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Suggest Treatment For High Blood Pressure
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I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I passed carefully through your medical history and I could say that in general high blood pressure, when present peaks in the early morning hours (because of more increased levels of catecholamines and cortisol during the 24 hours circadian cycly.
These are substances, produced by our bodies, responsible for increasing blood pressure and pulse rate.
This is the general profile in the majority of normal individuals.
But, there are some reasons that this circadian profile of blood pressure may be shifted and several BP boats to appear more earlier or even in the evening:
-one of them may be an increased sympathetic nervous system stimulation, by increased production of intrinsic adrenaline, or by taking several stimulant drinks like taking caffeine, tea, energy drinks, cigarettes, etc.
-one major role in this regard plays anxiety. This may disrupt adrenaline production, leading to sleeping disorders, which may be manifested by impairment of sleep maintenance, sleep effectiveness and overall sleep quality.
Have you ever experienced any persistent stressful situation recently?
What about your sleeping quality? Do you feel tired and sleepiness during the day?
Are there any issues during your daily activity that trigger you an anxious mood?
What about smoking and caffeine intake?
I would like to let you know that you are a larger amount of water than usual. Having around 500ml water in the evening before sleeping, will certainly produce an increased blood volume in the subsequent hours, leading to increased blood pressure, increased renal filtration and consequently to secondary activation of some compensatory mechanisms, such as aldosterone and renine production, with the final conclusion of high blood pressure.
That's why you are experiencing high blood pressure profile.
I recommend you to discuss with your attending physician for performing a sleep quality estimation and a routine medical check up (general lab tests).
Let me know how is going on your blood pressure after reducing the evening water intake and sleep improvement.
Hope to have been of help!
If you have any other uncertainties, don't hesitate to answer.
Greetings!
Dr. Iliri
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There is nothing to worry about.
Detailed Answer:
Hello again!
Thank you for the additional information provided.
Your increased levels of both systolic and diastolic blood pressure during vigorous exercise,are just a normal reaction against a stressful physical or psychological situations. I would assure you that this denotes nothing dangerous and you don't need to worry about it.
The progressive decline of systolic and diastolic blood pressure within 30 minutes after stopping exercise, confirms this opinion.
As you have a moderate mitral regurgitation, I personally would not recommend you to undergo very excessively vigorous physical activity.
You should also avoid competitive sports. This, coupled with lowering of excessive anxiety, will also help in minimizing potential premature heart beats.
Hope to have been of help!
Wishing all the best!
Dr. Iliri
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