Male Alcoholic with high blood pressure

At least 8 beer's everyday, up to a whole case a day! He doesn't stop drinking :'(

And by a case, you mean 12 beers or 24?

I was drinking about 12 beers a day (84 per week) before I used The Sinclair Method. I'm down to about 15-20 per week now. My guess is that if you get this info in front of him, he'd be willing to give it a go. The only thing that really needs to change is he has to take a pill an hour before he drinks. 

Is he taking any other meds, expecially benzodiazepines, anti-depressants or opiate / codeine based meds? 

That's true, but it's the top figure which rises in response to stress. It's the lower figure which is important.

Don't take strenuous exercise till your BP is under control!!!!

Medically trained as in what sense?  I am an RN but I feel we're all looking for support from others.   I work part-time in an assisted living facitly for the elderly and the rest is voluneer work (off the clock training)  at an in patient alcohol and drug facility in Pennsylvania.  Same rehab I went to in 2002 when I stayed sober for 11 years and screwed that up. I started working there a year ago hoping to help with my sobriety.  Seems we're all in the same boat just different paddles.  I agree with what you said to Susan as I've asked what his normal BP ranges and if they gave a pulse rate.  I'm not concerned about the Systolic rate but the Diastolic pressure worries me.  When that number rises the heart muscle is resting too much to refill with blood between each beat.  But, again, I do agree that a doctor should be contacted as this seems too serious for this forum. There should be no advice given until treated by a medical professional as you said. 100% agree with you Joanna!

Apologies, didn't realise you were an RN.  In that case, you most likely have the most accurate knowledge on blood pressure than anyone else on this thread and I am glad that you agree than a doctor should be contacted.

I hope Susan takes this advice.

Jo

You're absolutely right about the variables (height, weight, does he smoke) but the fact remains that a lower reading which is persistently above 90 in a 38 year old man needs medical treatment, which I'm sure Susan will do now she's read all these replies.

Even before I posted I tried to keep in mind the majority of blood pressures I do take in a day are elderly and 70% of them run extremely high and most are on medications for it.  At the rehab center where I work it fluctuates.  That's why it's nice to know what it normally runs.  That's one of the questions asked when doing an assessment of the person's history of drinking.   

But, overall, hearing how RGHB responded that Susan might be on here looking for advice because she isn't getting the medical advice she's looking for is something I can relate to in other areas.  I like to get opinions on here too, take what I want and leave the rest.  I say a second opinion would be the best route anytime there are medical questions involved.

P.S.  I do thank you for all advice you give on here!!! 

153 is normal only IF that is their normal BP!  99 is above normal though!

No sorry your wrong. 153 is completely normal for anyone who may get anxious when in hospitals.  Systolic blood pressure can raise as much as 40 points when someone is feeling anxious. Its called white coat syndrome. research it.

 

I don't want to argue.  I don't have to research it.  I take blood pressure's every single day.  Some systolic numbers as high as 170.  My husband is 48 and his runs approx 148/82. Sometimes higher and sometimes lower.  He don't drink, smoke or do drugs.  He is healthier than me as addict.  But, if this gentleman's blood pressure is normally lower than he needs to seek medical attention.  Esp if he runs 100/78 like I do and THEN his BP is elevated.  Definitely reason for concern.  I still haven't heard what his norm runs.

Joe, a diastolic (lower) reading of over 90 is extreme in a 38 years old man. He needs to see his doctor within a few days. Even though I'm a nurse I don't know his medical history etc but anything that stays above 90 is in the treatment range, especially in such a young man.

Joe, a diastolic BP of 99 is NOT a reaction to White Coat Syndrome. It's the #systolic that rises when people are anxious.

I'm beginning to feel like a parrot here, but a man with a diastolic of over 90, especially a man of 38, needs medicatiion for his blood pressure! And especially because he drinks so much. I daresay it's the drinking that's caused the high BP but I'm not sitting with this man right now and I know nothing about his medial history. He needs to see a doctor, end of story.

I take them every day, too, Kelly, so we're on the same page. As long as this man sees a doctor soon for assessment and treatment, his BP is probably going to be the least of his problems.........

I agree.  And it's not the top number that scares me it the bottom number.  And i agree that 99 is not a reaction white coat syndrome either.  But, medical attention (a 2nd opinion) would be the solution here.