Hello!
Thank you for asking on HCM!
Regarding your concern, I would explain that pain and
anxiety can increase blood pressure values.
Painkillers are another factor that may lead to uncontrolled
high blood pressure.
From the other hand, if your blood pressure values increases only at the doctor office, it may be related to
White Coat Syndrome, which is caused by the anxiety of fear at the doctor office.
Anyway, a single value of blood pressure is not indicative of high blood pressure.
That is why I would recommend to closely monitor your blood pressure values several times during the day (sitting position after 10minutes of total relax) and refer those values to your doctor.
If your blood pressure values are persistently high (above 140/90mmHg), you should discuss with your doctor on the possible causes. Further lab tests may be needed.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri