The other day my wife and I made love and the second after my climax I had a real hurting pain.

10/02/08

GWG57

the pain wasn't like a normal headac but more at the base of the neck,,it went away

in a couple of minutes. I'm 57 year old male,,175 pounds,,pretty active. Only major

medical conditions have been 3 back operations in the past 30 years and have a minor

back pain daily. We took my BP reading right after that and it was 150/110 not my normal,,120/85. Since then my BP seems to be high than norm. Ave around140/95. I do smoke and drink coffee. Since then 8 days ago I've been on 25mg hctz or something like that,,and trying to quit smoking,,,Thanks GWG

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Answers (1)

Thursday, October 02, 2008

Martin Cane, M.D.

CWG57,

Thanks for sharing your information about your blood pressure.

I doubt your neck pain was related to your elevated blood pressure. It was more likely due to a spinal or muscular problem in your neck. I also doubt that this episode is the cause of you higher pressure readings since that time.

You should know that your "normal" blood pressure of 120/85 is still considered a bit high by the American Heart Association. A systolic of 130 - 139, and a diastolic of 80 - 89 are considered pre-hypertension and needs to be monitored by a physician.

I'm glad that you have seen your physician and medication has been initiated. It will take a few weeks to see a full effect of the diuretic he/she has started. In addition, it is essential that you stop smoking and cut your caffeine intake (stop it all together if possible). Smoking can contribute to high blood pressure as well as being another major risk factor for heart and vascular disease. Please review this website for other tips and suggestions on getting your pressure down, and keeping it controlled. This includes dietary changes and a regular exercise program. Try to limit your salt intake to 2300 mg of sodium (the main ingredient in salt) which is about a teaspoon of table salt. You can find the sodium content on most foods by referring to the content label on the back. Avoid, salt containing snacks, canned soups and vegetables, "fast food" restaurants, and processed foods like cold cuts.

You should be congratulated for your efforts so far. Continue your medication, your efforts to quit smoking and cut caffeine, and start watching your diet. Our website on smoking cessation may also provide some assistance for you.

Best wishes.

Martin Cane, M.D.