Saturday, November 01, 2014
Monday, September 13, 2010 Diana L, Community Member, asks

Q: BP high in the morning and low in the afternoon

My dad is 80yr old. He used to have lower than normal BP until recently. In the past few years he always woke up with BP around 180/130. But the BP would come down and become normal or slightly low (90/65) around noon time. He took Nifidine (20 mg, extended release) before went to control his high BP in the morning which caused his blood presser to drop to 50 sometimes, especially after meals and when standing still. Why does his BP fluctuate so much? Suggestion for treatment? Thanks a lot
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Answers (1)
9/13/10 5:23pm

Hi Diana,

 

Blood pressure fluctuates throughout the day depending on a variety of factors, such as activity and stress. Sleep apnea is one potential cause of an elevated morning blood pressure. I recommend discussing further with his physician to determine the cause and appropriate treatment.

 

All the best,

Lisa Nelson RD

7 Natural Ways to Lower Blood Pressure

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Diana L, Community Member
9/13/10 8:59pm

Dear Dr. Nelson;

Thank you so much for responding to my question.  My dad is in China.  He has low blood presser problem since young.  About a year ago he was diagnosed with prostate cancer then Parkinson within two months.  Soon after, he developed early morning high blood presser.  Now both of his prostate cancer and Parkinson disease are under control by hormone therapy and dopamine treatment.  He is also taking Nifidine (20 mg, extended release) which controlled his high blood presser in the morning but worsened his low blood presser problem for the rest of the day to a dangers level.  His Chinese doctor has recommended switching him to midodrine hydrochloride for his low blood presser and stopping him from taking Nifidine.   Is there a better way to treat patients like my dad in the US?  Or can you refer me to a doctor in the field?

Many thanks

Diana

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9/13/10 9:14pm

Hi Diana,

 

Consider consulting with Dr. Shelby-Lane through RelayHealth. You're able to schedule virtual appointments which allows patients to work with her from any location as a health coach.

 

All the best,

Lisa Nelson RD

7 Natural Ways to Lower Blood Pressure

Reply
Diana L, Community Member
9/13/10 9:30pm

Thank you, Dr. Nelson.  I will contact Dr. Shelby-Lane.

 

Diana

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By Diana L, Community Member— Last Modified: 12/27/10, First Published: 09/13/10