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What do my BP readings indicate?

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Posted on Sat, 28 May 2016
Question: my bp is 171/111 this morning it was 186 /107 yesterday while at DR office they took blood samples and sent me home and back to work is this the normal or should I see another DR today ?
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Answered by Dr. Michelle Gibson James (20 minutes later)
Brief Answer:
should not cause acute damage but most would have given medication

Detailed Answer:
HI, thanks for using healthcare magic

There are different levels of high blood pressure, stage 1 or stage 2.

Your readings are at stage 2. It is not likely to cause any immediate harm but if it continues then long term changes to different organs can occur.
If you do feel any symptoms that are indicating acute damage ,then you should be seen as soon as possible eg chest pain, shortness of breath, palpitations, headache, blurred vision, dizziness, abdominal pain

Many doctors would have prescribed medications immediately for blood pressures in this range. At least 2 meds may be needed.

If your doctor scheduled in follow up visit within the next few days (two to three), then you can consider keeping the appointment.

If there is no follow up scheduled within this time frame, you can either make an appointment for this doctor or another for a second assessment.

If you are concerned, which is understandable, and wish to be seen sooner then this would also be fine.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James (5 hours later)
My Dr has refered me to another Dr due to high red blood cells 6.0 and a hemoglobin of 18.1 what does this mean ? I got this message after he left his office today
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Answered by Dr. Michelle Gibson James (6 hours later)
Brief Answer:
polycythemia

Detailed Answer:
HI

May be referring you to a hematologist.

The high rbc and Hb may be due to polycythemia. This is a condition where there is increased levels/concentration of red blood cells.

it is classified as primary or secondary. In primary, there is an issue with the increased production of red blood cells in the bone where they are normally made

In secondary, the increased red blood cells occur because there is decreased oxygen in some parts of the body and this stimulates the body to make more red blood cells (since these carry oxygen)

The doctor would asses you.

Treatment may include: aspirin, medications to help reduce red cell production, phelbotomy (removing blood)

With medication and treatment, most persons are able to do fine
please feel free to ask any thing else
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16810 Questions

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What do my BP readings indicate?

Brief Answer: should not cause acute damage but most would have given medication Detailed Answer: HI, thanks for using healthcare magic There are different levels of high blood pressure, stage 1 or stage 2. Your readings are at stage 2. It is not likely to cause any immediate harm but if it continues then long term changes to different organs can occur. If you do feel any symptoms that are indicating acute damage ,then you should be seen as soon as possible eg chest pain, shortness of breath, palpitations, headache, blurred vision, dizziness, abdominal pain Many doctors would have prescribed medications immediately for blood pressures in this range. At least 2 meds may be needed. If your doctor scheduled in follow up visit within the next few days (two to three), then you can consider keeping the appointment. If there is no follow up scheduled within this time frame, you can either make an appointment for this doctor or another for a second assessment. If you are concerned, which is understandable, and wish to be seen sooner then this would also be fine. I hope this helps, feel free to ask any other questions