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chance
01-24-2015, 23:09
Alright, I'm in a tight spot. Last Monday I go to the doctor for a cough that has been going on for about a week, and of course as soon as I walk in they take my vitals. Everything is good except my BP its 156/98, and when they recheck it later it's still high as crap. So the same day I take drastic actions, I cut my sodium down to 1500 mg a day and my calorie intake to 1800 a day plus no energy drinks, soda, alcohol or any other form of sugary drinks only water. I've started doing PT again seeing how I can go longer then 5 minutes without going into coughing fits.

My question is what other things can I do to drop it naturally that won't effect a physical I have to take in 2 months?

Thanks in advance

Jakedeep
01-24-2015, 23:47
Is it usually that high? Are you/were you ever a smoker?

Just being anxious or nervous can make your P-sys spike as high as 20 mm. in just a few seconds - I've seen it happen when drawing an IV on somebody who is afraid of needles.

I'm not a dietician so I won't put my 2 cents in there, but MAKE SURE you're adequately hydrated 24/7. Not having enough fluid in you can also attribute to HTN. I would also try to at least walk for 45 minutes several times a week until you are able integrate increasing levels of PT into your schedule.

Depending on your age, I would also consider keeping a bottle of Nitro on you. Better to have it and not need it then need it and not have it.

J

In order to facilitate discussion at the appropriate level, when you post for the first time in this forum, please provide a brief introduction with your level of training, experience, and current medically-related position as applicable.

I was recently certified as an EMT-P and worked as an EMT-B for a private 911 service with apx. 30,000 calls a year for about 12 months while I completed the program.

Sdiver
01-25-2015, 00:26
What's causing the coughing fits?
That could be a BIG reason why your BP is elevated.

When you cough, the diaphragm contracts sharply upwards, expelling air from the lungs. This decreases the pressure in the chest which rapidly fills with air again. This swing in pressure from full lungs, to empty, back to full again takes place over a second.

The heart is sitting right behind the left lung, on top of the diaphragm. It moves with the diaphragm. The pulsatile cough increases interthroacic, and hence intercardiac pressure increasing the blood pressure.

You're on the right track about decreasing your sodium and caffeine intake, as well as increasing you PT level, but do that (the PT) slowly so as not to bring on those "coughing fits."

But get that/those coughing fits checked ASAP.

NurseTim
01-25-2015, 00:49
D.ietary
A.pproches
to
S.top
H.ypertension diet, check it with your PCP.

Also breathing can effect your BP, try square breathing. Increase potassium rich foods as part of the D.A.S.H. Diet.

JJ_BPK
01-25-2015, 04:43
I have had BP problems on-n-off for 8 yrs, I'm 67, over weight, lots of arthritis that limits my mobility..

So, I'll give you what works for me.

DIET: (TS and the other epicureans will get sick reading this, maybe not)


No processed foods
Limit restaurants to twice time a month, or less
Tell you friends not to salt the shiite out of their food when you're invited over
Beau-coup Fresh or Fresh frozen GREEN Veggies
No sauces or casseroles
hi-fiber carbs, beans, breads, starches.
Drink H2O (pint+) with all meals
Read the food labels, there is salt in everything
Start adding un-flavored fiber to drinks & meals, keeping the pipes flowing is good, Capish?


Until you have good numbers:

Drop all caffeine drinks, and don't sub with de-caf
Drop all Whisky, Beer, & Wine


Drugs: DO NOT 2ND GUESS YOUR DOC's.. Take exactly what your Doc prescribes, not more or less, and don't screw with timing. Don't wait weeks for the next visit to tell him you are having problems with a new prescription.

God bless'm, but some Doc's do drugs like a 13A canon cocker, load'm up and fire for effect. It took me almost 4 months to work out a scrip regiment that worked and didn't have a bunch of side affects. It is still a science...

And this still may not work..

A cardiologist and vascular specialist can help determine if your BP is ischemic based and you need a chopper..

Scarey?? You bet you sweet ass it is,, but most everything can be reversed and fixed if caught in time..

Prayers Out, Good Luck..

x SF med
01-25-2015, 06:41
It's going to sound facile and trite.... but.... on top of the dietary and prescription therapies... Get a Dog.

1. forces you to get exercise
2. Natural stress reducer
3. gives you something to focus on besides your normal routine
4. and the best thing..... dogs are fun.

my cardiologist suggested getting a dog.... and all of the above are true, but an 8 month old Chesapeake Bay Retriever can be a HANDFUL... got mine from another QP here on the board, she is a daughter of the infamous Chubbs.

I try to spend 2 hours a day just playing, and at least an hour a day on training.

chance
01-25-2015, 14:34
Jakedeep,
I haven't had it checked in years, last time it was checked it was normal, but that was 5-6 years ago. And as for my PT I run 3-4 times a week and do Crossfit/free weights 3-4 times a week and ruck 2 times a week.

Sdiver,
The coughing fits where from bronchitis, and as of last Monday I have been on amoxicillin and the coughing fits are gone.

NurseTim,
I picked up the DASH diet book last Tuesday and have been applying it to my meals and sodium intake, also I just got back from Drill and will be Googling square breathing ASAP.

JJ_BPK,
I have read and am heeding your advice 100%, and Thank you very much for the prayers.

x SF med,

I have a beautiful German Shepard that loves to play, so I'm good to go on that front.

DocIllinois,

I have an appointment set for Tuesday to do a physical, so I have the numbers to show a dietitian and get a plan of attack.

Also, here is my BP readings for 5 days starting last Tuesday and ending Saturday
159/98, 142/86, 148/90, 144/81, 143/84

And one last thing, as for being put on medication to control this that's not an option, I am in the hiring process for the DOE and I can't be on meds. This is just going to have to be fixed by strength and determination or nothing at all.

ETA: Yes I was a full time smoker back in the day and stopped in 07, but I smoke when I have family over for dinner and drinks, and that's about once every two months on average.

chance
01-28-2015, 12:13
Can anyone tell me why after PT my Blood Pressure is low? Today after working out for 2 hours at a high intensity I got home and after an hour I checked it and it was 121/78.

JJ_BPK
01-28-2015, 12:54
WAG - dehydration?? :munchin

The Reaper
01-28-2015, 13:16
Cold meds?

TR

Jakedeep
01-28-2015, 13:16
Can anyone tell me why after PT my Blood Pressure is low? Today after working out for 2 hours at a high intensity I got home and after an hour I checked it and it was 121/78.

I would consider seeing a cardiologist. Maybe take a stress test.

J

chance
01-28-2015, 15:17
JJ_BPK,
It maybe dehydration, but I usually drink 34-60oz of water while working out.

The Reaper,
No cold Meds, however I am finishing up my amoxicillin prescription for the bronchitis.

Jakedeep,
Good idea!!!

DocIllinois,
Thanks for the info, and the cough is gone.

Sdiver
01-28-2015, 16:56
Dude,

You do NOT need to see a cardiologist.
You do NOT need to take a stress test.
You do NOT need to keep a bottle of NTG on you.

That is CRAP advice. Don't follow it.

DocIllinois hit the nail right on the head.

THIS IS NORMAL !!!!!

Your blood vessels, arteries and capillaries are dilated from the exercise due to the demand of the large muscle groups. This usually last for an hour or two after a vigorous exercise and results in low blood pressure as your arteries are more relaxed and your capillaries are more open leaving more blood volume in your muscle.

Now that you have your cough/bronchitis figured out, and I'm sure you're close to being done, or are done with your amoxicillin, in a few weeks, you'll see your B/P return to a somewhat normal range.

I know you have your hiring process going on and want/need your B/P to be in a "normal" range, here's a GREAT piece of advice .... DON'T STRESS ABOUT IT !!!..... IT'LL BE FINE.

You stress about it and it will only increase your B/P ... and you don't want that, right? ;)