blood pressure elevated at night?

Question

my blood pressure seems somewhat reasonable during the day - but at night I think it goes quite high. I didn't measure it because I was scared to because I knew it was high. the last time I had that problem it was 162/147 AFTER I took my enalapril and waited 30 minutes. Obviously I have to call the doctors again, but I"m not sure what to tell them. the problem is during my sleep - I do better after I wake up and get going, but it's downright scary though and I need to know what to do and what to tell my doctor, I have no idea what to say to them. I'm not medical. I've been doing everything I know to do to get my bp down, and I've been telling my doctors for weeks about it. I have cut out the sodium almost completely - I've been on hydrocortisone for adrenal insufficiency but my adrenals have started to wake up - and I've been tapering down off the medication slowly - as prescribed. I'm not what is the problem and which doctor to call. thanks

thanks

Answer 1

This article will help you a lot:

Introduction:

Other than obesity, hypertension remains the single most common chronic medical condition among adults in the U.S. The morbidity and costs associated with this condition are profound. Many causes and exacerbating factors have been associated with essential hypertension, most recently including sleep apnea and other forms of sleep-disordered breathing (SDB). While this association is common, the multiple common co-existent variables such as obesity have made the link difficult to establish. As a result, this topic remains highly controversial among professionals in both the fields of hypertension and sleep medicine. Recent studies have added greatly to our understanding of the apparent link between these two disease states and have even suggested the specific mechanisms of hypertension in apneic patients. SDB is measured as the Apnea-Hypopnea Index (AHI), the number of episodes of interrupted breathing that occur during sleep.

Hypertension Among Patients With Sleep-Disordered Breathing (SDB): Is there an independent link?

Large population studies performed both in the US and Europe have confirmed the presence of symptomatic sleep-disordered breathing (SDB) in at least 2-4% of the general adult population depending on sex and age. If asymptomatic individuals are included in these surveys, the prevalence of SDB increases to between 9 and 24% of all adults. If the population in question is further narrowed to those patients with hypertension, the incidence of SDB is even higher, with estimates ranging from 12 to 83%. For example, in a recent analysis of a small group of both normotensive and hypertensive patients in Australia, 38% of both treated and untreated hypertensive patients had SDB, compared with 4% of the normotensive patients. This was independent of sex, age, obesity or alcohol use. Conversely, surveys of SDB patients have found a high prevalence of hypertension (40-60%), usually with poor control associated with more severe apnea.

This large range of findings reflects the variable populations studied as well as the criteria used to define SDB and hypertension. Also, the impact of prior antihypertensive medication has not been well examined in these studies. Such results and criticisms of prior survey methodology have been the impetus for large, prospective population studies such as the Sleep Heart Health Study and the Wisconsin Sleep Cohort Study. Findings from both of these groups of investigators published in the last two years have greatly strengthened the link between SDB and hypertension, even when accounting for all the likely confounding variables. With hypertension affecting nearly one third of the US population, the overlap between these two chronic illnesses is likely to be substantial, especially given the risk factors that predispose to both.
kindly contact a good cardiologist.

Answer 2

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Answer 3

I'm not sure I understand you fully. You said you don't know what to say to the doctor and then you later on said that you've been telling the doctor about it for weeks. What have you been telling the doctor for weeks? Have you been telling him that your blood pressure measured 162/147 at night? If not, then that is what you need to tell him and tell him it scares you. And you should probably tell the doctor who prescribes your high blood pressure medication.

Answer 4

it could be the other medication causing it.however you really need to see your doctor that is a very high bottom number for blood preasure.

Answer 5

Homeopathic Treatment for High Blood Pressure (Hypertension) :-

Head remedy; with nervousness (during pregnancy use with care) Rauwolfia S.Q(Mother Tincture) 4 hourly

With depression; suicidal tendency; cardiac symptoms Aurum Met 200X or 1M, 10 min (3 Doses)

With arteriosclerosis and senile paresis Aurum Iod 30X, 6 hourly

With senility and senile behavioural changes Baryta Carb 200X or 1M weekly (3 Doses)

Systolic pressure high and diastolic pressure very low Baryta Mur 3X or 6X, 4 hourly

With constriction in heart region and anginal pain Cactus G.Q(Mother Tincture) or 30X, 3 hourly

For fat and flabby patient; sweat on head, palms and soles, craving for eggs; chilly patient Calcarea Carb 200X or 1M weekly (3 Doses)

In old age;old bachelors and old maids Conium Mac 200X or 1M weekly (3 Doses)

Palpitations in slight exertion; dyspnoea, insomnia and gastric complaints Crataegus Ox.Q(Mother Tincture) or 30X 4 hourly

Due to shock (broken love affair etc) emotional disturbances Ignatia 200X or 1M 4 hourly(3 Doses)

Due to congestion in brain; severe headache, lassitude and dizziness Glonoine 3X or 6X, 1/2 hourly

Due to syphilitic origin; lancinating pain in head and bones Kali Iod.30X or 200X 4 hourly (3 Doses)

Due to gastric origin; flatulence; craving for sweets and warm food; worse 4 - 8 P.M. Lycopodium 30X or 200X, 4 hourly

Due to shock or grief; hyperthyroidism, goitre, addision's disease, diabetes ,etc. Desire for salt preparations Natrum Mur 200X or 1M 10 min (3 Doses)

In syphilitic cases; angina pectoris; vertigo, dyspnoea and endocarditis Natrum Iod.30X or 200X 10 min (3 Doses)

In tall, intelligent, hypertensive people; craves for icy cold things; fear of dark and stroms, etc. Phosphorus 30X or 200X 10 min (3 Doses)

With sclerotic degeneration specially of spinal cord Plumbum Iod 30X or 200X, 6 hourly

Due to grief; apprehension, dullness, loss of thirst etc. Gelsemium 30X or 200X, 3 hourly

During menopausal stage; worse after sleep; great loquacity Lachesis 30X or 200X, 4 hourly

Bursting pain in head; better by cold application, pressure, vertigo; palpitation of heart; worse when alone; sleeplessness with heaviness in head; oedematous swelling on face and legs Boerhaavia Diffusa Q (Mother Tincture) or 6X , 4 hourly

Take the remedy which is similar to your symptoms. No side effects or complications if taken as directed, please do not exceed the given dosage and under any circumstances do not try to mix any remedies and avoid Chocolates, Mints, Coffee, Red Meat, Alcoholic and Carbonated drinks, Spicy Rich Food while taking any Homeopathic remedies, and keep the medicines away from direct sunlight, heat strong smells and perfumes and do not store them in the fridge.
Curing without any side effects or Complications Thats the Beauty of Homeopathic Medicine

For more information about Homeopathy and hypertension you can check this site too :- http://www.hpathy.com/diseases/hypertension-symptoms-treatment-cure.asp

Take Care and God Bless you