Ask Dr. Rowena

Photo Dr. Rowena Your questions about high blood pressure answered by a board certified doctor. Browse the categories in the left menu.

Drinking and BP

Q: I drink 32oz. of dark red wine a night. My blood pressure is about 130/95 without meds. Is that okay?

A: I am more worried about your drinking habits than your pre-hypertension. Your blood pressure is in the range where you should start making lifestyle...

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Coffee lovers and BP

Q: Would you recommend that a coffee addict with moderate hypertension (140/105) switch to decaffeinated coffee or try to quit altogether? He is on amlodipine and moduretic. He loves his morning coffee (Nestle) and tea.

A: As a coffee lover, I roast my own beans, this...

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Blood pressure change from morning to night

Q: Why is blood pressure high in the early morning and then low during the rest of the day?

A: The body has a natural biologic rhythm which regulates the release of hormones and bodily functions. Because of this, blood pressure in most people starts to...

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Post vacation hypertension

Q: After a delightful vacation, I developed unpleasant headache, felt tightness in my chest, and my blood pressure was higher than ever. I already take 2 meds, walk, and am a vegetarian, but what could have precipitated an increase after a vacation?

A: The most likely...

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Detoxification and high blood pressure

Q: I am in a detoxification program in which toxins are said to be drawn out of my fatty tissues. Is this process one which will increase my blood pressure?

A: There are all sorts of medical claims associated with detoxification programs. Unfortunately most have not...

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Fluctuating blood pressure

Q: My BP fluctuates depending on work and tension and I have on-off numbness in my left thumb and finger. Are the two related?

A: Maybe. There are multiple factors to consider such as your age, weight, other illnesses, etc. The only way to know for...

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Pre-hypertension and medicine

Q: My BP history is between 120/80 and 135/85. My new physician told me on the second visit that I had high BP and he put me on 180 mg. of BP medicine. I quit taking it because it made me sick. Why would he...

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Fast way to lower blood pressure

Q: Between medications, exercise, RESPeRATE, and much lower salt, which has the biggest initial impact?

A: Drugs are the fastest way to lower blood pressure but fast reduction of blood pressure usually isn’t necessary. Lifestyle changes such as regular exercise, lower salt intake, and regular use...

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Acceptable blood pressure reading for active people

Q: I have read several articles that say keeping BP below 120/80 is best. Sometimes my BP is below 120/80 but other times it is 138/78. I am an active individual so is keeping it below 120/80 practical?

A: Blood pressure is not constant throughout the...

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Hypertension over a period of time

Q: Is hypertension a condition that worsens over time?

A: Untreated, hypertension can lead to a heart attack, stroke, and death. It certainly can get worse with time. Pre-hypertension leads to hypertension if corrective action, such as life style changes, is not taken.

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