Chronic Pain And Hypertension
The link between chronic pain and high blood pressure is not as obvious as in acute pain. Several studies suggest that having chronic pain increases your risk of developing long-term hypertension. The most probable cause is that chronic pain wears out your endogenous opioid receptors. Just like acute pain, chronic pain will trigger the endogenous opioid response, but over time, as the pain continues, you run out of opioids. This has the effect of increasing your sensitivity to pain. The long-lasting pain causes hypertension.
About High Blood Pressure
High blood pressure, also known as hypertension, is usually defined as having a sustained blood pressure of 140/90mmHg or above.
The line between normal and raised blood pressure is not fixed and depends on your individual circumstances. However, most doctors agree that the ideal blood pressure for a physically healthy person is around 120/80mmHg.
A normal blood pressure reading is classed as less than 130/80mmHg.
You Have Another Health Conditionor You Take One Of These Meds
If you do have high blood pressure, your doctor will likely take into consideration the range of other diseases and disorders that, when poorly managed, cause your blood pressure to become elevated. These include thyroid problems, renovascular disease, Cushings syndrome, and a number of others. The key to all these conditions is the correct diagnosis, says Dr. Beniaminovitz. When the proper diagnosis is made, working with your doctor to reverse and or treat these conditions often cures high blood pressure.
BP fix: Document symptoms that seem unusual.
If your doc says your BP is high, bring up any strange symptoms that could indicate an underlying cause , and always provide them with a list of your current medications and supplements.
If your meds are the issue, ideally they would be discontinued or changed to ones that have no or less effect on blood pressure, says Dr. Beniaminovitz. If a change in medication is not possible, often your doctor will prescribe optimal lifestyle and blood pressure medication to combat the effects.
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Natural High Blood Pressure Remedies
There are also natural remedies to interject into your daily lifestyle to regulate blood pressure and prevent cases of sudden high blood pressure. Be sure to discuss the use of the following products with your doctor in addition to your health regimen.
To prevent a blockage of blood vessels, consume celery daily. It contains phytochemicals that relax the muscles, allowing a smoother blood flow.
2. Fenugreek Seeds
This spice has fiber to help maintain blood pressure levels. Boil one to two spoonsful of seeds in water to create a paste. Consume one tablespoon per day.
4. Coconut Water
Drink daily as a source of vitamin C, magnesium, and potassium to lower blood pressure.
One of natures best immune system boosters, garlic is a blood thinner. Use at least four grams per day.
A person with high blood pressure is at risk for various health conditions including heart disease. If your high blood pressure numbers rise suddenly, it could indicate an underlying condition that requires immediate medical attention. There are certain medications and hormonal changes that can stimulate an increase in pressure without causing alarm.
If you have been diagnosed with high blood pressure, talk to your doctor about lifestyle changes and natural remedies in addition to your prescribed health regimen.
What Causes Labile Hypertension
When labile hypertension is suspected, a 24-hour ambulatory blood pressure monitor may be used to confirm the diagnosis. Then the work of pinpointing the underlying cause begins. Serious detective work often is required. We look at the patients overall health, lifestyle and medications, says Dr. Lioudis.
When a medication or lifestyle choice is the precipitating factor, making appropriate changes can cause labile hypertension to disappear.
Underlying medical conditions are a bigger concern, since they may be harder to treat.
We look for sleep apnea, cardiovascular disease, kidney disease or a problem with the adrenal glands, as any of these can cause blood pressure to fluctuate,says Dr. Lioudis.
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What Tests Diagnose High Blood Pressure
Blood pressure is measured with a blood pressure cuff . This may be done using a stethoscope and a cuff and gauge or by an automatic machine. It is a routine part of the physical examination and one of the vital signs often recorded for a patient visit. Other vital signs include pulse rate, respiratory rate , temperature, and weight.
The American Heart Association and the American College of Cardiology recommend specific steps to measure blood pressure in a medical setting.
- The patient should relax in a chair for at least five minutes, with the back supported and feet on the floor
- The patient should not have had caffeine, tobacco products or participated in any exercise for at least 30 minutes before the blood pressure check
- The patient should not talk for the five minute rest period
- The blood pressure cuff should not be placed over clothing instead it should be placed directly on the skin
- The arm being tested should be supported or be rested on a table or arm rest
- The cuff being used should be the appropriate size for the patient
- Blood pressure should be checked at least two times, separated by 1-2 minutes, and an average taken to estimate that personâs blood pressure
- For the first visit for a blood pressure check, the blood pressure reading should be measured in both arms and the higher of the two readings should be used to decide upon treatment
Other studies may be considered depending upon the individual patient’s needs
If You Need Two Medications
Many types of blood pressure drugs work best when taken together. When taking two drugs together, diuretics have been shown to lower blood pressure with a beta-blocker, ACE inhibitor and an ARB. A calcium channel blocker lowers blood pressure with the same drugs that work well with a diuretic. Other drug combinations are necessary when taking three or more blood pressure medications. There may be other reasons why your doctor may prescribe two blood pressure medications. For example, after heart attacks, doctors will prescribe a beta-blocker and an ACE inhibitor, but this is not primarily to reduce blood pressure.
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What Medications Treat High Blood Pressure
- Of appropriate, chlorthalidone is the preferred diuretic.
- Beta-blockers reduce heart rate and decrease the force of heart contraction by blocking the action of adrenaline receptors. Beta blockers are widely prescribed and effective but can cause increased fatigue and decreased exercise tolerance because they prevent an increased heart rate as a normal response to physical activity.
- They are also prescribed for people who have associated heart disease, angina, or history of a heart attack.
- Examples of beta blockers include, carvedilol , metoprolol , atenolol
Calcium Channel Blockers
- Calcium channel blocking agents work by relaxing the muscle in artery walls and by therefore reducing the force of contraction of heart muscle.
- Example of calcium channel blockers include, nifedipine , diltiazem , verapamil , nicardipine , amlodipine , and felodipine
Angiotensin-Converting Enzyme Inhibitors
- ACE inhibitors stop the production in the body of a chemical called angiotensin II, which causes blood vessels to contract. Narrower blood vessels are associated with increased blood pressure. Relaxing artery walls leads to lower blood pressure.
Blockers of Central Sympathetic System
Take your high blood pressure medicine as prescribed and only discontinue them on the advice of your doctor or other healthcare professional.
The Truth About Sleep And Blood Pressure
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Youve gone in for your routine physical examination, and youre told what millions of Americans are: you have high blood pressure But, like many Americans, you may not be aware of the truth behind the powerful connection between blood pressure spikes and the quality of your sleep.
As a sleep doctor, I spend a lot of time explaining the health benefits of sleep, from everything like our mental health to even helping us look younger. In short, while quality, restorative sleep helps support our health, the opposite is also true: sleep disorders can affect our mind, bodies and even leave us more prone to depression.
This week Im tackling the most common questions about high blood pressure and sleep, including is lack of sleep can cause high blood pressure why sleep apnea may play a role, and what might be behind a sudden spike of high blood pressure at night.
Ill finish by giving you tips to lower your blood pressure naturally, no prescription required, and how to more easily fall asleep and fall back asleep if you wake up in the middle of the night using my Sleep Doctor PM formula. .
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How Is High Blood Pressure Diagnosed
Your blood pressure varies from day to day, even from moment to moment. Generally, if a person has a blood pressure reading taken on 3 separate occasions that is greater than 140/90 mmHg, they have high blood pressure. Your doctor may ask you to monitor your blood pressure at home, or wear a monitor over a 24-hour period, to see how it varies and to make sure they get an accurate reading.
Home Remedies And Lifestyle Changes
The following can help normalize blood pressure:
- Stopping smoking: Smoking harms the arteries and can cause high blood pressure.
- Eating more fruits, vegetables, whole grains, and lean protein: Reduce or eliminate added sugars and processed foods.
- Getting regular exercise: The American Heart Association recommends moderate-intensity exertion, such as walking at a quick pace. A person should do this for 30 minutes per day, at least five days a week.
- Limiting alcohol consumption: Women should drink no more than one drink per day and men no more than two drinks per day. Drinking more than this can raise blood pressure.
- Finding healthy ways to lower stress: Meditation, deep breathing exercises, guided imagery, and other techniques to manage stress can help to avoid spikes in blood pressure.
- Consuming less sodium: Excessively salty foods can cause sharp increases in blood pressure.
- Reducing the intake of caffeine: Caffeinated drinks can cause temporary spikes in blood pressure, and may make anxiety worse.
Consult a doctor for personalized guidance.
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Measuring Your Blood Pressure At Home
You can also diagnose yourself with hypertension by measuring your blood pressure at home. If readings are high over two visits at the doctors office, and if your blood pressure is higher than 135/85 mmHg when properly measured at home, then the diagnosis of hypertension can be made. This requires you to measure your blood pressure twice a day, in the morning and evening, for one week. Pay no attention to the measurements from the first day. Measuring blood pressure at home requires accurate equipment and proper measuring techniques. Measure the blood pressure of others in your house their blood pressure may also be high.
What Is The Treatment For High Blood Pressure
Mild high blood pressure can often be treated by making lifestyle changes, including:
- losing weight
- limiting your alcohol intake to no more than 2 drinks per day for men, or 1 drink per day for women with high blood pressure
However, lifestyle changes may not be enough. Some people also need medication to help reduce blood pressure levels to normal. While medicines are usually very effective at lowering blood pressure, they may cause side effects in some people.
Usually doctors will start a person on a low dose of a medicine and see how it goes. If it doesnt work well enough, or if there are troublesome side effects, other medicines will be used, sometimes in combination, until the blood pressure is controlled. This can take time. Some people will take medicines for life, although others will find that continuing to lose weight and changing their diet reduces the need for medicines.
Someone whose blood pressure is very high or causing symptoms such as headache, or if they have conditions such as heart disease or diabetes, may need urgent treatment with medicines to bring the blood pressure down to normal levels.
The Royal Australian College of General Practitioners recommends that you regularly review with your doctor or specialist any medications you are taking for high blood pressure or high cholesterol to assess the ongoing benefits and risks. For further information, visit the Choosing Wisely Australia website.
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Primary High Blood Pressure
While the specific cause of primary high blood pressure remains unknown, there is compelling evidence to suggest that a number of risk factors increase your chances of developing the condition.
These risk factors include:
- age – the risk of developing high blood pressure increases as you get older
- a family history of high blood pressure – the condition seems to run in families
- being of Afro-Caribbean or South Asian origin
- high-fat diet
- high amount of salt in your diet
- lack of exercise
- excessive alcohol consumption
A number of health conditions, such as diabetes and kidney disease, have also been linked to an increase risk of developing primary high blood pressure.
How Can I Lower My Blood Pressure In 5 Minutes
If your blood pressure is elevated and you want to see an immediate change, lie down and take deep breaths. This is how you lower your blood pressure within minutes, helping to slow your heart rate and decrease your blood pressure. When you feel stress, hormones are released that constrict your blood vessels.
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Wondering What Causes High Blood Pressure Read On To Find Out
What was once considered an issue that plagued only the elderly has now become one that even youngsters deal with. Indeed, popping medication to manage high blood pressure levels is sadly something many 20 somethings must do these days. For the uninitiated, hypertension is considered a condition that generally develops over the years. Yet many believe it is brought on by poor lifestyle choices, being overweight or an absence of exercise in ones daily life.
However, if you wish to know what causes high blood pressure, then read on. We delve into the subject to reveal everything from conditions like pregnancy to health issues like diabetes that may act as risk factors in individuals making them more likely to develop high blood pressure.
Types of high blood pressure and the causes behind it
Studies show that high blood pressure can be categorised in two types primary hypertension and secondary hypertension. It is widely understood that primary hypertension cannot be pinpointed to a cause, as it slowly develops over time. But heres a deeper insight into secondary hypertension-
Common risk factors in individuals who may develop high blood pressure
Right from issues like diabetes to lifestyle concerns like an absence of physical activity, there are many risk factors for high blood pressure.
Should I Talk To My Doctor About Sleep Apnea
If you have high blood pressure and are concerned about whether you might also have sleep apnea, speak with a doctor. Diagnosis is the first step to accessing effective treatments for OSA that may improve your sleep and blood pressure. Consider whether any of the following symptoms apply to you:
- Daytime sleepiness
- Difficulty with attention and memory
- Headaches in the morning
- Dry mouth when waking up
- Irritability, anxiety, or depression
Sleep apnea is often not recognized by the affected individual. In many cases, a bed partner notices nighttime symptoms of OSA, which prompts a visit to the doctor. If you share a bedroom or home with someone else, ask if they have noticed you exhibiting any of these signs while you are sleeping:
- Loud snoring
- Choking or gasping during sleep
- Pauses in breathing during sleep
Experiencing one or more of these symptoms does not necessarily mean you have sleep apnea, but it is a good reason to bring up sleep with your doctor.
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First Why Is Your Blood Pressure High
Its natural to experience short-term spikes in blood pressure, like during exercise or after a cup of coffee. But over time, if your heart consistently pumps out more blood than usual or your blood vessels become stiffer, your blood pressure can stay high, which may lead to hypertension. Many things can cause this to happen, including eating too much salt, being overweight, or even taking certain medications that can cause high blood pressure as a side effect.
You might know that a blood pressure reading has two numbers . The American Heart Association describes normal blood pressure as a first number of 120 or less and a second number of 80 or less.
Good Sleep Can Prevent And Manage High Blood Pressure
Most people experience a dip in blood pressure during the deepest stage of sleep , which is the body’s normal and healthy reaction to sleep. Not having that nighttime dip is a risk factor for heart disease and may increase daytime blood pressure.
Typically people spend 90 minutes to two hours in slow wave sleep per night. A recent study published in Hypertension found that men who got less slow wave sleep each night were a higher risk for hypertension than men who got more deep sleep.
While sleep disorders, like sleep apnea, and age can both affect the amount of deep sleep you get, there are steps you can take to ensure a good night’s sleep. Getting seven to eight hours of sleep a night, maintaining a consistent sleep schedule and being more active during the day can help improve the quality of your sleep.
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