What causes fluctuations in BP?
Patient: bp sys 144 dia 76 pul 62 is this a bad reading? should I be on medication. I gave up smoking 4 months ago and was prescribed Ramipril 5mg for high bp. I had an appointment this morning and was told my bp was low, but had to go to the doctors tonight and given the above reading. Dr has changed medication to Bendroflumethiazide 2.5mg. I am very confused ! Doctor: Hello,Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem.You do not have to be anxious or worried about what is happening , your blood pressure reading of 144 by 72 was not that bad, you doctor have started you in diuretic which is a recommended drug for blood pressure control so no worries in that.But there are a few things which you are required to do on your part, this on one hand will control your blood pressure better and save you from any worst outcome and on the other hand it will also help your doctor to treat you well.You have to make some life style modifications specially by controlling your salt intake then you have to control fat intake as well.Reduce your weight if you are over weight, it's great that you have already quit smoking , just stick to this decision. Stay physically active and eat health friendly food and your blood pressure will stay in normal limits.The thing which will help your doctor will be your making a blood pressure chart, I would advise you to make a blood pressure chart by measuring your blood pressure twice a day and writing it down with date, when next time you will visit your doctor he will get to know about your blood pressure control.That is very important to take further decisions about your treatment.I hope this answered your question, If you have more queries I am happy to answer you.Regards.Dr.Muhammad Ahmad