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CTyankee

(65,279 posts)
Fri Dec 6, 2024, 12:09 PM Dec 6

Why can't I get my BP down? Need answers from my doc at my annual check up in a few weeks. I welcome comments/suggestion

on the questions I am asking her. My blood pressure is always elevated at the doctor's office and I know this as I approach my annual physical next month. Here are my questions (and any additions you may think are helpful). I AM NOT ASKING FOR MEDICAL ADVICE.

1. How do I restrict salt in my diet if I already 1) avoid adding salt, 2) read labels on prepared foods to get the lowest possible sodium amount 3) good salt substitutes?

2. As per physical exercise (which I know has bearing on BP), how can I increase it with arthritis in my lower back?

What do other folks here at DU who have high BP handle your questions effectively with your health care provider?

49 replies = new reply since forum marked as read
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Why can't I get my BP down? Need answers from my doc at my annual check up in a few weeks. I welcome comments/suggestion (Original Post) CTyankee Dec 6 OP
Doctors know that a lot of people have elevated BP during medical exams Ocelot II Dec 6 #1
That was my first thought too. Native Dec 6 #14
I had physical therapy for my back and my therapist prescribed excercises I could do each morning in bed before I rise. CTyankee Dec 6 #19
No boxes or cans. Only fresh food with no salt: add fish to your diet. onecaliberal Dec 6 #2
Here is my quandary with that. I make certain dishes with low sodium but requires prep work. I can't stand on my feet CTyankee Dec 6 #16
The seasonings and spreads are very high in sodium. onecaliberal Dec 6 #24
You may have intermittent elevations in BP-- a so-called "white coat syndrome"... hlthe2b Dec 6 #3
I tried meditation which involved telling myself to breathe and to quieting myself down. I can easily do that again. CTyankee Dec 6 #12
I've been doing this for decades NJCher Dec 6 #32
Meditation is the hardest "simple" thing I've ever done. I've meditated for over 50 years and "monkey mind" still mitch96 Dec 6 #38
I can easily solve my back problem by spending less time sitting at my desk top computer, but I am a writer and involved CTyankee Dec 6 #40
I forgot to mention I also use an "inversion table". I basically hang from my ankles. Not 90 but more like 45 mitch96 Dec 6 #41
Ever since covid, my BP is always through the roof when I go to a doctor's office. Native Dec 6 #15
When my weight plummeted nitpicked Dec 6 #4
I could use some weight loss! Right now, that is not a problem. CTyankee Dec 6 #6
Get a good BP monitor (with arm cuff) and test yourself during a quiet time in afternoons. surfered Dec 6 #5
I had one but I would get anxiety just putting it on (I also had difficulty using it as prescribed and worried that my CTyankee Dec 6 #7
Do you have a partner who can do that for you? It would help your doctor to have this data. surfered Dec 6 #11
Start using it regularly so you'll eventually feel more comfortable using it. And Native Dec 6 #17
Ask about other minerals that influence blood pressure. bucolic_frolic Dec 6 #8
Yes, we get Progresso's low sodium soups when available at my store. I eat half of a banana daily cuz I like them on my CTyankee Dec 6 #33
I always ask them to take my BP twice. LisaM Dec 6 #9
Even though I have been controlling it for years with medication, mine can show higher than usual at the doctor office MichMan Dec 6 #10
I found that some high salt foods just need to be axed from the diet: marybourg Dec 6 #13
Remember the good old days when doctors would actually make lifestyle and diet suggestions Native Dec 6 #20
There are low sodium soups in a can which I get regularly and keep in stock. We have it often for lunch. I use no CTyankee Dec 6 #21
They're still very high in sodium for food low in protein. In my opinion. marybourg Dec 6 #25
I have to weigh all these things in my mind at an age where I simply cannot do what I used to do CTyankee Dec 7 #42
Understood. I'm your age. I 've simplified my meals greatly. marybourg Dec 7 #44
I sit and chop!! MotownPgh Dec 8 #48
Sadly, I have a small kitchen. I cannot sit and chop. I wish I could. CTyankee Dec 8 #49
Yes we are label readers in the grocery store. Diamond_Dog Dec 6 #23
Stop Reading DU Deep State Witch Dec 6 #18
I take beet root extract Diamond_Dog Dec 6 #22
Lots of water and chewable l-theanine Lulu KC Dec 6 #26
Stuff Botany Dec 6 #27
Many things will help Nigrum Cattus Dec 6 #28
Thanks for the tips. We have a gym nearby and I used to go several times a week. I should start again. CTyankee Dec 7 #43
There is no substitute for Diet & Exercise Nigrum Cattus Dec 7 #45
You have to wait your turn if you want assisted workouts, like I do. There's limited staff and limited seats for waiting CTyankee Dec 7 #46
Patience is a virtue Nigrum Cattus Dec 7 #47
Breathe deep Tadams01KC Dec 6 #29
New research is showing that isometric exercises are most effective Big Blue Marble Dec 6 #30
My BP is always very high in doctor's office crimycarny Dec 6 #31
Ask them if a diuretic might help. Elessar Zappa Dec 6 #34
How are your kidney numbers? SARose Dec 6 #35
I don't know. Perhaps he/she will order that for me. It's fine cuz my clinic where I get those is nearby CTyankee Dec 6 #36
Great! SARose Dec 6 #37
Water Aerobics! Thunderbeast Dec 6 #39

Ocelot II

(121,473 posts)
1. Doctors know that a lot of people have elevated BP during medical exams
Fri Dec 6, 2024, 12:14 PM
Dec 6

(I do) and take it into consideration. Maybe you could get a blood pressure cuff and do your own readings just to see if being at the doctor's office is what's causing it. Also, salt isn't always the main cause of high BP - it's good to cut down on it but there are other factors. If it continues there are a lot of effective medications like beta blockers. Ask for a referral to a physical therapist for suggestions for exercises you can do despite the arthritis.

CTyankee

(65,279 posts)
19. I had physical therapy for my back and my therapist prescribed excercises I could do each morning in bed before I rise.
Fri Dec 6, 2024, 12:43 PM
Dec 6

They are gentle stretching exercises. I like them and feel better after I do them. But I spend too much time at my desktop computer writing and that's a challenge.

CTyankee

(65,279 posts)
16. Here is my quandary with that. I make certain dishes with low sodium but requires prep work. I can't stand on my feet
Fri Dec 6, 2024, 12:40 PM
Dec 6

for very long due to the arthritis . I CAN, and DO, slice up some fresh veggies and fruits to add to our daily meals. They are naturally low in sodium so they are good. Hubby wants meat so I cook some chicken coated with low sodium, seasoned bread crumbs. I also make sausage and peppers but I fear the sausage itself adds sodium back in. It's very tasty but I have yet to find low sodium Italian sausage.
We also have fresh salmon, seasoned with low sodium Teriiyaki sauce and chopped scallions, which I bake in the oven.

onecaliberal

(36,314 posts)
24. The seasonings and spreads are very high in sodium.
Fri Dec 6, 2024, 12:56 PM
Dec 6

I use olive oil and Avacado oil. Dash and fresh herbs and spices. I also make homemade salsa with fresh tomato, chili, bell pepper, onion, garlic. That ads flavor and you can use veggies you like. Zucchini is great. Broccoli is great. Fresh food is the way.

hlthe2b

(106,750 posts)
3. You may have intermittent elevations in BP-- a so-called "white coat syndrome"...
Fri Dec 6, 2024, 12:19 PM
Dec 6

This is not uncommon--nor is it a "made up" thing. The stress of going to a doctor's appointment and all the sounds, smells, concerns or fears or simply a intimidation from being in that setting can cause spikes in blood pressure.

If your BP is spiking elsewhere then you will need to look at other factors (including diet, medications, etc), but regardless, stress reduction efforts--whether meditation, deep breathing, or mind-focusing to put yourself in a different setting, all can be used to address this. There are apps that can be used to evaluate the biofeedback loops and which you can use to train yourself to put mind over body--to lower heart rate, and blood pressure, and deepen respirations.

CTyankee

(65,279 posts)
12. I tried meditation which involved telling myself to breathe and to quieting myself down. I can easily do that again.
Fri Dec 6, 2024, 12:30 PM
Dec 6

I know it can't hurt (except that I get anxious and tell myself "you're not doing it right!&quot . Maybe I can try it again...thanks for the reminder!

NJCher

(38,218 posts)
32. I've been doing this for decades
Fri Dec 6, 2024, 01:40 PM
Dec 6

and it's so low I don't have to take anything.

You can simply listen to music for an hour and get the same effect, as long as you stay focused on the music. I listen to classical, and crossovers like TonyAnn. Matteo Myderwyk is my fave.

mitch96

(14,766 posts)
38. Meditation is the hardest "simple" thing I've ever done. I've meditated for over 50 years and "monkey mind" still
Fri Dec 6, 2024, 05:19 PM
Dec 6

gets me. I use a mantra that came with the Transcendental Meditation course I took. It's ok for your mind to wander and just go back to the mantra or breath or what ever you use.
As for BP for me it was getting my BMI down. Lose weight. I also use Potassium Chloride not Sodium chloride. You can buy it at food stores and the commercial name is "NO SALT". It's expensive and if you go on amazon and put in food grade Potassium Chloride it's way cheaper. I started with a 50/50 blend and then about 90% Pot Chloride and regular iodized salt. Stay away from processed foods. Loaded with salt and fat...sugars too..
Can you walk? Walking is a great way to get some exercise. Start slow and work your way up.
Have you tried topical NSAID'S for you back? When mine acts up it's a great relief but not all the time..

m

CTyankee

(65,279 posts)
40. I can easily solve my back problem by spending less time sitting at my desk top computer, but I am a writer and involved
Fri Dec 6, 2024, 09:15 PM
Dec 6

in an idea for my 3rd book about art history from different angles. This work gives me utter joy and it is a passion for me. So I have to balance that and my back health and it is difficult to do.

mitch96

(14,766 posts)
41. I forgot to mention I also use an "inversion table". I basically hang from my ankles. Not 90 but more like 45
Fri Dec 6, 2024, 09:48 PM
Dec 6

I'm doing ok in the back department and have not used it for a few months. I'll never get rid of that thing.
It's traction for your back. Gives it a good stretch. I go to 45º and take a nap for about 20 min.
Or meditate...
m

Native

(6,672 posts)
15. Ever since covid, my BP is always through the roof when I go to a doctor's office.
Fri Dec 6, 2024, 12:38 PM
Dec 6

And it never used to be that way. I just feel like I'm walking into a hornet's nest. Until this year I'd never had covid, and the first time I got it was after going to three different doctors in one week, all routine.

surfered

(3,724 posts)
5. Get a good BP monitor (with arm cuff) and test yourself during a quiet time in afternoons.
Fri Dec 6, 2024, 12:22 PM
Dec 6

Record your readings and give them to your doctor at your appointment.

CTyankee

(65,279 posts)
7. I had one but I would get anxiety just putting it on (I also had difficulty using it as prescribed and worried that my
Fri Dec 6, 2024, 12:26 PM
Dec 6

klutziness was adding to my stress, which increases bp and so on...

surfered

(3,724 posts)
11. Do you have a partner who can do that for you? It would help your doctor to have this data.
Fri Dec 6, 2024, 12:30 PM
Dec 6

Native

(6,672 posts)
17. Start using it regularly so you'll eventually feel more comfortable using it. And
Fri Dec 6, 2024, 12:42 PM
Dec 6

after you put it on, still still and quietly for about 5 minutes...just close your eyes, do some breathing exercises, and go to your happy place. Eventually, you'll be able to calm yourself down more quickly. That's what worked for me.

bucolic_frolic

(47,572 posts)
8. Ask about other minerals that influence blood pressure.
Fri Dec 6, 2024, 12:27 PM
Dec 6

sodium/potassium balance for example. I recall eating no sodium cooked serials - Wheatena - that has some potassium content, as well as bananas and raisins.

CTyankee

(65,279 posts)
33. Yes, we get Progresso's low sodium soups when available at my store. I eat half of a banana daily cuz I like them on my
Fri Dec 6, 2024, 01:52 PM
Dec 6

cereal. I like Craisins a lot (cranberries).

LisaM

(28,747 posts)
9. I always ask them to take my BP twice.
Fri Dec 6, 2024, 12:29 PM
Dec 6

I used to have a dentist who always took my BP the second I walked in. First, there is natural nervousness before any appointment, and second, I always walked there, which involved a bit of an uphill climb. The second reading was always lower (and, I think, more accurate).

MichMan

(13,551 posts)
10. Even though I have been controlling it for years with medication, mine can show higher than usual at the doctor office
Fri Dec 6, 2024, 12:30 PM
Dec 6

I have found that if they take it when I first enter the exam room, it will usually read higher. I ask them to check it a little later and it usually comes down. They also have an automatic machine that they hook up to me and leave the room. It automatically inflates and deflates the cuff and takes three consecutive readings. I believe they average them.

Your posture and how you are sitting can make a big difference as well

marybourg

(13,213 posts)
13. I found that some high salt foods just need to be axed from the diet:
Fri Dec 6, 2024, 12:32 PM
Dec 6

sausages, canned beans, canned soups, nearly all processed food with tomato ( although I do use Silver Palate low sodium as a base for my meat sauce). Once you’ve removed these worst offenders, thorough vetting of other foods to see if a low sodium alternative exists, eg. ketchup, bread. pizza. I dropped my BP back to normal by doing this, although I was unable to lose any weight. As a substitute for salt I use an herb mix, generously.

Native

(6,672 posts)
20. Remember the good old days when doctors would actually make lifestyle and diet suggestions
Fri Dec 6, 2024, 12:44 PM
Dec 6

Before going the drug route?

CTyankee

(65,279 posts)
21. There are low sodium soups in a can which I get regularly and keep in stock. We have it often for lunch. I use no
Fri Dec 6, 2024, 12:51 PM
Dec 6

sodium, herbed bread crumbs which is good for coating chicken breasts and baking in the oven.

marybourg

(13,213 posts)
25. They're still very high in sodium for food low in protein. In my opinion.
Fri Dec 6, 2024, 12:57 PM
Dec 6

Make sure you do some calculations of honest portion size x sodium reported per manufacturer’s idea of a portion.

CTyankee

(65,279 posts)
42. I have to weigh all these things in my mind at an age where I simply cannot do what I used to do
Sat Dec 7, 2024, 07:41 AM
Dec 7

which is stand in my kitchen and chop up vegetables and prep them for a deliciious home made soup. Or do other meals requiring a lot of standing. I'm 85, whether I like it or not. And I have arthritis in my lower spine. That's a reality. Thank god for low sodium soups and other low sodium foods that require minimum prep time.

My kids want us to go into assisted living but we love our house and don't want to leave it.

marybourg

(13,213 posts)
44. Understood. I'm your age. I 've simplified my meals greatly.
Sat Dec 7, 2024, 09:02 AM
Dec 7

No meals requiring more than a coupla minutes of prep.And I have only myself to take care of now, so have no guilt about simplification. But did cut out all high sodium foods; as long as I was simplifying, I simplified a little further.

Re A.L.: Tough decisions often need to be made in our old ages.A tough decision made now may prevent an even tougher decision from having to be made later. Good luck however you choose to go.

Diamond_Dog

(35,159 posts)
23. Yes we are label readers in the grocery store.
Fri Dec 6, 2024, 12:56 PM
Dec 6

I can’t believe the sodium they put in bread! Even the high fiber expensive organic stuff that you think is good for you.

Deep State Witch

(11,355 posts)
18. Stop Reading DU
Fri Dec 6, 2024, 12:42 PM
Dec 6

Let's face it, we're all going to be depressed/have our BP and heart rate raised for the next four years.

Diamond_Dog

(35,159 posts)
22. I take beet root extract
Fri Dec 6, 2024, 12:53 PM
Dec 6

It seems to help keep my BP down a little bit in addition to my medication.

And if you take BP medication, don’t eat grapefruit!

Lulu KC

(5,010 posts)
26. Lots of water and chewable l-theanine
Fri Dec 6, 2024, 01:06 PM
Dec 6

I have l-theanine 100 mg chewable tablets. I chew two if I feel anxious and it also helps with peripheral neuropathy and other nerve-related things so before bed is good, too. It's the extract from green tea without the caffeine. I tried the green tea, decaffeinated, capsules but those did nothing.

I hope this isn't medical advice, since you didn't want that, but it works for me at stressful moments.

(I am at about 1/8 of the BP meds I used to be on and should be able to eliminate those by my next appointment due to weight loss.)

Botany

(72,659 posts)
27. Stuff
Fri Dec 6, 2024, 01:12 PM
Dec 6

B.P. Medicines work

Work with your doctor and a physical trainer to figure out exercises that you can do.
Walking, a stationary bike, free weights, swimming and or pool exercises. Avoid smoking,
keep the weight off, find things that give you joy, and make sure to pick your parents well
because genetics are important. Avoid dating Margot Robbie …. If you are a man.

Do not count on the internet for good medical advice too.

Also avoid high fructose corn syrup if you can.

Nigrum Cattus

(228 posts)
28. Many things will help
Fri Dec 6, 2024, 01:22 PM
Dec 6
https://www.hypnosisdownloads.com/health-issues/high-blood-pressure
The link above is to a hypnosis MP3. it can help with "white coat syndrome"
2) Very little booze
3) I have arthritis in my spine/hip and lift wights 4 days a week, very important
take some NSAIDS before you go to the gym
4) BP meds are next - there are dozens and you may have to try different ones
5) 3/4 of people over 65 have High BP because your arteries get stiff with age
no changing that
6) Reduce stress
7) Go to the Mayo clinic & the Cleveland clinic sites they will have more info
Best of luck

CTyankee

(65,279 posts)
43. Thanks for the tips. We have a gym nearby and I used to go several times a week. I should start again.
Sat Dec 7, 2024, 07:45 AM
Dec 7

My standard workouts with a staff person assisting me helped a lot. I think with my insurance it was $20 a shot.

Nigrum Cattus

(228 posts)
45. There is no substitute for Diet & Exercise
Sat Dec 7, 2024, 01:56 PM
Dec 7

In the beginning you'll be little sore, but that's a good thing.
https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/high-blood-pressure/art-20046974
You might meet someone in the gym that can be your workout buddy

CTyankee

(65,279 posts)
46. You have to wait your turn if you want assisted workouts, like I do. There's limited staff and limited seats for waiting
Sat Dec 7, 2024, 02:02 PM
Dec 7

I like the guys who take me through my paces. They look like they could be my grandsons and they are very polite and helpful.

Nigrum Cattus

(228 posts)
47. Patience is a virtue
Sat Dec 7, 2024, 03:01 PM
Dec 7

“Your body can stand almost anything. It’s your mind that you have to convince.”

Tadams01KC

(16 posts)
29. Breathe deep
Fri Dec 6, 2024, 01:25 PM
Dec 6

I try to take several deep breaths before they check my blood pressure.
I still get sky high readings at the doc. But he has me bring in a journal I keep of the readings I get at home showing more reasonable numbers. Once a week I log my BP readings at home. He even copied my notes into his file.

Big Blue Marble

(5,487 posts)
30. New research is showing that isometric exercises are most effective
Fri Dec 6, 2024, 01:28 PM
Dec 6

in lowering your BP. Wall squats are the best, also planks work. Additionally,
there is a device that uses isometric grip strength to effectively reduce BP. It is called
a Zona. It takes less than 12 minutes a day, five days a week to start seeing
reductions.


There are suppllements which have been well researched with clinical data. The
best is Aged Garlic Extract by Kyolic and it's available on Amazon. Others that
may help are listed here: https://www.healthline.com/nutrition/supplements-lower-blood-pressure#12-Melatonin

If your blood pressure goes up at the doctor's, but is normal at home, that is at least,
partly a vagal réponse to stress causing your arteries to contract. Breathing techniques
can help relax and bring you back to.parasympathic state.

Also, be sure, the nurse is properly administering the check. You should be sitting quietly having emptied your bladder and resting for 15 minutes. Your arm needs to flat on table and at the level
of your heart. The nurse should not be in conversation with you.

crimycarny

(1,648 posts)
31. My BP is always very high in doctor's office
Fri Dec 6, 2024, 01:37 PM
Dec 6

When they take my BP in the doctor's office it's ridiculously high, like 160+/90+. When I take it at home, it is almost below 120/80. I've been a runner for over 40 years, my pulse is usually in the low 50's to even in the 40's. I have never had high blood pressure in my life but I always have high blood pressure when in the doctor's office.

I'd get a blood pressure cuff for home and take your blood pressure periodically to get a true measure of your blood pressure. Make sure you wait about 5 minutes after sitting down before taking it, even at home. And make sure your arm is at the same level as your heart when taking it.

(NOTE: I take pictures on my phone of my home blood pressure readings to show my doctor)

Elessar Zappa

(16,077 posts)
34. Ask them if a diuretic might help.
Fri Dec 6, 2024, 02:16 PM
Dec 6

It’s often the first BP med people go on and can control BP with no further meds. It will make you pee more though.

SARose

(858 posts)
35. How are your kidney numbers?
Fri Dec 6, 2024, 02:25 PM
Dec 6

Specifically BUN, creatinine EGFR numbers?

I was referred to a nephrologist because my blood pressure was uncontrolled with 3 bp meds. He changed 2 of my bp meds and I am now controlled at 126/70. I am a 74 yr old woman. Good luck!

CTyankee

(65,279 posts)
36. I don't know. Perhaps he/she will order that for me. It's fine cuz my clinic where I get those is nearby
Fri Dec 6, 2024, 02:28 PM
Dec 6

SARose

(858 posts)
37. Great!
Fri Dec 6, 2024, 02:34 PM
Dec 6

I had too much calcium in my blood due to a benign tumor which is why I was originally referred to a nephrologist. He took over my bp meds and told me folks with uncontrolled bp should ask for a nephrologist referral. Glad I went. Good luck.👍

Thunderbeast

(3,549 posts)
39. Water Aerobics!
Fri Dec 6, 2024, 06:50 PM
Dec 6

Great cardio workout. Low stress on joints. Strengthening muscles around joints (especially knees) may reduce pain from arthritis.

Ten years ago, I was walking with a cane and getting regular cortisone shots in both knees. After a few weeks visiting the pool, those symptoms have virtually disappeared.

It has also helped regulate BP and blood sugar.

Motion is lotion!

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