Ask Dr. Rowena

Photo Dr. Rowena Your questions about high blood pressure answered by a board certified doctor. Browse the categories in the left menu.

Blood pressure measurements jumping up and down.

Q: My initial blood pressure is 140-150/80 (diastolic is always 80 or below) Within 3-5 minutes the systolic goes down to the 115-120 range. I am using the RESPeRATE. Would I be classified as hypertensive? Do I need meds?

A: Average three readings taken 5 minutes...

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The effect of a colder room vs a warmer room on your reading.

Q: Can being in a cold room and taking your blood pressure result in a noticeable increase compared with a warmer room? I am thinking of the peripheral vasoconstriction vs vasodilatation effect.

A: Blood vessels constrict in response to cold to help maintain body heat. This...

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Breathing rate while monitoring blood pressure.

Q: Which is the correct way of monitoring my blood pressure – while breathing normally or while inhaling deeply and exhaling lengthily? Just a while ago, the former resulted in 140/67 (pulse rate 63) as the average of 3 takes; with the latter, it was...

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Best time to get an accurate blood pressure reading

Q: I take my blood pressure reading every morning and it’s always normal; however, when I get home in the evening, the reading can be around 160/90. WHEN is the best time to take an accurate reading of blood pressure? I am not on any...

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The accuracy of home blood pressure monitors.

Q: What’s your opinion on home blood pressure monitors. Are they accurate?

A: Used properly, home blood pressure monitors are accurate. Like any piece of equipment, some models are nicer than others. Subscribers might want to read which models Consumer reports like the best here at...

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Erratic Blood pressure readings.

Q: Recently at a health fair screening my bp was around 150/90. When I was checking out, they checked it again, it was 180/100, 1 minute later it was 235/100, 1 minute later it was 170/100, they said it was because I was stressed but...

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Measuring your blood pressure after a mastectomy.

Q: I am monitoring my blood pressure at home. Is it true that the arm on a mastectomy side should not be used? And if so why?

A: Chronic arm swelling known as lymphedema can be a side effect from a mastectomy. If this occurs, it...

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How to know your real blood pressure despite fluctuations.

Q: How do you determine your real blood pressure when it is labile and goes up and down many times a day? sometimes very dramatic changes within minutes.

A: Ask your doctor about 24 hour ambulatory blood pressure monitoring. This type of monitoring can provide valuable...

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Correction: Best time of day to check blood pressure.

Q: Can you please tell me when the best time of day it is to check blood pressure? Thanks

A: The best time to check your blood pressure is a time that will be routinely convenient.  Blood pressure varies throughout the day. Because of this, you...

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Taking multiple bp readings.

Q: When you say take 3 readings and average them is this one reading after the next? My BP is always lower the secondand third reading. I take my BP with my arm resting on a pillow beside me and it checks better than when...

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