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Why Does My Blood Pressure Vary Between Morning And Afternoon?

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Posted on Tue, 11 Sep 2012
Question: Why does my blood pressure go from 158/97 in the mornings to 117/78 in the afternoon
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Answered by Dr. Mayank Bhargava (17 minutes later)
Hi XXXXXXX
Thanks for posting your query.
Diurnal variation in blood pressure is physiological phenomenon.
Blood pressure has a daily pattern. Blood pressure is normally lower at night while you're sleeping. Your blood pressure starts to rise a few hours before you wake up. Your blood pressure continues to rise during the day, usually peaking in the middle of the afternoon. Then in the late afternoon and evening, your blood pressure begins dropping again.
Blood pressure rises sharply in the morning in response to the activation of the sympathetic nervous system when one arises.The activity of the sympathetic nervous system is quiescent during sleep, whereas awakening selectively increases epinephrine levels.
As you have mentioned that you have history of stroke in may 2012 and your blood pressure 158/97 mm Hg indicates raised blood pressure.
so are you taking any medication for lowering blood pressure or you have normal blood pressure?
Please give details.
Best regards,
Dr. Mayank Bhargava

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Mayank Bhargava (42 minutes later)
I am not currently taking anything for the hypertension, up to a week ago I was suffering with postural hypotension and was taking fludracortisone. I stopped this medication 5 days ago when my BP went up and it now fluctuates between being too high and on the low side. It still falls when I stand. I have also recently been diagnosed as having a hole in my heart which it is believed was responsible for my stroke
doctor
Answered by Dr. Mayank Bhargava (13 minutes later)
Hi,
If there is any thrombus formation around hole in heart then there is possibility of getting stroke.
Thanks,
Dr. Mayank Bhargava
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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Answered by
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Dr. Mayank Bhargava

Internal Medicine Specialist

Practicing since :2003

Answered : 1658 Questions

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Why Does My Blood Pressure Vary Between Morning And Afternoon?

Hi XXXXXXX
Thanks for posting your query.
Diurnal variation in blood pressure is physiological phenomenon.
Blood pressure has a daily pattern. Blood pressure is normally lower at night while you're sleeping. Your blood pressure starts to rise a few hours before you wake up. Your blood pressure continues to rise during the day, usually peaking in the middle of the afternoon. Then in the late afternoon and evening, your blood pressure begins dropping again.
Blood pressure rises sharply in the morning in response to the activation of the sympathetic nervous system when one arises.The activity of the sympathetic nervous system is quiescent during sleep, whereas awakening selectively increases epinephrine levels.
As you have mentioned that you have history of stroke in may 2012 and your blood pressure 158/97 mm Hg indicates raised blood pressure.
so are you taking any medication for lowering blood pressure or you have normal blood pressure?
Please give details.
Best regards,
Dr. Mayank Bhargava