plz help...mom's bp is 150/90 today........should dosage be increased??

Question

she is taking medicines.. 25mg.........today she checked after 1 month...her bp at 5.pm..........it is 150/90..dr told to increase the medicines by 75 mg....
she did really some extra heavy work...she s over weight...n she cycled 5 km... and did many works continuously comparing other days.... then only she went to dr ..

dr told to increase the medicine ... my mom asked her "shold take these extra medicine for life time"..she said "no..u take now ..l ii tell u later""
what s point is..she should check the bp for 3 days continuosly..then she should tell to increase the medicine...without she s saying like this...
another thing is she had to wait for 1 hour to meet dr..and today she had her periods...
i)do you thing this may increased her bp??

ii) dr simply told to increase the dosage...should mymom take it ???? or consult others..

(note: some months ago other told my mom not to woory continue with the current dosage... ur not bad... but this is saying like this)

today she did lot of works ...she cycled long distance .. continually worked.........
today she had her periods...

do u think these may caused high bp today??

today she had 120/80.......... we have good bp monitor..... anyhow we r going to another good one

(note: why we didn't believe that dr is she is race biased one....)

Answer 1

Nothing to worry about but a matter of concern, your doctor is following the SOP (Standard Operational Procedure), you are also correct she must have over exerted her self.
Her doctor is correct follow his advise, as he has started the medication/s, and he knows more about your mother physical status.
Increasing dosage is a must as age passes by to prevent end organs complications.
No doubt she is hypertensive.

Answer 2

I can see that you are concerned for your mother, and that's a good thing. There are a number of positive things that you can do to help her.

The first priority, as her doctor correctly determined, is to keep her BP in control. So *if* her real resting BP (in the morning, sitting in a chair, feet on the floor for several minutes) reads high for a few mornings in a row, then yes, an increase in dosage is probably the way to go. Again, in the short term!

So if your mother doesn't have a good digital blood pressure cuff, go out and get her one! Your pharmacist should be able to recommend a good model for $50 or so.

In the long term, your mom needs to take better care of herself. Lose the weight. Watch sodium intake and try to increase potassium intake. If she snores, look into treatment for sleep apnea. All the while, monitor the BP. If reducing sodium does it for her, then go with that. If eating potassium rich foods makes a difference, then continue that. But the weight really has to go. It just isn't healthy to be overweight, regardless of BP. There are a tremendous number of problems that result from obesity, not just hypertension.

So how do you help her with these things? You can start reading the food labels on her favorite foods to make sure she is keeping the sodium intake down. You can ask her what her BP is running on any given morning, to encourage her to keep a log. You can encourage her to eat bananas and oranges, for example (they're high in potassium, which is known to reduce BP in many people).

I also recommend you join the Yahoo! bloodpressureline group. It is run by a doctor who really cares and is responsive to questions. He has placed a fair amount of good reading material in the files and links sections of the group. I have just touched the surface, off the top of my head. You can dig deeper by reading up there, and at places like wikipedia, MayoClinic.com, etc.

Answer 3

Some doctors, when called and asked this question after a patient notices a slight increase will recommend such. It is a precaution to keep it from rising to a dangerous level. The patient is usually told to go back to the normal dosage when it is time for the next pill. It will not do any harm. But the doctor should always be consulted first since you do not want to lower the blood presser to a dangerous level. She should be seeing her doctor every three months to have her b/p checked in case an adjustment in the dosage is warranted. Also she should stay well hydrated and be very careful of sodium intake.

Answer 4

I may possibly have some positive input on this subject. I am, or was in the problem. What's extremely important is to find the base line of bp. When you get up in the morning, before coffee, breakfast, etc. That's when you get a relaxed bp reading. Think of it as a car engine idling. NOT reved up. Through the corse of the day, in constantly reves up, and slows down. 5PM could easily be a reved up reading. You've got to accept this. Upon a doctor's visit, you're waiting for your turn. Your mind is active, and you're partially wound up. You go inside, and the nurse weighs you, and takes your bp. Low and behold, oh dear, it's way up. This is to be expected. IT'S NOT a proper base line reading when your body is at rest. You should NOT gage more meds needed, for a reading through the day, with activity. In closing, bp readings should be taken when the body is at rest for a base line reading. Not worrying if it revs up to 150 during the day. It'll go back down, like a reved up motor does, after you take your foot off the gas.

Answer 5

I'm not trying to be rude but does your mom have the same problem with the English Language as you do? If so the doctor is probably not prejudiced but is having a hard time trying to understand the problem or explain the solution. You didn't say where you are and if you are in a country that speaks your language but, this can cause difficulties in understanding each other. My suggestion is if in doubt check it out. Because if I understand you correctly the Doctor is trying to raise her blood pressure medication from 25mg to an additional 75mg for a total of 100 mg per day. This is a VERY LARGE JUMP and could be dangerous without proper observation and REGULAR Blood Pressure testing. So, yes speak to another doctor preferably one in your home country that speaks your language so there won't be this language barrier. Good Luck!!!

Answer 6

You have had detailed studies on BP...
As you know normal BP is 120/80... it appears that your mom is on medication... 25mg of medicine daily in the morning... and under medication the BP should not shoot-up excessively... nevertheless 150/90 does not appear to be dangerous... however you should have agreed to the advice of the doctor to increase the dose at the time of higher BP... I think the dosage could have been increased from 25mg to 50mg for a few days under the guidance of your doctor…
Please remember that if your mom is under medication she should take the medicine regularly and should not stop it without the advice of the doctor... it would be dangerous for her health… have faith in your doctor rather than getting counselling on yahoo answers…
Take care…

Answer 7

Your mom's BP is not that high considering what she was up too and she does suffer with High BP.Rough Idea it is 100 + your age. If they are over 50 stop there.

Stress, anxiety do impact on your BP.

Do you trust your DR? if not get another opinion.
It's hard to give advice when you don't know the full picture.

I would just keep encouraging her to lose wt that is her main cause of hypertension.and share the load with your mom and help her out around the house if you still live there.
Don't stress and add to her problems the medication ain't going to kill her

Answer 8

Get a second opinion.

Contact the physician for referral to a cardiologist.
Asking medical questions is not advised. asking dosage and such of thread members is not the place to do it.

If she is obese and high BP she may have other issue.

In all likelihood if she has been obese for some time, her potential for stroke is high, in all likelihood she maybe diabetic as well.

Contact another physician and get a referral to cardiologist and have her checked out.

Answer 9

Hi The best answer has already been given by S.Whitman-Go and see your G.P.and ask for a referral to a cardiologist as you are concerned.If the dr.has said increase her medication he can only do so after having given a through checkup to your mum which might include an E.C.G and some blood Tests.Then only he will review her medication,if need be and REWRITE A NEW
PRESCRIPTION. Best of luck.

Answer 10

Don't worry. wait one week and also check BP daily many times because of extra works and burden increases BP and if we increases dose ,that will be dengoures in future. don't consult doctor till u not confirmed its due to temporary reason or any other thing.