Health
Related: About this forumWhy 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?
Ocelot II
(121,473 posts)(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.
Native
(6,672 posts)CTyankee
(65,279 posts)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.
onecaliberal
(36,314 posts)CTyankee
(65,279 posts)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)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)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)I know it can't hurt (except that I get anxious and tell myself "you're not doing it right!" . Maybe I can try it again...thanks for the reminder!
NJCher
(38,218 posts)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)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)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)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)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.
nitpicked
(866 posts)My BP eventually followed, and they yanked me off the BP medication.
CTyankee
(65,279 posts)surfered
(3,724 posts)Record your readings and give them to your doctor at your appointment.
CTyankee
(65,279 posts)klutziness was adding to my stress, which increases bp and so on...
surfered
(3,724 posts)Native
(6,672 posts)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)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)cereal. I like Craisins a lot (cranberries).
LisaM
(28,747 posts)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)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)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 youve 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)Before going the drug route?
CTyankee
(65,279 posts)sodium, herbed bread crumbs which is good for coating chicken breasts and baking in the oven.
marybourg
(13,213 posts)Make sure you do some calculations of honest portion size x sodium reported per manufacturers idea of a portion.
CTyankee
(65,279 posts)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)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.
MotownPgh
(372 posts)CTyankee
(65,279 posts)Diamond_Dog
(35,159 posts)I cant 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)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)It seems to help keep my BP down a little bit in addition to my medication.
And if you take BP medication, dont eat grapefruit!
Lulu KC
(5,010 posts)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.)
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)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)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)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)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)Your body can stand almost anything. Its your mind that you have to convince.
Tadams01KC
(16 posts)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)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)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)Its 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)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)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)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!