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This is Dr. D.J., experienced Internal Medicine Specialist.
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This is known as whitecoat hypertension.
This is a falsely high BP --some people experience anxiety at doctor's office causing high BP.
As long as your home BP monitor is properly tested and you have normal Bp at home with daily measurements, you are safe.
So, you should check that your home Bp monitor is showing correct readings.
There is no need to increase the medication, if your home BP remains normal all the time.
I think that when the nurses go oh wow! that their response makes it go through the roof. Is there anything I can do to lesson this fear that I have and overwhelming anxiety that I feel going into the doctor? Also, what if blood pressure gets into the 90's on the bottom? Is that causing injury to me? How long does it take for injury to occur from high blood pressure?