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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having High BP In Evening. Unable To Get Proper Sleep. Had Put On Weight Recently. Should I Worry About My BP?

Hi, I am worried that in the evenings my blood pressure rises. It may or may not be very high but it keeps me from getting enough sleep. It ranges from 130/85 to above 140/90. During the day it is much lower, mostly below 120/80. Is this something that I should worry about? I have put on about 5 pounds recently which i am trying to lose and I am thinking this may have something to do with it.
Wed, 11 Jul 2012
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Pediatrician, Neonatology 's  Response
hi kohen, BP values are age related.rise in the evenings alone may be due to anxiety related.keep a diary and regularly note ur BP values.having coffee ,smoking,exercise proir to checking BP tends to rise it.hence just avoid above factors and check ur values and still it is high then u may need medications
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Ayurveda Specialist Dr. Dinesh Kumar Bhatia's  Response
Hi A. Kohen and thanks for writing in at HCM
I am Jr. to a cardiologist and read your mail in detail. I dont know about your age but at any age Systolic BP should be not more than 140 mmHg and Diastolic BP not more than 90 mmHg. It is absolutely normal in you case. But if you worried from Hypertension or any other Heart disease than count your risk factors:
1. Family History of Heart disease, cant do any thing for that
2. Increasing age
2. Male Sex
4. High Total Cholesterol and Triglycerides level
5. Low Good Cholesterol i.e. HDL
6. Obesity, reduce weight because heart have to pump more if you increase weight to overcome blood demand of tissues, which ultimately cause Hypertension
7. Lack of exercise, do regular exercise for about 1 hr daily at a speed of 5 km per hr
8. Diabetes Mellitus, don't know in your case
Count your risk factor and get Fasting Lipid Profile checked and if it dearranged than consult your doctor and get proper medication for this.
Best wishes
Dr. Dinesh Kumar Bhatia
Health Care Magic
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Having High BP In Evening. Unable To Get Proper Sleep. Had Put On Weight Recently. Should I Worry About My BP?

hi kohen, BP values are age related.rise in the evenings alone may be due to anxiety related.keep a diary and regularly note ur BP values.having coffee ,smoking,exercise proir to checking BP tends to rise it.hence just avoid above factors and check ur values and still it is high then u may need medications