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Hypertension Advices

Posted by on Saturday, December 19, 2009, 10:49
This news item was posted in Hypertension category and has 2 Comments so far.

Although many of my patients have had success with the eight step following program for hypertension, I only use the general guidelines discussed below after reviewing a patient’s personal and medical history, performing a thorough examination and evaluating the laboratory studies to make sure that the program will be beneficial.

Please see your own physician before embarking on any treatment program for hypertension.

More advanced cases of high blood pressure may require medication, but I’ve found that changing a person’s diet and lifestyle is often all it takes to bring the pressure back to normal.

Here’s the eight-step program :

  1. If the blood pressure is dangerously elevated, get it down as quickly and safely as possible, using medications when necessary. Some medicines work well with relatively mild side effects. I tell my patients that we must quickly lower the blood pressure to prevent a “brain attack” (stroke). As soon as the lifestyle and other changes begin taking effect, however, we can often reduce and eventually eliminate the medications altogether.
  2. Change your lifestyle and eliminate as much stress as possible. In the case of emotional stress, the problem is not what happens to us, but, rather, how we respond to it. “Thought disease” can cause hypertension, but we can help to protect ourselves by learning to look upon challenges as NICE (new, interesting, challenging experiences), rather than to view them with FUD (fear, uncertainty and doubt).  “Thought disease,” the major scourge of our time, is caused by germs of the mind such as anger, fear, frustration, loneliness, alienation, unforgiveness and others. But we unknowingly bring “Thought disease” on ourselves. Other people do not make us think harmful, negative thoughts. We, and only we, decide what we will think.
  3. Learn meditation and relaxation techniques to help keep stress at bay.
  4. Maintain normal body weight. Shedding excess fat is very important and can help bring high blood pressure back down to normal.
  5. Adopt a high complex-carbohycfrate diet based on fresh vegetables, whole grains and fruit, with smaller amounts of low fat protein and dairy products. Avoid the dangerous “CATS from San Francisco” (caffeine, alcohol, tobacco, sugar, salt and fat).
  6. Take carefully calculated doses of magnesium, calcium, potassium and other supplements.
  7. For unremitting anxiety, I recommend a homeopathic remedy put out by Enzymatic Therapies called L.72 Anti-Anxiety. It is a complex mixture of many remedies, including Cicuta virosa 4x, Ignatia 4; Staphsagria 4x and Asfoetida 3x. I havefound this to be an effective anxiolytic that I’ve used to help people whose elevated blood pressure was due to nervousness or anxiety. I also use an herb called Kava kava (piper methysticum) to relieve anxiety.
  8. In many cases, it may be helpful to undergo a 24-hour Ambulatory Blood Pressure Monitoring (ABPM) to detect “hidden” hypertension. ABPM can also show what drives your pressure up work, traffic, tense family situations, etc. Later, ABPM is a valuable tool for following the course of improvement during hypertension treatment.  Blood pressure goes up and down during the day, as we commute, work, eat lunch, meet with friends, relax, play softball, go shopping, laugh, converse and get angry. If your blood pressure is checked only once during a medical visit, it won’t reveal the entire picture. It’s a good idea to have your blood pressure checked by a doctor. You should also check it regularly at home, as well. One reading, especially in a doctors office where the patient may be nervous, is not enough to establish a diagnosis of high blood pressure. However, the blood pressure reading must be taken correctly if it is to be of any value. (A surprising number of health care professionals do not measure patients’ blood pressures properly.) The ABPM blood pressure monitor consists of a blood pressure cuff worn around the upper arm and a small box-like device that can be worn like a purse or attached to the belt. The patient wears the device for 24 hours. The patient also keeps a diary of everything done during the day. The readings are computer-analyzed and compared to the diary to find out exactly how the patients’ blood pressure responds to everyday events and stresses. Using the ABPM, I’ve found many “hidden” hypertensives, as well as situations where blood pressure is usually normal, but rises dangerously when the patient is in stressful situations (such as arguing with a spouse or being harassed at work).

How should blood pressure be taken?

Simply talking about certain subjects can raise the blood pressure, so you should be silent, seated, relaxed and calm. Eating may falsely elevate the reading, so some time should have passed since your last meal.

  • Your arm should be relaxed and at the level of the heart not higher up or hanging down
  • Your fist should be relaxed. (Clenching your fist can raise your pressure.)
  • You should not be pushing against anything with either arm.
  • You shouldn’t be chewing gum, and shouldn’t have recently had coffee, smoked a cigarette or taken over the counter drugs containing caffeine or phenylpropanolamine (a medicine used to suppress appetite).
  • And you should be silent.
  • The blood pressure cuff should fit snugly around the upper arm, just above the elbow.
  • It should be at the level of your heart, and not hanging down low.
  • The first time, the doctor should take your pulse at the wrist.
  • With one hand on your pulse, the other pumping up the blood pressure cuff, he or she should keep pumping until the pressure has obliterated the pulse.
  • Now above the systolic pressure, he or she an let pressure out of the cuff, listening for the first sound with the stethoscope

When I find elevated blood pressure, I usually ask the patient to lie down and relax. Then I repeat the reading after he or she has rested for 20 minutes, often finding that the pressure has fallen to acceptable levels. Your blood pressure should always be measured in both arms. With certain diseases, the pressure will be different, and finding significantly different pressure from right arm to left can be an important diagnostic clue.

Getting the right blood pressure reading is an important first step in combating hypertension. Although hypertension is a potentially serious problem, it can often be controlled.

stress program

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2 Responses to “Hypertension Advices”

  1. AVINASH CHOPDA
    5 January, 2010, 3:57

    i am in love with alcohol and tobacco from past 10 years.my age is only 26.now i am quite depressed about what i did.there is only negativity in my mind about serious diseases.what can i do to survive.i am ready to leave theses things but how?kindly help

  2. 5 January, 2010, 12:39

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