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DH high blood pressure concern - any advice?

8 replies

Meadowwild · 12/06/2024 18:01

DH's blood pressure seems to be creeping up quite quickly. It was 148 last week so they called him and asked him to monitor it twice a day. It's currently around 156-158.

He is 65 years old. 6'1". Big build but not fat. He's never been sporty but he has tried recently to be more active. He probably averages 6-9k steps per day or does some gentle gardening. He grumbles about aches and stiffness if he gardens for more than a couple of hours, which worries me and he can struggle to exert himself physically (e.g.climbing a walkable mountain) due to an injury in his knee from his teens.

He is a very regular drinker but not excessive. Average intake 250ml a day (it takes him three days to finish a bottle of wine - so maybe 2.5 bottles per week or less)

Our surgery is barely functioning since lockdown. You can't see a GP for weeks. They'll phone or text you (they texted him when he gave them his 148 reading). So I can't tell how dangerous 158 is or what he should do about it other than take online advice to cut salt, alcohol and exercise gently more often.

I don't know how to help him. I suggested stopping drinking, doing the 5:2 diet neither of which he's keen to try. I had been encouraging him for about 3 years to walk more and he only started doing 6k a day when he got the first raised BP reading. So he doesn't take my advice. I have persuaded him to switch to 1/2 decaff 1/2 fresh coffee too, which might help. He refused decaff. He's very set in his ways.

Any advice from people with experience of high blood pressure? Can it be lowered by lifestyle changes?

OP posts:
MrsDanversGlidesAgain · 12/06/2024 18:07

How long has he to monitor it for and what did they say they'll do after that?

Cut out the salt and booze and exercise a bit more are good starts, but the surgery will probably want him on medication. Be aware that they might not hand out any lifestyle advice - mine didn't when I was diagnosed (and still doesn't). Everything I know and do I found advised on the internet.

In the end you can only tell him and if he ignores what you say, point out the likely results on untreated high BP and how you'd prefer that not to happen to him.

Only alternative I can think of is go for a private appointment. I sympathise, at my surgery you have to specify a f2f or otherwise you get a phone call.

ShrubRose · 12/06/2024 18:07

I'm not a doc, but I have a feeling the lifestyle changes will not be enough for DH. What's the bottom number? In any case, 158 is too high.
I would expect that when he submits those numbers they will give him an appointment, but if not I would push very hard to get him seen.

MrsDanversGlidesAgain · 12/06/2024 18:09

ShrubRose · 12/06/2024 18:07

I'm not a doc, but I have a feeling the lifestyle changes will not be enough for DH. What's the bottom number? In any case, 158 is too high.
I would expect that when he submits those numbers they will give him an appointment, but if not I would push very hard to get him seen.

Edited

I was thinking the same thing after I posted. Medication is at least known to work effectively and quickly, while lifestyle changes will take a while to kick in and leave him at risk. I'm surprised they just asked him to monitor if it's 158.

Coaltodiamonds · 12/06/2024 18:13

Mine is similar and they put me straight on meds. I asked the doctor about lifestyle changes and she said that if I'm eating a decent diet and doing some exercise then she doubted my lifestyle is the issue and changes wouldn't bring it down by much.

olderbutwiser · 12/06/2024 18:20

I am not a medic. I know BP can be lowered by lifestyle changes, but he would need to want to make the changes more than to want to take some medication. And even then lifestyle changes might not bring them down to a level that the medical profession would advise. If he doesn't want to or can't do changes that might make a difference then medication doesn't seem unreasonable.

And I wouldn't be too fussed about that - if he was massively overweight, completely sedentary and drank a bottle a night that's one thing, but it doesn't sound as if he is at that level.

Meadowwild · 12/06/2024 18:22

MrsDanversGlidesAgain · 12/06/2024 18:09

I was thinking the same thing after I posted. Medication is at least known to work effectively and quickly, while lifestyle changes will take a while to kick in and leave him at risk. I'm surprised they just asked him to monitor if it's 158.

It was 148 when they asked him to monitor it. But in just over a week it has risen to 158 and he has been exercising more. (But not just before taking the reading.)

Thank you everyone. I hope they do put him on some medication soon and will push for a f2f once he has sent in his numbers. I am worried.

OP posts:
coloursquare · 13/06/2024 14:55

Is he taking it properly? You can have occasional high readings. Does he ever have a normal one?

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