Does fluctuation in blood pressure indicate hypertension?
Patient: Hi, sir my age is only 29 and my BMI is 28 my weight is 80kg from last three months my blood pressure dose not constant it is fluctuat between 130/90 to 150/100 please tell me am I suffering from hypertension or it is just whit coat hypertension. Doctor: Hello, Thanks for posting your query on Healthcare Magic...* Brief Answer: Multiple home blood pressure measurement is needed to exclude white coat hypertension.*Explanation: My opinion is that high blood pressure on many occasions is an indication for control .That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure.Then ,Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that dose not help, medications are a must .That is usually decided by your doctor according to your condition and comorbidities .Some drugs that are perfect for patients are not necessary good for others.Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started.I suggest my patients the following : know how to measure your blood pressure accurately, avoid coffee or stress before readings.The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other comorbidities like diabetes, hyperlipidemia. also height and gender is important. *Conclusion: I suggest you home blood pressure measurement. if all or most of the readings are high you need start controlling it.   If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.