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Q&A Topics

Hypertension


Yesheen (dr.) Singh Medical Doctor View profile

Dear N



Thank you for your question. Pregnancy-induced hypertension is sometimes included under the umbrella diagnosis of secondary hypertension, but unlike most of of theother causes of secondary hypertension should not be taken to mean that it will be with you for life. In a lot of the cases it disappears post-partum, only to sometimes return with following pregnancies.



There are certainly alternates to pharmaceuticals which you can use for now to manage it, and there are comprehensive lifestyle plans available, incorporating nutritional, supplement, activity and stress modifying therapies, that assist you to heal your body so that in the long run you don't have to medicate any more. But these are to complex to discuss via email. I would suggest contacting me for an appointment via our website www.healthnation.co.za or alternatively look for your local alternate health care practitioner who works with functional medicine.



Many thanks and warm regards

Yesheen Singh

Yesheen (dr.) Singh Medical Doctor View profile

Dear N

Your question poses many more questions in my mind. Have you really been diagnosed with hypertension or was your blood pressure simply elevated on one occasion? Have you been tested for pregnancy? Have you had a pelvic ultrasound? What has your menstrual history been up until this period of amenorrhea? What is you family medical history like? These are all questions your GP should be asking you when looking at the symptoms you describe in your message. Until we establish whether your main diagnosis is hypertension I'm afraid there is nothing pharmaceutical I can recommend you take to lower you blood pressure. Lifestyle modifications such as cutting out foods high in salt and fat content, choosing low GI instead of high GI carbs and increasing your exercise regime would certainly help someone diagnosed with essential hypertension.

I would strongly recommend revisiting you doctor, or another, to establish why you are not having your periods, and whether you really have hypertension. There could even be a link between the two. Self-medication is not recommended.

Many thanks and warm regards

Yesheen

Gabriell (dr.) Prinsloo Medical Doctor View profile

Hi

A bit about the causes of hypertension: 80 to 95% of people have primary hypertension. Factors that predispose to this include a genetic predisposition, obesity or weight gain, low levels of physical activity, high dietary salt intake, excess alcohol consumption, stress and a normal increase that occurs with increasing age. The remaining 5 to 10% of people have hypertension secondary to medication or an underlying problem such as a disorder of the kidney, adrenals or hormonal imbalance.

It is important that your blood pressure is taken accurately. While many automated machines are quite accurate, if the blood pressure recording is high these need to be confirmed manually. It is also important that you sit quietly in a quiet, relaxed, comfortable place for 5 minutes before your blood pressure is taken. Any blood pressure over 140/90 is concerning. However a diagnosis of hypertension requires a consistantly raised blood pressure.

Your tiredness and headaches are unlikely to be due direclty to the high blood pressure. Headaches associated with hypertension are usually only seen with very high blood pressure and are experienced at the nape of the neck. More commonly headaches experienced at the same time as mild raised blood pressure are tension headaches related to stress and muscle tension. These feel more like a pressing band around the head with pain at the temples.

Tiredness could be caused by many things including physical, mental and emotional stress. Sleep, the correct exercise and an adequate diet are all important for preventing tiredness. Anaemia could also account for tiredness.

In general, I find that sudden onset of high blood pressure especially like yours where it is mainly the systolic (top number that is high) is related to stress. Why did it happen now and not before? It is possible that you did have high blood pressure during your previous stressful times and didn’t know about it. Our bodies have adaptive mechanisms which maintain a normal blood pressure. These are very effective initially but as stress accumulates they lose the ability to adapt effectively resulting in bouts of high blood pressure. If this continues it can result in persistent high blood pressure.

Managing stress is going to be very important for you. This includes removing stressors are much as possible, improving time management and then increasing your body’s ability to resist stress. Regular 'you time', regular exercise, enough sleep, good diet, a good multivitamin supplement and a multi B supplement are all essential. I have also found that specific relaxed breathing techniques can be very effective in normalising stress related high blood pressure and managing stress.

While it is most likely that your symptoms result from stress, it is important to exclude other options. I suggest that you visit your GP who can take a full history and do any necessary examination and tests to confirm the diagnosis. If stress does seem to be the key factor and you are in Cape Town, you could make an appointment with me and we can work on effect ways to manage stress and lower your blood pressure without medication.

Warm regards

Gabriell

Megan (dr.) Jones Homeopath View profile

Hi Claudette, This sounds like quite a complex case, needing careful monitoring. I don’t feel that my recommending over the counter products will best serve your daughter so my advice is for her to consult with a registered homoeopath. He/she could ideally gradually wean your daughter of the medicines that are causing the increased blood pressure and replace them with homeopathic or natural alternatives. Alternatively, she could remain on her meds and a homoeopathic remedy could be incorporated in her regime to balance the side effects. Warm regards, Dr. Megan Jones, Registered Homoeopath

Reena Sukdev Homeopath View profile

If you do not feel your medication is controlling your blood pressure it is important you follow up with your doctor. It is also important to monitor your blood pressure at the same time and under the same circumstances in order to have accurate readings. There could be many factors in your life which may have not changed that could be triggering your blood pressure. Re-look at stress factors. This is an important area people ignore in the treatment of hypertension. Diet is another potential area for change that could make considerable difference in managing your blood pressure. Make special effort to restrict your salt intake. Regular exercise has also been proved to dramatically improve hypertension. Hawthorn Berry is an adaptogenic cardiac tonic that can be considered, but should be taken after consultation with your practitioner. A good quality Omega 3 such as Real Thing Omega 3 is also beneficial. Taking Magnesium Glycinate would be a good idea. Include a good quality Co Q10 such as Amipro CoQ10. All thes eproducts are available at Wellness Warehouse. Please feel free to contact one of the practitioners at the Natural Dispensary for further advice. For more advice on natural remedies to assist hypertension you can also visit our healthnotes section by following this link www.wellnesswarehouse.com/healthnotes.php?org=wellware&ContentID=1033009 Regards Reena

Chase (dr.) Webber Naturopath View profile

High Blood Pressure will give you symptoms of tiredness both from the illness as well as from the medication; it is to make you calm down and relax to protect the heart and brain. If you are on medication it is best to go back to your doctor, explain your symptoms and ask him to either adjust the medication or dosage so that you can be more comfortable in the treatment of your condition. High Blood Pressure also responds to mild and moderate exercise with weightloss so discuss this with your doctor to see if you can start with an exercise program. regards Dr Chase


Please Note:

The Wellness Q & A is for informational purposes only, and is not intended to diagnose or provide treatment for any condition. If you have any concerns about your health, you should always consult directly with your healthcare professional. Wellness Warehouse will not be liable for any errors in the Wellness Q & A, or for any actions taken in reliance thereon. The advice on the Wellness Q & A is not comprehensive and does not replace the assessment and advice of your own healthcare professional. Consultation with your healthcare professional is extremely important if you are experiencing persistent or severe symptoms.

Caution:

Consult your doctor, healthcare professional, and/or pharmacist before using any supplements or before making any changes in prescribed medications. If you have a chronic illness or routinely take prescribed or over-the-counter (OTC) medication, or you are pregnant or breastfeeding, it is extremely important to consult your doctor, healthcare professional, and/or pharmacist before taking any new medication. Do not stop taking any prescription medication without consultation and guidance from your doctor.

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