cardiac echo
- Holter and BP monitoring
These will help first to diagnose morning hypertension and than to differentiate between the two types of morning hypertension.
There are two types of morning hypertension hat need to be differentiated from each other
1. Morning surge hypertension and
2. Nocturnal hypertensive morning hypertension.
Can you show me your BP values in the morning and evening?
The treatment of morning hypertension is based on:
- healthy life style especially salt and alcohol restriction
- dividing ace-i (enalapril, ramipril etc.) in the evening and morning
- the use of diuretics
- the use of alpha blockers ( Prazosin Doxazosin etc.).
Can you upload the list of medications you are taking (or you have used in the past and didn't work)? These will help me to give you a more accurate treatment strategy.
I'm waiting for the new data to be uploaded.
Wish you health!
Dr. shehu
I'm waiting for the new data to be uploaded.
Detailed Answer:
Hi and thank you for asking!
I read your query very carefully and understood your concerns.
Your symptoms are typical for what we call morning hypertension. To treat it first it should properly evaluated.
If you were my patient I would recommend:
- Blood work
- Ecg
- Cardiac echo
- Holter and BP monitoring
These will help first to diagnose morning hypertension and than to differentiate between the two types of morning hypertension.
There are two types of morning hypertension hat need to be differentiated from each other
1. Morning surge hypertension and
2. Nocturnal hypertensive morning hypertension.
Can you show me your BP values in the morning and evening?
The treatment of morning hypertension is based on:
- healthy life style especially salt and alcohol restriction
- dividing ace-i (enalapril, ramipril etc.) in the evening and morning
- the use of diuretics
- the use of alpha blockers ( Prazosin Doxazosin etc.).
Can you upload the list of medications you are taking (or you have used in the past and didn't work)? These will help me to give you a more accurate treatment strategy.
I'm waiting for the new data to be uploaded.
Wish you health!
Dr. shehu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My values in the morning reads 150/103 and in the evening 130/88. I am taking ZESTRIL. I was given Metoprolol Tartrate 50mg. After I read that one of the side effects is heart failure,I did not take it at all. I stopped exercising because there was no improvement in my blood pressure
Brief Answer:
Following advice...
Detailed Answer:
Hi back,
After reviewing your treatment and other data my opinion is that you have morning surge hypertension.
If you were my patient I would have ordered lisinopril at bedtime and would add a diuretic (hydroclortiaside, clorthalidone, indapamide etc.) on your therapy (to be taken in the early morning). This combination will be more effective with less side effects. However you should discuss with your doctor about any change on your therapy.
Hope this will be of help!
Wish you health!
Dr. Shehu
Following advice...
Detailed Answer:
Hi back,
After reviewing your treatment and other data my opinion is that you have morning surge hypertension.
If you were my patient I would have ordered lisinopril at bedtime and would add a diuretic (hydroclortiaside, clorthalidone, indapamide etc.) on your therapy (to be taken in the early morning). This combination will be more effective with less side effects. However you should discuss with your doctor about any change on your therapy.
Hope this will be of help!
Wish you health!
Dr. Shehu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My doctor did not have an idea why my BP goes up I'm the morning. It also gets worse when I wake maybe on the afternoon.
Brief Answer:
Following advice.
Detailed Answer:
Hi back,
The early morning hypertension surge is caused by the increased activity of sympathetic nervous system in the early morning. This is also accompanied with excessive release of adrenaline and cortisol from the surrenal gland.
As a combination of these mechanism you will experience a surge of hypertension in the early morning.
Please follow my advice about the treatment.
Hope this was of help!
Wish you health!
Dr. Shehu
Following advice.
Detailed Answer:
Hi back,
The early morning hypertension surge is caused by the increased activity of sympathetic nervous system in the early morning. This is also accompanied with excessive release of adrenaline and cortisol from the surrenal gland.
As a combination of these mechanism you will experience a surge of hypertension in the early morning.
Please follow my advice about the treatment.
Hope this was of help!
Wish you health!
Dr. Shehu
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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