Blood pressure variation?

Apr 08, 2020 Last reply: 6 years ago 84 Replies

In amongst everything else, you should have thyroid tests (ideally TSH, Free T4 and Free T3).

That is highly unusual. Mine climbs towards 200 under exercise.

But they can see "representations" of your squishy bits.

In terms of a cheap test with a visualization capability, the ultrasound is fairly good. You can see squishy bits on the screen of the instrument. They even take measurements of your squishy bits - suitable if something is swelled or cancerous (they see a tumor on the screen). What I liked about the ultrasound, is they're willing to check a few more of your organs, see if your kidneys and liver are normal and so on.

And for that multimedia experience, they also play a sound track equivalent of your heart beating. A sound comes out of the ultrasound machine speaker, that sounds like a washing machine. I think you'd like that. You keep waiting for the rinse cycle. The various heart chambers, make different noises, but they're all squish-themed. Even if you can't see the screen, you can hear yourself "squish". I often wonder whether any doctor listens to those.

Paul

Mayo clinic, for one example, have this title: Orthostatic hypotension (postural hypotension).

And if you search nhs.uk you will find both terms used, apparently interchangeably.

Robin's suggestion

" I thought the generic description for what you described was "postural hypotension" on which you'll find a lot of general NHS guidance and a wealth of /possible/ causes."

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May or may not apply in your case, I'm not sure.

As it happens its useful information for anyone with high blood pressure to know IMO

What is surprising perhaps, is that you should need to find this out from a fellow poster on a UseNet forum, rather from your own GP.

michael adams

...

Robin's suggestion

" I thought the generic description for what you described was "postural hypotension" on which you'll find a lot of general NHS guidance and a wealth of /possible/ causes."

formatting link
May or may not apply in your case, I'm not sure.

As it happens its useful information for anyone with high blood pressure to know IMO

What is surprising perhaps, is that you should need to find this out from a fellow poster on a UseNet forum rather from your own GP.

michael adams

...

Slightly off-topic, but if you notice a fast pulse with low blood pressure, get advice! Especially if the fast pulse appears to be alternate weak and strong pulses.

This can be a sign of atrial fibrillation, and often a precursor to a stroke.

michael adams wrote on 08/04/2020 :

They have been fine generally, but I have struggled to convince them that my BP has fallen, at times when it ought to increase. I wasn't even sure myself how my BP should react to activity, but did suspect it ought to rise.

Sadly, I am not at all surprised.

The medical establishment does some things extremely well. Most particularly, if you get to see the right sort of expert, and have one of the problems that is a recognised standard one.

Someone close has a disorder which she diagnosed herself because no-one else had any idea. Once she had done that, she asked to see a dermatologist - because it looks like a skin disorder. Then a panel of something like twenty dermatologists (that was for their education, really, as it is so rare). Report from that was unanimous agreement.

But because it isn't a skin issue, they have no treatment for it! Nor did GP. So she has been left entirely untreated and unsupported.

Googling your symptoms seem to come up with orthostatic hypotension, I would be pushing the doc to investigate further.

If you have an angiogram they push cameras right into your arteries.

OK. I obviously blank the Greek like the pleb I is :(

The other possibility is, of course, measurement error. Have you had the BP machine checked?

You mentioned being dizzy sometimes when standing up I believe. While that could be low BP, it isn?t the only possible cause. Constriction of blood supply to the head can cause it - an old chap I knew was plagued with this. Much older than you I think. He was generally ok but had to be careful when he stood up. Some scar tissue from a neck injury I believe.

Brian Reay pretended :

My latest machine is new and I have others, all give similar readings at similar times.

I don't get dizzy / low BP on standing up, so much - My BP falls with continued effort. For instance - I can walk at high speed up the street

100 yards to the bus stop, a slight uphill slope, but then I know my BP will have fallen to a low level and I will be looking to sit down to allow my BP to recover back to normal levels. It takes around 5 or 10 minutes.

I spotted the caravan had a flat this morning, so I had to jack it up, get its spare out from the rack under it and swap them. Not a lot of physical effort, but I had to do it in stages, with rests, during which I was able to check my BP - 110, 114, 112, spread over the two hours it took me to do it [1]. Two hours after finishing the job, it was back up at 155.

[1]It feels similar to those occasions when I have suddenly sat up and my BP has tumbled.

Quite. Be interesting to have an explanation.

No they do not.

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This is typical of the BP info presented.

Date: 20200409

Lowest BP ~~ Highest BP 101/67 145/97 Measured time ® 04:40am ~~ 05:40 Blood pressure zone 07:00am ~ 124183 06:50am ~ 120/80 06:40am ~ 124183 06:30am ~ 133/89 06:20am ~ 136/91 06:10am ~ 143/95 06:00am ~ 120180 05:50am ~ 136/91 05:40am ~ 145/97 05:30am ~ 125/83 05:10am ~ 107171 05:00am ~ 104/69 04:50am ~ 113/75 04:40am ~ 101/67 04:30am ~ 108172 04:20am ~ 105/70 04:10am ~ 103/69 04:00am ~ 102168 03:50am ~ 102/68 03:40am ~ 102/68 03:30am ~ 108172 03:20am ~ 112175 03:10am ~ 104169 03:00am ~ 109173 02:50am ~ 108172 02:40am ~ 106/71 02:30am ~ 129186 02:20am ~ 104169 02:10am ~ 103169 02:00am ~ 104/69 01:50am ~ 102/68 01:40am ~ 103/69 01:30am ~ 104169 01:20am ~ 102168 01:10am ~ 105/70 01:00am ~ 102/68 12:50am ~ 107/71 12:40am ~ 107/71 12:30am ~ 105/70 12:20am ~ 102168 12:10am ~ 105/70

It's amazing how obtuse the medical profession can be.

Having struggled with a BP-related issue for well over 50 years, being told on every occasion that I've raised the problem with a doctor that "Oh, lots of people get that, it's nothing to worry about", an unknown event 'raised the stakes' with a dramatic rise in related symptoms. and I had to go looking for the cause. It took some finding, and the subsequent trial-and-error routines were complicated and took some sorting, lasting over some 18 months. I finally proved what the cause was, the BP and other symptoms were greatly reduced. I mentioned this to my GP. and she looked at me as if I was a swivel-eyed loon and said something like "If you think you're dying over the weekend, go to A&E". I didn't die over the weekend, or at any other time, but it illustrates the situation whereby if you take a doctor out of their narrow comfort zone, you're on your own.

I wish the OP all good fortune in dealing with his issue.

It happens that Spike formulated :

Ta !

Well I had an optical fibre inserted to inspect my arteries as well as the X-ray.

It's called angioscopy though, so I guess that's not strictly an angiogram, just done at the same time.

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