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What Causes High Blood Pressure And Dry Mouth At Night?

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Posted on Tue, 4 Nov 2014
Question: I wake up during the night with high blood pressure and very dry mouth. What could be causing this. I do have heart disease.
doctor
Answered by Dr. Panagiotis Zografakis (30 minutes later)
Brief Answer:
More information needed

Detailed Answer:
Hello,

You haven't been very specific about your medical history. I suppose you have arterial hypertension. What kind of heart disease do you have? Any medications? I've seen that you only stated "low sodium diet" but this is kind of strange, if you have "heart disease".

Also the reason of your night awakening is not very clear to me. Besides the dry mouth, did you have any other symptom?

It's not easy to tell what is the reason of your dry mouth without asking some questions. For example, if you sleep with your mouth open then a dry mouth is expected. Snorting or grunting sounds reported by your spouse would be a hint.

Excessive urine production is another possible cause. Taking diuretics may cause a dry mouth. Diabetes mellitus also. Too much caffeine does that too.

Other causes include salivary gland problems which result in a smaller amount of saliva in the mouth. Please note that these are some common causes but not a full list.

High blood pressure is not usual during the night unless something has occurred. It could be something that causes discomfort. Since you have 'heart disease' an arrhythmia could be causing symptoms, symptoms could increase your blood pressure.
How high is it during the night?
Normally how high is it?

I hope I've given you some basic ideas about your situation.
I could give yo more specific information, if you'd provide the details (detailed medical history, drugs, etc) , just ask again!

Kind Regards!
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Panagiotis Zografakis (2 hours later)
I've had open heart surgery to replace my aortic valve, 3 times I have been in AFIB. I'm very sodium sensitive. Reason for low sodium diet.
My cardiologist put me on the low sodium diet on 10/17/14. I have pre -diabetes. Here is a list of my medications, 1) Carvedilol 3.125 tabs, 1 tablet twice daily, 2) Enalapril 20 mg tabs, 1 tab twice daily 3) Furosemide 40mg, taken as needed, 4)Crestor 40 mg tab, 1 tab daily, 5) Pradaxa 150mg tabs, 1 tab twice daily, 6) Omeprazole 20 mg tabs 1 tab twice daily 7) Metformin 1000mg tab, 1 tab daily. 8)Amlodipine 2.5 mg tab, 1 tab daily 9)Amiodarone 200 mg tab 2 tabs daily.
I hope this added information helps. Please reply

doctor
Answered by Dr. Panagiotis Zografakis (29 minutes later)
Brief Answer:
It could be lasix

Detailed Answer:
Hello,

thanks for adding useful information to your initial question.
Pre-diabetes does not cause dehydration. For glucose-related dehydration to occur blood glucose levels above 180mg/dL are required (to induce significant urine production). Metformin is not given for pre-diabetes according to guidelines. Are you sure it's not evolved into diabetes? Have you checked your glucosylated hemoglobin for example?
Lasix could cause dehydration and dry mouth. Other drugs may also cause dry mouth but lasix is more likely to do so.
The high blood pressure - given your medical history - should be avoided. You should check your blood pressure when you're calm. If most measurements are above 140mmHg then this warrants a change to your antihypertensive treatment. Your heart already carries a heavy load due to your valve problem, which resulted in arrhythmia problems (atrial fibrillation and - I guess - enlarged heart chambers). Hypertension would be a heavy burden for this heart.
I hope I've addressed your concerns!
If you need further clarifications, please let me know.

Kind Regards!
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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What Causes High Blood Pressure And Dry Mouth At Night?

Brief Answer: More information needed Detailed Answer: Hello, You haven't been very specific about your medical history. I suppose you have arterial hypertension. What kind of heart disease do you have? Any medications? I've seen that you only stated "low sodium diet" but this is kind of strange, if you have "heart disease". Also the reason of your night awakening is not very clear to me. Besides the dry mouth, did you have any other symptom? It's not easy to tell what is the reason of your dry mouth without asking some questions. For example, if you sleep with your mouth open then a dry mouth is expected. Snorting or grunting sounds reported by your spouse would be a hint. Excessive urine production is another possible cause. Taking diuretics may cause a dry mouth. Diabetes mellitus also. Too much caffeine does that too. Other causes include salivary gland problems which result in a smaller amount of saliva in the mouth. Please note that these are some common causes but not a full list. High blood pressure is not usual during the night unless something has occurred. It could be something that causes discomfort. Since you have 'heart disease' an arrhythmia could be causing symptoms, symptoms could increase your blood pressure. How high is it during the night? Normally how high is it? I hope I've given you some basic ideas about your situation. I could give yo more specific information, if you'd provide the details (detailed medical history, drugs, etc) , just ask again! Kind Regards!