IA probably BU: v high BP on 24hr monitor followed by better reading. Don't want to call a doctor due to SEN child. Am I wrong?

[Anothernony45]

My GP requested a 24hr BP monitor in July when she diagnosed post viral fatigue after I had a really nasty chest infection in the spring. The surgery has cancelled this 4 times but it was finally fitted today.
The nurse fitting it took some test readings which were very high so she asked the duty doctor to see me. They said to go ahead with monitoring but asked the team tomorrow to process the results as soon as I drop the monitor in and tell tomorrow's duty doctor. She talked to me about the risk of stroke and said if not for the monitoring she'd have prescribed medication today.

I've had some better readings (125/97, 149/89) but then one alarming one 201/103 followed by 169/79 half an hour later)
I was moving around when I got the high reading but over 200 was a shock so I googled and got fairly alarming information. I lay down, took a 75mg aspirin and did deep breathing!
I'm on my own with 11yo (autistic) DS.
Am I wrong to stay put and follow the GPs plan?
No chest pain. Vision not blurred when wearing glasses (have long/short sight).

I have a disability which causes fatigue.

i’ve hit 210 top blood pressure when moving around.

blood pressure should rise when doing exercise. It’s not really considered “normal” for it to rise that much but for some people it does.

as long as it returns to normal for you after exercise it’s generally considered ok,

no doctor has ever given a shit about mine.

I'm so sorry to hear about your fatigue@Octavia64 it really can be so disabling and hard to convey to people with no experience of it.

Thank you for your reassurance about the numbers.

Unless you have any concerning symptoms I would follow the advice you were given today.

Do you have suitable support to help care for your child if there is an emergency? If not, I’d recommend getting that in place. Hopefully you’ll never need it but it will be reassuring for you to know that it is there.

You could call the doctor to be sure but in the absence of other symptoms I don’t think the doctor or A & E would do much tonight. I imagine they would want to wait until tomorrow when they have the full picture of results to go on. There’s such a thing called a hypertensive crisis which I’m sure you’ve googled but if your readings are getting lower that’s a good sign.

Yes @Thisistemporary that was the phrase I didn't mention in my OP. It does seem sensible to get the readings done.

@FuzzyWolf you are right if course, as luck would have it the person I could almost always turn to went away yesterday but will be back tomorrow night. I'm feeling as if some kind of carelink system might be a good way to go.

Why do you think you might need immediate medical care? Is it just based on the reading rather than any symptoms? If the former just follow the doctors advice to drop the monitor back tomorrow. Are you peri menopausal? That can cause high BP spikes. Also it sounds as if yours might be somewhat anxiety induced and even iatrogenic (anxiety induced by the GP over-reacting).

I am not a doctor - keep the monitor on tonight, return as planned tomorrow, I personally wouldn’t do anything else tonight like go to A&E. I guess you are likely to be prescribed blood pressure tablets which are generally well tolerated and save a lot of lives.

There seems to be a thing called exercise induced hypertension.

general agreement it’s not a good thing but also general agreement that it is very common.

https://pmc.ncbi.nlm.nih.gov/articles/PMC4315351/

Thank you all for your thoughts, all very helpful.🌸