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  1. #1
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    High blood pressure. Any advice?

    I've just been diagnosed with dangerously high blood pressure. (160/100).
    I'm quite surprised to be honest. I'm carrying a bit much weight (99KG @ 1.8m) but that isn't exactly obese.
    I get a reasonable amount of exercise (though not regular) and I'm reasonably fit, strong and otherwise healthy.
    I have a fairly balanced diet and I don't eat much processed food. I DO tend to drink 2 to 4 bottles of beer 2 to 4 evenings a week, especially in this heat.
    I'm wondering how this came about but all my research on the internet seems to leads to this. 'Shit happens as you get older' (61).
    The websites all seem to have different ideas but agree on a couple of things. It seems the way to lower the blood pressure is less salt (Guilty there) more regular exercise and more leafy green vegetables. And lay off the beer , though most seem to agree that a in moderation alcohol is beneficial (as is tea and coffee) . (Define 'moderation').
    anyway just wondering if any of you had any other ideas on how to lower the blood pressure.
    Think I should get my cholesterol checked, that won't help if it's high.

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    Last edited by Cujo; 25-07-2018 at 12:03 PM.
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  2. #2
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    ^
    My advice stop giving reds and start taking Lercanidipine 5mg tablets and all will be OK ,



    https://beta.nhs.uk/medicines/lercanidipine/

  3. #3
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    You could go for a complete lifestyle change and see if that works, or get your doc to prescribe hypertension meds, and just be more aware of intake and outputs.
    You know what’s bad for you, but you don’t want to live like a monk, so try and balance your likes with more exercise, and sensible restrictions on food, salt etc.
    I resisted meds for as long as possible, but gave in when I was about your age. It’s a great help really.

    I have upped my exercise, cut down on booze and I only have a full English once a week. Lots of fruit and juice instead of sugary, fatty foods.
    it would be easier if I cut down on the smokes but you can’t do everything. Life would be a bit shit if you did away with all the little pleasures.

  4. #4
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    Quote Originally Posted by Cujo View Post
    I DO tend to drink 2 to 4 bottles of beer 2 to 4 evenings a week,
    That's not "moderation alcohol".

    Anyway, it always helps when reducing some weight and get daily exercise (swimming, jogging, power walking). Surely stop any salt added to your food, it's already enough how it was prepared. Reducing sugar intake is also essential.

    Up to 150 at older people is not much critical. An easy medicine available (and effective) in Thailand is Ambes 5mg.

  5. #5
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    Get checked out by a doctor. Happened to me at 62. Been on two little 5mg pills daily since. But with all the exercise I am doing I have stopped now for a week and its remaining at about 112/77 without the meds. When discovered it was 180/102 so exercise can help but I am not throwing away the meds.

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    Thailand Expat David48atTD's Avatar
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    Quote Originally Posted by Cujo View Post
    I've just been diagnosed with dangerously high blood pressure. (160/100).
    "dangerously high" ... is a little dramatic from your doctor.

    High - yes ... https://www.cdc.gov/bloodpressure/measure.htm

    The second number, called diastolic blood pressure, measures the pressure in your blood vessels when your
    heart rests between beats.

    That's the worrying one.

    Have it measured a few times and get the ugly Nurse to do it ... you don't need any extra stimulation !



    BTW, I take these.



    BHT 180 for the Box

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  7. #7
    Thailand Expat Pragmatic's Avatar
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    Quote Originally Posted by Cujo View Post
    I've just been diagnosed with dangerously high blood pressure. (160/100)
    You may suffer from 'White Coat Syndrome'? I do. Go anywhere near an hospital and my BP goes through the roof. Sit quietly at home and it's normal.

    White coat hypertension, more commonly known aswhite coat syndrome, is a phenomenon in which patients exhibit a blood pressure level above the normal range, in a clinical setting, though they don't exhibit it in other settings.

  8. #8
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    Start reading labels. That can of (small) tomato juice contains 980mgs of salt. That is 43% of the recommended daily intake. The one I drink daily has (I think) 40 mgs salt.

    Most bottled fruit juice are packed with salt. Bread, sliced meat - cheese - all packed with salt.

    Small bag of chips? about 250mgs salt.

    Soups, gravy, stock, canned meals, frozen meals - all salt heavy.

    Depending upon what you eat, you could be eating 2 to 3 times the recommended intake. And that directly affects your blood pressure.
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    Thailand Expat AntRobertson's Avatar
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    Don't know much about it other than high blood pressure is a killer so no advice other than best get it sorted.

    Maybe include a second opinion in that also?

    I'm a bit suss about this stuff at times - once got told after a 'health check' that I was obese and needed to lose at least 10 kg which was utterly fucking ridiculous.

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    i am someone who has been through the mill,after45yrs of abuse,drinking,eating curries,and anything thats not good for you,a double by-pass,a mechanical heart valve and much much more.
    so lets start by asking you,why and who done your BP test,any symptoms of left arm aching,trouble maintaining a steady walk.
    when you had this test was it at home,in a clinic,and how many times was your BP.taken.
    every time i go to the hospital its always over 170+.most of their equipement doesnt work properly.and you should be sat at least 30minutes before its tested.
    i have a BP.moniter at home,OMRON hem-7130,this is todays test done at 10.30 am.
    1st.143/68 pulse 50.2nd 15minutes later 127/67 pulse 52.
    i take 12different medications every day,to control my,valve,bp,pulse,seizure's,hiatus hernia,and a few more.one thing i must warn you if you are in thailand is,dont except any tablets that come out of a big bottle that hold thousands,as you don't know if they are in date or not,and most cost the doctors about 50bht.a thousand.always go to one of the pharmacy's that a member on here recommends.

  11. #11
    Valve Master Latindancer's Avatar
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    Cujo, no need to be freaked out, but you need to lower your blood pressure immediately via tablets.....then work on lowering it through lifestyle later. It's for a very good reason that high blood pressure has been named "the silent killer". You are at much higher risk of having a stroke, for starters, and who knows how serious that may be ?

    Then there is also vascular dementia.

    The actual mechanism is like this : if you have high cholesterol as well : very uncool. Arteries normally flex to absorb the sudden rise in blood pressure each heartbeat. Hardening of the arteries causes inflexibility, and the sudden pressure (think of a hydraulic system) of each heartbeat, instead of being absorbed, is transferred to the ends of your arteries, some of which are in your brain. Bang, bang in those delicate tissues.

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    Philippine Expat Davis Knowlton's Avatar
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    @Cujo. That's much too high...dangerously so in my opinion. Go see a doctor or two and get some professional advice on how to bring it down. Then, go see a nutritionist.

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    People are giving Cujo bad advice I believe. One high reading doesn't make for a crisis. Buy a home pressure tester and do a series of tests over about a couple of weeks. Same time of the day. 30 minutes after eating, drinking and exercise. If your tests are still high THEN go see a doctor.

    Typically, doctors do not prescribe chemical medicines to treat someone with high blood pressure based on one high reading. This could lead to problems, such as hypotension, where a person's blood pressure drops too low, which causes its own set of issues.
    Instead, doctors will want to take multiple readings. They may refer individuals to a blood pressure clinic, or ask them to use an at-home blood pressure monitor. A proper diagnosis is crucial to help treat or prevent hypertension.

    Last edited by Pragmatic; 25-07-2018 at 01:54 PM.

  14. #14
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    Cujo does high BP run in the family?. When I was first diagnosed with high BP this was one of the questions my GP asked and when I responded that my parents and siblings were all on BP meds and had been since they were quite young he looked at me like I had 3 heads and asked what made me think I wouldn't have it too. Fair question in hindsight . The good news was it's easily treatable and it was a good kick in the arse to make some lifestyle changes. I still take BP meds, but only a quarter of the daily dose originally prescribed.

    And for sure, buy a quality BP monitor for home and keep an eye on things once you've got it sorted.

    Quote Originally Posted by AntRobertson View Post
    I'm a bit suss about this stuff at times - once got told after a 'health check' that I was obese and needed to lose at least 10 kg which was utterly fucking ridiculous.
    Ignore completely. My correct weight according to these BMI calculators is around 87kg which would be great if I wanted a gig as an extra in Schinders List II.

  15. #15
    Thailand Expat Humbert's Avatar
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    Anapril. Easy to control.

  16. #16
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    There are now a whole slew of watches on the market that can be used to monitor your blood pressure.

    I got this one, and checked it against a hospital blood pressure monitor a few times, and it accurate to within a few mmHg.

    Connects to an app on my telephone. Quite cool, and easy to monitor your bp regularly. Not expensive.

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    Go the Holistic way.

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    Last time I had a blood pressure reading that high it was due to an infection. If your blood pressure isn't normally this high then it could be a symptom of something else being wrong. In my case a week on anti biotics cured the infection and bp returned to normal.

  19. #19
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    Quote Originally Posted by nidhogg View Post



    Start reading labels. That can of (small) tomato juice contains 980mgs of salt. That is 43% of the recommended daily intake. The one I drink daily has (I think) 40 mgs salt.

    Most bottled fruit juice are packed with salt. Bread, sliced meat - cheese - all packed with salt.

    Small bag of chips? about 250mgs salt.

    Soups, gravy, stock, canned meals, frozen meals - all salt heavy.

    Depending upon what you eat, you could be eating 2 to 3 times the recommended intake. And that directly affects your blood pressure.
    Yes thanks but you missed the bit where I did mention that I eat very little processed foods and never eat canned or frozen meals or drinks like that above and seldom eat potato chips.
    The issue might be that I do cook and use salt quite generously. I don't sprinkle salt on already prepared food.

  20. #20
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    ^ Fair enough, but I think the point is still valid - read labels. Salt lurks in all sorts of places you never expected.

  21. #21
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    Thanks everyone for all the advice and comments. Let me respond to this..
    Quote Originally Posted by headhunter View Post
    i am someone who has been through the mill,after45yrs of abuse,drinking,eating curries,and anything thats not good for you,a double by-pass,a mechanical heart valve and much much more.
    so lets start by asking you,why and who done your BP test,any symptoms of left arm aching,trouble maintaining a steady walk.
    when you had this test was it at home,in a clinic,and how many times was your BP.taken.
    every time i go to the hospital its always over 170+.most of their equipement doesnt work properly.and you should be sat at least 30minutes before its tested.
    Hmmmm. OK. there's a thought. It was taken by my wife who has recently had a BP unit put in her shop by a friend who sells insurance.
    I'd just come in from a brisk 10 min. walk, was quite hot and sweaty so maybe I'll get it done again by her after a period of rest and then again by a professional.
    She told me what the reading was. I made the 'dangerously high' diagnosis after consulting online charts.
    Maybe I need the advice of a paramedic from Gibraltar or someone like that.

  22. #22
    Thailand Expat AntRobertson's Avatar
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    Quote Originally Posted by Cujo View Post
    Maybe I need the advice of a paramedic from Gibraltar or someone like that.


    He'll just point and laugh as you die because apparently he finds that sort of thing (and dead kids) amusing.

    Quote Originally Posted by Cujo View Post
    Hmmmm. OK. there's a thought. It was taken by my wife who has recently had a BP unit put in her shop by a friend who sells insurance.
    I'd just come in from a brisk 10 min. walk, was quite hot and sweaty so maybe I'll get it done again by her after a period of rest and then again by a professional.
    Valid point.

    I had bloods done after gym once and it totally fucked my results up. Shit was off the scale.

  23. #23
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    Cujo what symptoms did you have? For me one day woke up with a headache. No big deal so went through the day but noticed my vision was not quite right. As I dont run to the doctor I waited a day. The headache was worse and by midday I could feel my eyeballs pulsing with each heartbeat.

    Never felt this before so headed to the medical center. The nurses there checked and it was way high. So high they thought I had forgotten to take BP meds. They were shocked to learn that this was natural, and it had soared. Upon seeing the specialist I was prescribed meds and still take them, although less than before because of exercise. Do see a specialist its well worth it.

  24. #24
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    Quit the grog for a month and switch to steamed food with more veggies than normal? My old man has to take many tablets to combat high blood pressure so it is something worth taking control of quickly

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    Quote Originally Posted by Cujo View Post
    I'm carrying a bit much weight (99KG @ 1.8m) but that's not obese.
    Be harder on yourself. That's fat unless you're body-builder muscular. I'm 85kg @ 1.83, got some meat on my bones but know I could lose some fat.


    Quote Originally Posted by Pragmatic View Post
    You may suffer from 'White Coat Syndrome'?
    Interesting and possible idea...but, wait!...
    Quote Originally Posted by Cujo View Post
    I'd just come in from a brisk 10 min. walk
    TD CSI has found a suspect.



    Quote Originally Posted by Pragmatic View Post
    People are giving Cujo bad advice I believe. One high reading doesn't make for a crisis.
    Best advice yet.

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