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.

Blood pressure spikes

Q: My Dr. raised my BP meds because of an elevated BP at a recent visit. Does one spike overshadow my other regular weekly measures?

A: It depends on how high of a spike and the overall trending of your blood pressure. If you have been...

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Acute pain and blood pressure

Q: Sometimes I get hurt at work and my nurse tells me that my BP is a result of the pain. Does that make sense?

A: Acute pain causes an increase in blood pressure because pain increases sympathetic nerve activity. However, if your blood pressure readings...

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High blood pressure at night while on medication

Q: Why does my BP go up at night when I am on high BP meds?

A: Blood pressure is not constant throughout the day. Normally it is highest in the early morning as this is when our internal body clock gets our body functions started...

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Malignant hypertension symptoms

Q: What constitutes malignant hypertension and what are the symptoms? I recently lost most sight in one eye due to retina scarring from a vein occlusion. Does hypertension play a role in this?

A: Malignant hypertension is very high blood pressure with swelling of the optic...

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Can labile blood pressure clog blood vessels?

Q: Could large deposits in the left anterior descending (LAD) artery be caused by my very labile BP and can it be reversed?

A: High blood pressure likely damages walls of blood vessels and makes them less elastic and prone to getting deposits. Studies have shown...

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High blood pressure and body aches

Q: Can high blood pressure cause pains in the chest or backache?

A: Typically, high blood pressure does not cause any symptoms. High blood pressure is a risk factor for developing heart attacks, strokes, and aneurysms. Chest and back pain can be a sign of these...

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Blood pressure day to day changes

Q: Is it normal for a person to have high BP one day and then low BP the next day? This is happens to me whether I take BP meds or not.

A: Since you take blood pressure medication, it is likely that your pressure is...

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Is it normal for a person with a pacemaker to experience hypertension?

Q: Is it normal for a person with pacemaker to experience hypertension?

A: A pacemaker helps your heart to pump more effectively by controlling your heart beat. This should not cause high blood pressure. You need to be evaluated by your doctor.

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Systolic higher than diastolic

Q: Is it possible for your systolic BP to become lower than your diastolic? What happens if it does?

A: Systolic blood pressure occurs when the ventricles of your heart contract so it is always the highest. Diastolic blood pressure occurs with the relaxation of the...

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Can high blood pressure cause a high pulse rate?

Q: Can high BP cause a high pulse rate?

A: Generally speaking, when the heart beats faster, blood pressure goes up. However, when blood vessels expand to accommodate the increase in blood volume leaving the heart, blood pressure does not rise. This is what happens when...

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