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7 Responses to “High blood pressure that won’t come down. Any ideas?”
His mind could be an important factor, does he do relaxation exercises? Just how high is his BP? If his arteries in his neck are narrowed his carotid body can be sending bad messages to his hypothalamus to crank up the pressure.
I feel for your brother. I also have the same problem. I am a 59 yr old woman and have suffered from uncontrollable high blood pressure since I was in my 30’s. Mine is so bad that my doctor took me out of work and I have been on SS Disability since 1994. I also have type 2 diabetes.
Let me ask you, does he have any problems with his kidneys? There are many different things that cause high blood pressure. I would like to know what he takes for it and also if he takes his pressure at home and how high it goes? I am the first one to admit that sometimes it takes a long, long time to hit on the right combination of medication. Perhaps he should see another doctor. How often does he see his doctor? He should see a cardiologist and perhaps an Internal Medicine doctor as well.
I would love to talk with you more about him since we have this same thing in common. The doctors don’t know everything. That’s why they call it practicing medicine. Please feel free to contact me by email.
IMO
have some control on the diet and exercise regularly
regular moderate intensity exercise can lower blood glucose levels
about BP, i know the meds has to be taken consistantly and once taken, u have to take it for the rest of your life
if u stop the meds, the BP will shoot up rapidly
what kinda med is he taking?
some meds only blocks angiotensin receptors and some don’t
It is not unusual for diabetics to need 4 or more different classes of anti hypertensive medications to control blood pressure. However, although endocrine causes for hypertension are relatively rare, if he is needing more than 3 tablets, it would not be unreasonable to rule these out. Also on the point of weight, it is very unusual for type 2 diabetics to not be overweight, and whilst you say your brother is not, I suspect he at least has a larger waist than he should.
Perhaps his diet is a contributing factor. You say “it is not the best” which leads me to wonder if he is eating more salt than he should.
High sodium is a factor for many people with high blood pressure. According to “If you are taking blood pressure medication, limiting salt can improve the effectiveness of your drugs.”
A major problem for a lot of people is the “hidden” salt we consume. Just about all processed foods contain a LOT more salt than natural foods.
Is your brother buying a lot of prepared foods? Does he eat fast food or in restaurants a lot? These are places where you’ll find really high amounts of sodium in the food.
Hope this helps. Good luck to you and your brother.
I would be questioning the kidneys. Just my 2 cents. If that blood pressure does not get under control soon, he’s looking at a stroke. I can only suggest getting a second opinion from another doc. Not all docs are that great. There are good ones and there are bad ones.
August 16th, 2008 at 2:13 am
Charles Fordham
His mind could be an important factor, does he do relaxation exercises? Just how high is his BP? If his arteries in his neck are narrowed his carotid body can be sending bad messages to his hypothalamus to crank up the pressure.
August 18th, 2008 at 11:44 am
Sonia Carrigan
I feel for your brother. I also have the same problem. I am a 59 yr old woman and have suffered from uncontrollable high blood pressure since I was in my 30’s. Mine is so bad that my doctor took me out of work and I have been on SS Disability since 1994. I also have type 2 diabetes.
Let me ask you, does he have any problems with his kidneys? There are many different things that cause high blood pressure. I would like to know what he takes for it and also if he takes his pressure at home and how high it goes? I am the first one to admit that sometimes it takes a long, long time to hit on the right combination of medication. Perhaps he should see another doctor. How often does he see his doctor? He should see a cardiologist and perhaps an Internal Medicine doctor as well.
I would love to talk with you more about him since we have this same thing in common. The doctors don’t know everything. That’s why they call it practicing medicine. Please feel free to contact me by email.
August 20th, 2008 at 4:13 am
Jason Lambert
IMO
have some control on the diet and exercise regularly
regular moderate intensity exercise can lower blood glucose levels
about BP, i know the meds has to be taken consistantly and once taken, u have to take it for the rest of your life
if u stop the meds, the BP will shoot up rapidly
what kinda med is he taking?
some meds only blocks angiotensin receptors and some don’t
August 22nd, 2008 at 10:21 am
Danielle Lockard
It is not unusual for diabetics to need 4 or more different classes of anti hypertensive medications to control blood pressure. However, although endocrine causes for hypertension are relatively rare, if he is needing more than 3 tablets, it would not be unreasonable to rule these out. Also on the point of weight, it is very unusual for type 2 diabetics to not be overweight, and whilst you say your brother is not, I suspect he at least has a larger waist than he should.
August 23rd, 2008 at 5:40 am
Liza Ottesen
Perhaps his diet is a contributing factor. You say “it is not the best” which leads me to wonder if he is eating more salt than he should.
High sodium is a factor for many people with high blood pressure. According to “If you are taking blood pressure medication, limiting salt can improve the effectiveness of your drugs.”
A major problem for a lot of people is the “hidden” salt we consume. Just about all processed foods contain a LOT more salt than natural foods.
Is your brother buying a lot of prepared foods? Does he eat fast food or in restaurants a lot? These are places where you’ll find really high amounts of sodium in the food.
Hope this helps. Good luck to you and your brother.
August 25th, 2008 at 2:38 am
Doris Hamner
I would be questioning the kidneys. Just my 2 cents. If that blood pressure does not get under control soon, he’s looking at a stroke. I can only suggest getting a second opinion from another doc. Not all docs are that great. There are good ones and there are bad ones.
August 26th, 2008 at 4:16 am
Jack Story
Eat less animal fat and lose weight.
Don’t eat before bed.