Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News Editorials & Other Articles General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

CTyankee

(65,820 posts)
Fri Dec 6, 2024, 01:09 PM Dec 2024

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
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
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 2024 OP
Doctors know that a lot of people have elevated BP during medical exams Ocelot II Dec 2024 #1
That was my first thought too. Native Dec 2024 #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 2024 #19
No boxes or cans. Only fresh food with no salt: add fish to your diet. onecaliberal Dec 2024 #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 2024 #16
The seasonings and spreads are very high in sodium. onecaliberal Dec 2024 #24
You may have intermittent elevations in BP-- a so-called "white coat syndrome"... hlthe2b Dec 2024 #3
I tried meditation which involved telling myself to breathe and to quieting myself down. I can easily do that again. CTyankee Dec 2024 #12
I've been doing this for decades NJCher Dec 2024 #32
Meditation is the hardest "simple" thing I've ever done. I've meditated for over 50 years and "monkey mind" still mitch96 Dec 2024 #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 2024 #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 2024 #41
Ever since covid, my BP is always through the roof when I go to a doctor's office. Native Dec 2024 #15
When my weight plummeted nitpicked Dec 2024 #4
I could use some weight loss! Right now, that is not a problem. CTyankee Dec 2024 #6
Get a good BP monitor (with arm cuff) and test yourself during a quiet time in afternoons. surfered Dec 2024 #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 2024 #7
Do you have a partner who can do that for you? It would help your doctor to have this data. surfered Dec 2024 #11
Start using it regularly so you'll eventually feel more comfortable using it. And Native Dec 2024 #17
Ask about other minerals that influence blood pressure. bucolic_frolic Dec 2024 #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 2024 #33
I always ask them to take my BP twice. LisaM Dec 2024 #9
Even though I have been controlling it for years with medication, mine can show higher than usual at the doctor office MichMan Dec 2024 #10
I found that some high salt foods just need to be axed from the diet: marybourg Dec 2024 #13
Remember the good old days when doctors would actually make lifestyle and diet suggestions Native Dec 2024 #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 2024 #21
They're still very high in sodium for food low in protein. In my opinion. marybourg Dec 2024 #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 2024 #42
Understood. I'm your age. I 've simplified my meals greatly. marybourg Dec 2024 #44
I sit and chop!! MotownPgh Dec 2024 #48
Sadly, I have a small kitchen. I cannot sit and chop. I wish I could. CTyankee Dec 2024 #49
Yes we are label readers in the grocery store. Diamond_Dog Dec 2024 #23
Stop Reading DU Deep State Witch Dec 2024 #18
I take beet root extract Diamond_Dog Dec 2024 #22
Lots of water and chewable l-theanine Lulu KC Dec 2024 #26
Stuff Botany Dec 2024 #27
Many things will help Nigrum Cattus Dec 2024 #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 2024 #43
There is no substitute for Diet & Exercise Nigrum Cattus Dec 2024 #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 2024 #46
Patience is a virtue Nigrum Cattus Dec 2024 #47
Breathe deep Tadams01KC Dec 2024 #29
New research is showing that isometric exercises are most effective Big Blue Marble Dec 2024 #30
My BP is always very high in doctor's office crimycarny Dec 2024 #31
Ask them if a diuretic might help. Elessar Zappa Dec 2024 #34
How are your kidney numbers? SARose Dec 2024 #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 2024 #36
Great! SARose Dec 2024 #37
Water Aerobics! Thunderbeast Dec 2024 #39

Ocelot II

(123,538 posts)
1. Doctors know that a lot of people have elevated BP during medical exams
Fri Dec 6, 2024, 01:14 PM
Dec 2024

(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

(65,820 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, 01:43 PM
Dec 2024

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

(65,820 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, 01:40 PM
Dec 2024

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

(36,594 posts)
24. The seasonings and spreads are very high in sodium.
Fri Dec 6, 2024, 01:56 PM
Dec 2024

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

(108,317 posts)
3. You may have intermittent elevations in BP-- a so-called "white coat syndrome"...
Fri Dec 6, 2024, 01:19 PM
Dec 2024

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

(65,820 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, 01:30 PM
Dec 2024

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

(39,200 posts)
32. I've been doing this for decades
Fri Dec 6, 2024, 02:40 PM
Dec 2024

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

(15,012 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, 06:19 PM
Dec 2024

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

(65,820 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, 10:15 PM
Dec 2024

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

(15,012 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, 10:48 PM
Dec 2024

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

(6,983 posts)
15. Ever since covid, my BP is always through the roof when I go to a doctor's office.
Fri Dec 6, 2024, 01:38 PM
Dec 2024

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

(1,026 posts)
4. When my weight plummeted
Fri Dec 6, 2024, 01:21 PM
Dec 2024

My BP eventually followed, and they yanked me off the BP medication.

surfered

(5,392 posts)
5. Get a good BP monitor (with arm cuff) and test yourself during a quiet time in afternoons.
Fri Dec 6, 2024, 01:22 PM
Dec 2024

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

CTyankee

(65,820 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, 01:26 PM
Dec 2024

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

surfered

(5,392 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, 01:30 PM
Dec 2024

Native

(6,983 posts)
17. Start using it regularly so you'll eventually feel more comfortable using it. And
Fri Dec 6, 2024, 01:42 PM
Dec 2024

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

(49,131 posts)
8. Ask about other minerals that influence blood pressure.
Fri Dec 6, 2024, 01:27 PM
Dec 2024

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

(65,820 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, 02:52 PM
Dec 2024

cereal. I like Craisins a lot (cranberries).

LisaM

(29,031 posts)
9. I always ask them to take my BP twice.
Fri Dec 6, 2024, 01:29 PM
Dec 2024

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

(14,418 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, 01:30 PM
Dec 2024

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

(13,303 posts)
13. I found that some high salt foods just need to be axed from the diet:
Fri Dec 6, 2024, 01:32 PM
Dec 2024

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

(6,983 posts)
20. Remember the good old days when doctors would actually make lifestyle and diet suggestions
Fri Dec 6, 2024, 01:44 PM
Dec 2024

Before going the drug route?

CTyankee

(65,820 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, 01:51 PM
Dec 2024

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

marybourg

(13,303 posts)
25. They're still very high in sodium for food low in protein. In my opinion.
Fri Dec 6, 2024, 01:57 PM
Dec 2024

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

CTyankee

(65,820 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, 08:41 AM
Dec 2024

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

(13,303 posts)
44. Understood. I'm your age. I 've simplified my meals greatly.
Sat Dec 7, 2024, 10:02 AM
Dec 2024

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

(36,211 posts)
23. Yes we are label readers in the grocery store.
Fri Dec 6, 2024, 01:56 PM
Dec 2024

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

(11,639 posts)
18. Stop Reading DU
Fri Dec 6, 2024, 01:42 PM
Dec 2024

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

(36,211 posts)
22. I take beet root extract
Fri Dec 6, 2024, 01:53 PM
Dec 2024

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

(7,330 posts)
26. Lots of water and chewable l-theanine
Fri Dec 6, 2024, 02:06 PM
Dec 2024

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

(73,522 posts)
27. Stuff
Fri Dec 6, 2024, 02:12 PM
Dec 2024

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

(431 posts)
28. Many things will help
Fri Dec 6, 2024, 02:22 PM
Dec 2024
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

(65,820 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, 08:45 AM
Dec 2024

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

Nigrum Cattus

(431 posts)
45. There is no substitute for Diet & Exercise
Sat Dec 7, 2024, 02:56 PM
Dec 2024

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

(65,820 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, 03:02 PM
Dec 2024

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

(431 posts)
47. Patience is a virtue
Sat Dec 7, 2024, 04:01 PM
Dec 2024

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

Tadams01KC

(25 posts)
29. Breathe deep
Fri Dec 6, 2024, 02:25 PM
Dec 2024

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

(5,560 posts)
30. New research is showing that isometric exercises are most effective
Fri Dec 6, 2024, 02:28 PM
Dec 2024

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

(1,711 posts)
31. My BP is always very high in doctor's office
Fri Dec 6, 2024, 02:37 PM
Dec 2024

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

(16,308 posts)
34. Ask them if a diuretic might help.
Fri Dec 6, 2024, 03:16 PM
Dec 2024

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

(1,206 posts)
35. How are your kidney numbers?
Fri Dec 6, 2024, 03:25 PM
Dec 2024

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

(65,820 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, 03:28 PM
Dec 2024

SARose

(1,206 posts)
37. Great!
Fri Dec 6, 2024, 03:34 PM
Dec 2024

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

(3,620 posts)
39. Water Aerobics!
Fri Dec 6, 2024, 07:50 PM
Dec 2024

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!

Latest Discussions»Issue Forums»Health»Why can't I get my BP dow...