high ahi and blood pressure

After using the Oxymetazoline HCL for over interval period of over 2 months....(3 days in a row but only 3 shoots each nights on my right nostril sin this is the only one that is blocking) right after late shower before bed. I have no rebound and only 1 occasion of nose bleed when I was having cold during winter period (down under).

I decided to see another good doctor as many acknowledge he is very good and experience. He introduced me the Rhinocort 64um Once a day 1-2 shoots, which is a double the strength that need prescription to shrink the polyps or the thickening of the walls for better long term solution from the nasal congestion and blocks.

But lately last 3 weeks experience higher than normal AHI more than 5 and mostly around 7 or more. Few a bit dizzy right after meals and decided to see my GP after a light dinner and found out that my blood pressure was very high first sit down test 180/92....immediate was ask for second stand up blood pressure test and with second test the result is 160/84.

Next blood pressure test is same time next week for another conformation as asked by the GP.

Wonder why? Is the AHI, Weight gain over 5 kg during this very cold winter, Oxymetazoline HCL or Rhinocort steroid or 3-4 cups of cappuccino caused the high blood pressure?


Please help....

Mckooi

What you are describing sounds a little like postprandial orthostatic hypotension.

For what it's worth, I don't think blood pressure measurements in a doctor's office are worth very much consideration. Doctors do not have time to let you sit quietly before taking your blood pressure, so they can't really know what your blood pressure is.

And especially if you have orthostatic hypotension, that can be pretty hard to catch. It may only last a few seconds. They can hardly inflate the cuff before your blood pressure may be returning to a more normal value.


If your doctor is treating you based on blood pressure values he gathers in his office, it might be time to seek a second opinion. But what you really really need to do is get a blood pressure monitor to use at home. Follow the instructions. Sit quietly for 15 minutes doing something relaxing (that would not be watching TV, for the most part.) Then take your blood pressure. I put the cuff on when I first sit down then wait until time to take it. My monitor is one of those that all you do is press the button and then it does the rest for you. If I take it when I first sit down, it is always higher than it is a little while later.

You should be able to print out some reports to take to your doctor so he can see what your blood pressure is under normal situations. I have whitecoat hypertension, which is another reason for me to take it at home, when there are no scary doctors around.

If you truly have orthostatic hypotension, unless it lasts quite a while it will be hard to catch. You can try the same thing at home by taking the pressure sitting down, then stand up and take it right away while standing.

As for what's causing your apparent hypertension, who knows? I do know that once I began to have effective CPAP therapy, I had to repeatedly reduce my blood pressure medicine and now I am off of it entirely. That is a mixed blessing because my blood pressure medicine was helping my heart. Oh, well, life is not perfect, and some compromise must be accepted.

Whatever the cause, it would be a good idea to cut your caffeine intake. I'm down to three servings a day, with none after dinner, and find it easier to fall asleep. Each cappuccino is probably two servings.

What you are describing sounds a little like postprandial orthostatic hypotension.

For what it's worth, I don't think blood pressure measurements in a doctor's office are worth very much consideration. Doctors do not have time to let you sit quietly before taking your blood pressure, so they can't really know what your blood pressure is. And especially if you have orthostatic hypotension, that can be pretty hard to catch. It may only last a few seconds. They can hardly inflate the cuff before your blood pressure may be returning to a more normal value.

Possibly after rushing to the clinic during rush hour. But a night before that I was felling a bit dizzy after dinner.

I

f your doctor is treating you based on blood pressure values he gathers in his office, it might be time to seek a second opinion. But what you really really need to do is get a blood pressure monitor to use at home. Follow the instructions. Sit quietly for 15 minutes doing something relaxing (that would not be watching TV, for the most part.) Then take your blood pressure. I put the cuff on when I first sit down then wait until time to take it. My monitor is one of those that all you do is press the button and then it does the rest for you. If I take it when I first sit down, it is always higher than it is a little while later.

Had one but loss years ago. I will get one a blood pressure monitor to use at home. Any good one?


You should be able to print out some reports to take to your doctor so he can see what your blood pressure is under normal situations. I have whitecoat hypertension, which is another reason for me to take it at home, when there are no scary doctors around. If you truly have orthostatic hypotension, unless it lasts quite a while it will be hard to catch. You can try the same thing at home by taking the pressure sitting down, then stand up and take it right away while standing.

Excellent idea and definitely need a good one with print out. Please let me know.

As for what's causing your apparent hypertension, who knows? I do know that once I began to have effective CPAP therapy, I had to repeatedly reduce my blood pressure medicine and now I am off of it entirely. That is a mixed blessing because my blood pressure medicine was helping my heart. Oh, well, life is not perfect, and some compromise must be accepted.

Seems going well with your cpap treatment. Good that to off the medication.

THANK YOU.

mckooi

Breathe Jimbo wrote:Whatever the cause, it would be a good idea to cut your caffeine intake. I'm down to three servings a day, with none after dinner, and find it easier to fall asleep. Each cappuccino is probably two servings.

I think so too as too much caffeine is not good at all been missing for some time so had 3-4 a night before the blood pressure test. I will switch to green tea instead as I used to do without coffee.

Thanks.

Mckooi

mckooi wrote:Excellent idea and definitely need a good one with print out. Please let me know.

I think Omron makes excellent home blood pressure machines. The one I have came with software that was really good. It allows me to print reports in a number of different ways. I think it will also allow you to export CSV data for your own spreadsheet, but I haven't had a need to do that. My doctor likes to see the values as a list by timestamp, so I print that report, and he also likes to see the monthly graphs of daily values, separated morning and evening (two graphs for each month, AM & PM, rather than all values on the same graph.) I had to ask him a couple of questions and show him several graphs that could be produced to find out what he wanted to see.

The Omron devices are pretty easy to use. The biggest thing you need to know is to make sure you get the proper cuff size when buying one.

mckooi wrote:Seems going well with your cpap treatment. Good that to off the medication.

Thanks. Except for the problems with my heart, I am very pleased to be able to get off of medication for my blood pressure.

LoQ wrote:

mckooi wrote:Excellent idea and definitely need a good one with print out. Please let me know.

I think Omron makes excellent home blood pressure machines. The one I have came with software that was really good. It allows me to print reports in a number of different ways. I think it will also allow you to export CSV data for your own spreadsheet, but I haven't had a need to do that. My doctor likes to see the values as a list by timestamp, so I print that report, and he also likes to see the monthly graphs of daily values, separated morning and evening (two graphs for each month, AM & PM, rather than all values on the same graph.) I had to ask him a couple of questions and show him several graphs that could be produced to find out what he wanted to see.

Hi LoQ,

Q1) At what time do you do the morning & evening blood pressure test? Any reason why for better my understanding .

Q2) May I have the model of the Omron and where and how much was it?

The Omron devices are pretty easy to use. The biggest thing you need to know is to make sure you get the proper cuff size when buying one.

Q3) I found an interesting model comes with graphs and Sa02...just take a look and what do you think.


http://cgi.ebay.com.au/Digital-Blood-Pr ... 4aa47fc7ee

Thanks

Best Regards,
Mckooi

mckooi wrote:Q2) May I have the model of the Omron and where and how much was it?

I got the Omron HEM-790IT. It costs around $75, but you may be able to find it cheaper than Amazon.

mckooi wrote:Q1) At what time do you do the morning & evening blood pressure test? Any reason why for better my understanding .

I test it first thing after I get up and go to the bathroom, then I sit down and take it. I do it then to see what it is when I first get up. The Omron software interprets anything taken before 10 AM as morning.

In the evening I take it any time after 7 PM, but usually try to do it later in the evening to see what it is at the end of the day. The Omron software interprets anything taken after 7 PM as evening.

mckooi wrote:Q3) I found an interesting model comes with graphs and Sa02...just take a look and what do you think.

I'm afraid I'm not familiar with that one.

Breathe Jimbo wrote:Whatever the cause, it would be a good idea to cut your caffeine intake. I'm down to three servings a day, with none after dinner, and find it easier to fall asleep. Each cappuccino is probably two servings.

I did cut it for last whole week and after the event. Visited the GP and blood pressure shown 142/82 down significantly after a week and shaped 1 kg away fro many waking in the bush parks. Next, search for a blood pressure machine for better self administration of blood pressure test during Am after wake up and PM after dinner for a better long term observation. Besides back to the Oxymetazoline HCL decongestion spray on my right nostril (2 puffs) follow by Rhinocort (1.5 puff) as polyps treatment on the right nostril. Could these sprays raised the blood pressure?

Thanks and take care.

Mckooi