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High BP cant have eye op

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Vigilante
Vigilante

Hello

I am a 33 year old male, in quite good shape, I weight lift 3-4 times per week, do not smoke and do not drink alcohol unless its  special occasion and even then I dont drink much.

Looking for some advice, I have the eye disease Keratoconus and was due to have an operation on my left eye on the 22nd Jan, however I have highish or high bp all the time, it has been this way for a number of years, my baseline appears to be 143/94 but I also get figures that can easily go to 167/108 as it was today at pre-operative assessment, they will not operate with that sort of bp figures as I need to have a GA.

I did try both an ace inhibitor (lisinopril? sp?) and propranolol last year for 3-4 weeks but my bp did not drop by much and the propranolol seemed to make me very fatigued so I stopped taking them and was hoping to lower it naturally.

I was also tested with 24 hour urine testing three times, one of those times my adrenaline was tover the lab range but not bya  great deal but the others it was normal so it was deemed I was ok.

I have been booked in to talk to my GP again about this, but I have reservations when it comes to taking bp loweing meds, I do not want to feel fatigued or to gain weight as I am trying to get in real good shape physically and trying to build alot of muscle mass.

any ideas what I could try or any tests that may be of use?

cheers

0 likes, 40 replies

40 Replies

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  • Vigilante
    Vigilante

    Posted

    Well the ramipril is a tad on the laughable side, my bp is higher right now then when I started it 5 days ago, 159/109.

     

    • MrsO-UK_Surrey
      MrsO-UK_Surrey Vigilante

      Posted

      Vigilante, it's still early days - as I said in a previous reply, it can take a few weeks for the pills to work in some patients, according to my very trusted pharmacist.  Plus you have probably been started on a very low dose which is usual practice, and when you return to your GP for a follow-up, the dose is likely to be increased.  Just a shot in the dark here, but I wonder if the BP pills are less effective in someone with large muscle mass like you who works out to build "a lot of muscle mass".  If your BP doesn't reduce on a higher dose and your GP can't help, then perhaps she can refer you to a specialist.  
    • helen_07568
      helen_07568 Vigilante

      Posted

      just going to say the weather is  going to be very cold tomorrow so the bp readings will possibly be higher,  has anyone found this to be true or is it a myth, suppose its your bodies way if keeping warm maybe?????
    • MrsO-UK_Surrey
      MrsO-UK_Surrey helen_07568

      Posted

      Helen, well it was a nice surprise when I got up this morning to find that the threatened freezing conditions had disappeared during the night here in the South East.  You're probably right in saying that our BP redings will possibly be higher in the very cold weather - probably due to our blood thickening thereby reducing its flow through the arteries.  Just hope mine hasn't gone any higher - scared to take it!
    • derek76
      derek76 MrsO-UK_Surrey

      Posted

      Mine was 201/95 but it often is first thing , three hours later was 1454/80.
    • helen_07568
      helen_07568 MrsO-UK_Surrey

      Posted

      Yes but very cold I still did my 3 times around the park ten mins each time around gloves on scalf the lot took bp was,nt any different really I live in Reading so its not too bad but our friends up north will probably see a difference they have been talking about it today on the bbc news about raised bp in extreme  cold  good luck    Mrs  O
    • helen_07568
      helen_07568 derek76

      Posted

      ok Derek so is that pretty much the same as any other morning? 

       

    • derek76
      derek76 helen_07568

      Posted

      Higher than usual.

      This months morning readings:

      163,172.162,155,184,210,164,169,170,184,193,170,187,172,178,201.

       

    • derek76
      derek76 AlexandriaGizmo

      Posted

      In bed before getting up.

      After exercise can be way down as low as 105/52 then rises by bedtime. No one in 14 years has solved it. I had high hopes of the Hypertension Clinic but after various tests over the past seven months nothing new.

      They like others before them say 'It's the 24 hour BP monitor average that counts' That resulted this year in a morning average of 169/86. Sleep average of 130/63 and 24 hour average of 130/68.

       I did too much exercise that day:-)

       Last year the 24 hour average was about 147/79 as it has been in previous years.

       

    • AlexandriaGizmo
      AlexandriaGizmo derek76

      Posted

      Strange because I was told the same, that it's the average that counts and never to take an average from early morning readings as they are the highest all day, I agree because mine are higher in early morning, so if it's lowest after exercising surely that should maybe tell you it could be the more you obsess over it the higher it gets mine does, does anyone else have this issue
    • derek76
      derek76 AlexandriaGizmo

      Posted

      I must obsess in my sleep. It has been like that since I was first diagnosed in 2000 but then it was at that level all day before various medications were tried. My heart rate might go to 85 sfter exercise but soon comes down and is ususally in the low 40's.

      I once tried a few weks without medication when it averaged around 179/84.

      I have tried medication in the morning at night or split between morning and night without any noticable difference.

    • AlexandriaGizmo
      AlexandriaGizmo derek76

      Posted

      Makes it hard to know what to say if the experts can't find a solution and all the other normal routes don't work ie diet exercise meds bit of a conundrum isn't it,

    • Vigilante
      Vigilante derek76

      Posted

      Wouldnt it be naturally lower after exercise due to endorphin release? pretty sure in myself the only things that lower it are muscle relaxants ie diazepam (of which i need 10mg+ to even feel it) or beta blockers although they effect my heart rate too much.

      Still not getting anywhere with the ACE Inhibitors myself, I have come to a crossroad with my GP as I have other conditions as well and have lost faith, so I'm thinking about switching GP so any further meds will have to wait I guess.

    • AlexandriaGizmo
      AlexandriaGizmo Vigilante

      Posted

      Diazepam only lowers NO that is caused by anxiety, it has no effect as a vascular dialater Or it would be used more often as probably safer even though it's known to be addictive
    • derek76
      derek76 AlexandriaGizmo

      Posted

      I had stopped salt and sugar around 1983 and smoking in 1993 and seldom eat processed foods. I have always had enough exercise from walking as I do not drive. I have taken a mini aspirin since the mid 80's as I heard that many doctors were doing it and much of the time have taken garlic capsules.

      I do have a hiatal hernia and acid reflux and have wondered if pressure it creates in the chest can affect BP although no doctor has ever connected them.

    • derek76
      derek76 Vigilante

      Posted

      In the main GP's cannot devote time to BP as probably half of their patients have it. It is not really a thing for cardiologists either as they are there for more serious conditions.

      The four or five ace inhibitors I treid all gave me worse side effects that any othrer types of drug.

    • helen_07568
      helen_07568 AlexandriaGizmo

      Posted

      yes I do the more you take the more it seems to go up so what are you taking for it at the minute,  I think it is the excercise it relaxes us so lower when we take it  at that point,have you had a 24 hour monitor yet
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