High Blood Pressure - Any Advice?

lila

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Aug 21, 2005
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437
I have been having trouble with my blood pressure recently - my doctor is concerned it's too high. We have been monitoring it closely for about a year now.

I am 29, with no family history of high blood pressure. I work out regularly and have a very high fitness level, have a good diet high in fruits and veggies, I don't smoke, consume limited amounts of alcohol, and have an average build. I do have a high stress job, and am on the BC pill which can increase BP. I do use a lot of (low sodium) salt, but have cut back significantly since this started last year.

The doctor is going to give me a 24 hr monitor next week to track my BP over the course of a day, and ensure it's not just "white coat syndrome." I really think it's not that, base on how I feel in general, and that I feel very relaxed in her office. Plus I never had this issue before last year.

I am really frustrated by this and wonder if anyone else has faced high blood pressure and can share their experience and any tips on lowering it. I get so worked up about it, it's probably raising my BP just thinking about it!
 
Mine is moderately high due to medications I take for my asthma. I just try to eat less salt and a healthy diet in general, and walk. Walking is very good for high BP.

Anne
 
Excersize,less salt, garlique. My aunt is an oncology nurse. Chemo sends up bloodpressure and they put people on garlique-the stuff that comes in a bottle. She says it works. What are your numbers?
 
I had high BP from "white coat syndrome" too - and from stress and being overweight. It came down when I started walking on a regular basis ( not power walking, just enjoyable walking ). But I also cut out packaged foods for the sodium content. I never added salt to food before so nothing to cut back on there. Just for the heck of it, try counting your sodium for a few days. Don't eat differently, just read the packages and look up the numbers on the fresh foods. You will be surprised. Canned soup is a HUGE offender. Unfortunately, so is canned chili....... which can be put on tortilla chips ( salt ) with melted jack cheese ( salt ) baked and then eaten with sour cream ( by now who cares - its wonderful! )

Glad your doc is on top of things and keeping an eye on you. Even if they suggest meds, some are pretty inexpensive, you just have to pee every ten minutes for about 2 hours. ( assuming diuretic type )

Stress does funky stuff besides higher BP. Headaches, triglycerides (sp) and intracostal (again spelling - means through the rib cage ) muscles. I take garlic and my triglycerides dropped alot. I do get a terrible pain in my side, like when you have pleuresy. Feels like migraine strength pain - like someone stuck their fingers between your ribs and tried to pick you up. Doc said stress and I have been observant and darned if it doesn't happen right after some hugely stressful event.

Sorry to go OT so much.
 

when I was being watched by my doctor. I bought a machine at walmart and tested my bp every day at different times. I have high bp and it isnt because of diet. I do not use salt or garlic salt or onion salt. we do not buy processed foods. I have a family background of high bp and high cholesterol and i was in line for diabetes. Oh well.....sometimes family genetics are on the list too.
Walking is good for all three of my problems .....Diet is important.....drinking loads of water.
Good luck
 
Well, I used to have the white coat thing, but these days it's just too high. They put me on meds last monday. I already have one of those bp cuffs here at home. I had to keep track when I was pregnant. Anyway, I have to check every other day or so.

What I've been told, reduce stress. Find ways to relax and laugh. Lower your weight, and salt intake. Drink lots of water.
I've also heard the scent of lavender is also supposed to help. :confused3

Try not to worry about things you can't control.
 
my mother has high blood pressure. Not over weight at all, very fit, exercises lots, eats pretty healthy, not a big salt person etc. She is on blood pressure medicine. Her job gives her a tremendous amount of stress. My advise to her and to you is keep saying "I never did mind about the little things".
I have told her if she keels over at work they will just roll her out of the cube and put someone else in there. Basically her boss is not going to care so she needs to take care of herself. Stress is what you make it so relax. whatever that is for you walk, run, swing, bike, massage, hot tub, something enjoyable and forget it when you leave work. My mom brings work home, works saturdays, overtime, and always has work on her brain.
 
My doc told me that while stress can raise your BP, it doesn't keep it elevated long-term. I've been on BP meds for a couple of years. I topped out at 161/106. Last time I went to the doc it was 112/82 or something like that. I take a combo bp/diuretic and it's been the one that has worked. I took several other meds before that, but either they weren't effective or had side effects (major major swelling in my ankles and hands).

Diet and exercise only helps so much.
 
My Dad has high blood pressure. He hated his medications and always found one that either gave him a little tickle in his throat or made him tired etc. He would just stop taking them for a little while. He was non compliant with his meds. Long story short...........his uncontrolled hypertension led to kidney failure!!! He is now on dialysis. NOt overweight at all!! We just found out this had been going on for nearly 5 years before his primary doctor ran tests!! (his original kidney panel was elevated in 2000 and when repeated in 2005, he was very close to kidney failure).

I don't mean to scare you but PLEASE keep on top of it!! Uncontrolled hypertension can lead to kidney failure! I wish you the best of luck!!!
 
The past 5 years, and was recently given a Higher Dose of my Medication, and now its under control. :thumbsup2 I was taking my old Medicine around 12 in the afternoon, and now I take it around 9:00am in the morning, what a difference, no swelling of the feet, and I also have been drinking a lot more water, and lost 12 pounds. ;) ALWAYS take your Medicine EVERYDAY first thing in the Morning, and you will be better. ;) I have NO clogging of the arteries, and NO high Chloesteral or triglcerides which is good.
 
lila said:
I do use a lot of (low sodium) salt, but have cut back significantly since this started last year.
Not because of the blood pressure, but please be careful with this low-sodium salt stuff. My dad's doctor told him that it has potassium in it, and that too much potassium can be FATAL to people with kidney or heart problems. He told him to NEVER touch the stuff.

I realize this isn't you, but you might use it to cook for someone who is older (not necessarily even elderly) and it could cause them a lot of problems. Someone who has the slightest bit of kidney function impairment could literally die from that potassium chloride stuff. Diabetics in particular may need to avoid it. I'd never heard that before but have since had it confirmed by other doctors too.
from drugs.com
• Symptoms of a potassium chloride overdose may include paralysis; numbness or tingling in the hands, arms, legs, or feet; an irregular heartbeat; low blood pressure (dizziness, confusion, weakness, fatigue); seizures; coma; and heart attack
If you do need medication to lower your BP, then a simple diuretic (prescription) often is the cheapest with the lowest side effects.
 
Potassium is supposed to help with BP. My Dh has had high BP since he was a child. He is now 29 & has it under control. He takes potassium daily, watches his sodium, etc. Good Luck!!
 
Look up the DASH diet. This is what I am using and it is helping. I'm also on meds and walking every day. Ask your doctor if you should take calcium or niacin. These might help.
 
sweet angel said:
My doc told me that while stress can raise your BP, it doesn't keep it elevated long-term. I've been on BP meds for a couple of years. I topped out at 161/106. Last time I went to the doc it was 112/82 or something like that. I take a combo bp/diuretic and it's been the one that has worked. I took several other meds before that, but either they weren't effective or had side effects (major major swelling in my ankles and hands).

Diet and exercise only helps so much.

I disagree with your last statement. I'm an RN...trust me, most young people with hypertension are overweight. People see amazing drops in their BP when they lose weight....
 
dvcgirl said:
most young people with hypertension are overweight. People see amazing drops in their BP when they lose weight....
I can have all the salt I want, and it doesn't affect my BP at all, but if I gain or lose even 10 pounds it will have a big impact on my BP. I lost 10 pounds recently (had pneumonia) and had to go off my BP medication as my BP dropped so much.
 
dvcgirl said:
I disagree with your last statement. I'm an RN...trust me, most young people with hypertension are overweight. People see amazing drops in their BP when they lose weight....

My last statement -- that diet and exercise only help so much -- was straight from my doctor. He said that not everyone can be helped by lifestyle changes alone.
 
Thanks for all the very good ideas. I am very frustrated by this because I am NOT overweight and very active. I walk an average of at least 5 miles most days (l live in NYC), and go to the gym for 2 hours a time about 5 times a week. I've been concentrating on increasing my fruits and veggie intake this summer, but I'll focus even more on reading sodium content on packaged foods and I will not be adding any salt of any sort to my food. I have also been reading the DASH diet information and find it very helpful.

Here is a new question: I eat out a lot - often, I can't avoid this since I travel for my job every week. How can I be smart about ordering low sodium foods in restaurants?

Thanks again for all the good help.
 
Diet-wise, AVOID TYRAMINE.

Tyramine is a chemical in certain foods that can somehow make your blood pressure go up in a nasty way and are forbidden if you're taking MAOI antidepressants, which disable the body's abilities to counter attack as so to speak.

Foods to Avoid

This list consists of foods with sufficient tyramine (in small or usual serving sizes) to create a dangerous elevation in blood pressure and which therefore should be avoided (McCabe, 1986).

Alcoholic beverages - avoid Chianti wine and vermouth. Consumption of red, white, and port wine in quantities less than 120 mL present little risk (Anon, 1989; Da Prada et al, 1988; McCabe, 1986). Beer and ale should also be avoided (McCabe, 1986), however other investigators feel major domestic (US) brands of beer is safe in small quantities (1/2 cup or less than 120 mL) (Anon, 1989; Da Prada, 1988), but imported beer should not be consumed unless a specific brand is known to be safe. Whiskey and liqueurs such as Drambuie(R) and Chartreuse(R) have caused reactions. Nonalcoholic beverages (alcohol- free beer and wines) may contain tyramine and should be avoided (Anon, 1989; Stockley, 1993).

Banana peels - a single case report implicates a banana as the causative agent, which involved the consumption of whole stewed green banana, including the peel. Ripe banana pulp contains 7 mcg/gram of tyramine compared to a peel which contains 65 mcg/gram and 700 mcg of tyramine and dopamine, respectively (McCabe, 1986).

Bean curd - fermented bean curd, fermented soya bean, soya bean pastes contain a significant amount of tyramine (Anon, 1989).

Broad (fava) bean pods - these beans contain dopa, not tyramine, which is metabolized to dopamine and may cause a pressor reaction and therefore should not be eaten particularly if overripe (McCabe, 1986; Anon, 1989; Brown & Bryant, 1988).

Cheese - tyramine content cannot be predicted based on appearance, flavor, or variety and therefore should be avoided. Cream cheese and cottage cheese have no detectable level of tyramine (McCabe, 1986; Anon, 1989, Brown & Bryant, 1988).

Fish - fresh fish (Anon, 1989; McCabe, 1986) and vacuum- packed pickled fish or caviar contain only small amounts of tyramine and are safe if consumed promptly or refrigerated for short periods; longer storage may be dangerous (Anon, 1989). Smoked, fermented, pickled (Herring) and otherwise aged fish, meat, or any spoiled food may contain high levels of tyramine and should be avoided (Anon, 1989; Brown & Bryant, 1988).

Ginseng - some preparations have resulted in a headache, tremulousness, and manic-like symptoms (Anon, 1989).

Protein extracts - three brands of meat extract contained 95, 206, and 304 mcg/gram of tyramine and therefore meat extracts should be avoided (McCabe, 1986). Avoid liquid and powdered protein dietary supplements (Anon, 1989).

Meat, nonfresh or liver - no detectable levels identified in fresh chicken livers; high tyramine content found in spoiled or unfresh livers (McCabe, 1986). Fresh meat is safe, caution suggested in restaurants (Anon, 1989; Da Prada et al, 1988).

Sausage, bologna, pepperoni and salami contain large amounts of tyramine (Anon, 1989; Da Prada et al, 1988; McCabe, 1986). No detectable tyramine levels were identified in country cured ham (McCabe, 1986).

Sauerkraut - tyramine content has varied from 20 to 95 mcg/gram and should be avoided (McCabe, 1986).

Shrimp paste - contain a large amount of tyramine (Anon, 1989).

Soups - should be avoided as protein extracts may be present; miso soup is prepared from fermented bean curd and contain tyramine in large amounts and should not be consumed (Anon, 1989).

Yeast, Brewer's or extracts - yeast extracts (Marmite) which are spread on bread or mixed with water, Brewer's yeast, or yeast vitamin supplements should not be consumed. Yeast used in baking is safe (Anon, 1989; Da Prada et al, 1988; McCabe, 1986).


Foods to Use with Caution

This list categorizes foods that have been reported to cause a hypertensive crisis if foods were consumed in large quantities or stored for prolonged periods, or if contamination occurred. Small servings (1/2 cup, or less than 120 mL) of the following foods are not expected to pose a risk for patients on MAOI therapy (McCabe, 1986).

Alcoholic beverages - see under foods to avoid.

Avocados - contain tyramine, particularly overripe (Anon, 1989) but may be used in small amounts if not overripened (McCabe, 1986).

Caffeine - contains a weak pressor agent, large amounts may cause a reaction (Anon, 1989).

Chocolate - is safe to ingest for most patients, unless consumed in large amounts (Anon, 1989; McCabe, 1986).

Dairy products - Cream, sour cream, cottage cheese, cream cheese, yogurt, or milk should pose little risk unless prolonged storage or lack of sanitation standards exists (Anon, 1989; McCabe, 1986). Products should not be used if close to the expiration date (McCabe, 1986).

Nuts - large quantities of peanuts were implicated in a hypertensive reaction and headache. Coconuts and brazil nuts have also been implicated, however no analysis of the tyramine content was performed (McCabe, 1986).

Raspberries - contain tyramine and small amounts are expected to be safe (McCabe, 1986).

Soy sauce - has been reported to contain large amounts of tyramine and reactions have been reported with teriyaki (Anon, 1989), however analysis of soy sauce reveals a tyramine level of 1.76 mcg/mL and fermented meat may have contributed to the previously reported reactions (McCabe, 1986).

Spinach, New Zealand prickly or hot weather - large amounts have resulted in a reaction (Anon, 1989; McCabe, 1986).

Frankly, the diet sucks, but if you follow it only a little bit, it can only help I guess.



Rich::
 
I questioned my Dr. as well after I ws diagnosed a few years ago.
I also did not meet the stereotypical person w/ HBP. I was looking for answers and things I could do and my Dr. said "Sometimes you just get it". He told me about athletes who, out of the blue get HBP.
Dr. also said salt was not a trigger for me ( I hate salt).
 
So m&m's mom - what did they do? Did you get your BP down?
 










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