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What could cause blood pressure to increase late in the

Customer Question
What could cause blood...

What could cause blood pressure to increase late in the evening while I'm sitting, relaxed, watching TV?

Doctor's Assistant: Is this consistent, or is there some fluctuation in blood pressure?

No, it's not consistent. It just started this week and has occurred five nights in a row. There is not typically this much fluctuation. It has been 180 and above. Last night was 198. After I take clonidine, it dropped to 188 in an hour, took another, it dropped to 167 in an hour and finally went to bed. Could it be certain food intake?

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

No ,not really. I have talked to my doctor and she is reassuring but I can't help feel there is something else.

Submitted: 7 months ago.Category: Medical
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Answered in 4 minutes by:
12/12/2017
Doctor: Dr.Saleem, Doctor replied 7 months ago
Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 3,419
Experience: MBBS
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Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

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Doctor: Dr.Saleem, Doctor replied 7 months ago

Well increased salt in food can cause blood pressure to rise . Other possible causes include alcohol , coffee, processed food, refined sugar, red meat etc.

BP can rise with stress/ anxiety .

Do you take any medications at present? For BP

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Customer reply replied 7 months ago
Losartan daily.
Conidine HCL when bp exceeds 180.
Customer reply replied 7 months ago
Can we continue this after a brief intermission? Thank you
Customer reply replied 7 months ago
How high should you let no get before you go to ER?
Doctor: Dr.Saleem, Doctor replied 7 months ago

Systolic blood pressure above 180 has to be managed promptly . So it consistently remains elevated then you should seek professional help. If the blood pressure readings have been on the higher side for almost a week now then its better to optimize the dosage of losartan or add another antihypertensive such as a calcium channel blocker e.g amlodipine. Risk factors such as high cholesterol, smoking, alcohol and salt consumption should be controlled.

Daily 30 minutes dynamic exercise for 5 daya a week benefit in terms of cardiovascular and overall general health.

I hope it helped.

Let me know if you have any more queries.

Please reward credit for the consult by clicking 5 stars in rating corner of your page if you are satisfied.

Wishing you a healthy life.

Regards.

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