High BP in evenings / Anxiety about communication

This section is for discussions with other women who have probably been through the same signs/symptoms that you may be experiencing. Please note, we cannot offer medical advice and encourage members to discuss their concerns with their doctors. New members, come on in and introduce yourself!
amarah
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Re : High BP in evenings / Anxiety about communication

Postby amarah » Mon Jul 03, 637684 3:28 pm

Kelly,

My pre e pregnancy resulted in chronic high bp, and I do know that its the same with every person your blood pressure is always highest at the end of the day, the lowest while your sleeping, and moderate during the day. BUT if you have any scarey high blood pressure readings you should be concerned, this is what ive been told. Try not to stress out about it, that can also cause it to raise. I would reccomend that you just make sure that you get what you want out of your care and dont let them push you to the side. I had crumby care with my pregnancy and because of that I resulted in a emergency c section. I know where your coming from. Just take charge hun! Xoxo Randi

lisainnj
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Re : High BP in evenings / Anxiety about communication

Postby lisainnj » Mon Jul 03, 637684 12:07 pm

Caryn, here is the link on the snoring. It doesn't say that CPAP prevented preeclampsia, but that it lowered pressures in preeclampsia.

It wasn't a study on two different groups of women, but on the same women on consecutive nights.

http://ajrccm.atsjournals.org/cgi/conte ... /162/1/252

kara
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Re : High BP in evenings / Anxiety about communication

Postby kara » Sun Jul 02, 637684 8:00 pm

I learned from these boards, after my PE experience, and after spending a lot of time in the NICU and with other pediatric specialists during the past year, that I HAVE to speak up. If they don't listen to me, choose to ignore me, or don't understand me-I sit there until they do. I didn't know to do this during my pregnancy, and like most was pretty much unaware of what trouble was brewing in my body. But when it came to my preemie, I stood up and demanded the proper care. In fact, I would call the pediatrician twice a day if that is what it took to get a referral to see a specialist for something I just knew was not right. I now know to do this, if we choose to have another baby.

Someone here explained it this way to me...and it made all the difference. A doctor is a service professional, not too much unlike a hair stylist. We PAY them to take care of us and our bodies. If our hair stylist wouldn't listen to us, and gave us a crew cut instead of a bob...we wouldn't stand for it, demand for repayment, and go somewhere else. Doctors are humans, with intricacies like all of us. They have good days and bad days, they make mistakes, they have personalities that may not compliment our own. Some people are good listeners, and some are not. They, however, are charged with our lives and our babies lives. That makes listening to US, critical. How can they treat us properly if they aren't listening to what is going on with us? There are good doctors who just need to be reminded of this from time to time, as well. What I'm saying is that doctors are not some sort of higher beings or gods. We look up to them because they are usually very intelligent and went to school for a lot of years to learn how to care for us. That doesn't mean that they are perfect. And even if they are very close to perfect, they don't know what is going on inside us; they don't have that instinct about our bodies that we have. They need to be told that they work for us and we are requiring that they listen and perform the appropriate tests, and if that is a problem, we will take our business elsewhere. So, I think of it as a business transaction. We are not questioning their intelligence...just their listening skills. And we think of them as a service provider for the health of our bodies, and we know our bodies better than anyone. I decided that if they are offended when I question them, they are the wrong doctor for me. That allows me the courage to stand up for myself and not feel like I'm being a nag, a pain, a ninny, or worse. :-)

Kara
p.s. Blood pressure should always be taken when you are sitting with your feet flat on the floor, and with the appropriate sized cuff.


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caryn
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Re : High BP in evenings / Anxiety about communication

Postby caryn » Sun Jul 02, 637684 6:45 pm

Lisa,

Was that one of the sleep apnea studies?

ETA: I think (not sure though) that the idea behind the snoring studies is that maybe snoring means you're short on oxygen during sleep -- so someone who woke up first thing in the morning with higher pressures might have pregnancy-induced sleep apnea and that might be part of the feedback loop that causes PE. But I haven't seen any studies big enough to say that lowering bp with a CPAP will lower rates of PE. That said, anyone who's snoring at night should mention this to her doctor.

kelly w
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Re : High BP in evenings / Anxiety about communication

Postby kelly w » Sun Jul 02, 637684 3:51 pm

Barbara, that's exactly how it is for me - all my "bad feelings" come on in the late afternoon and evening. I wake up feeling pretty good. [:(]

Fiona, I'm definitely going to start charting the BPs. At least they will have them, whatever they decide to do with them. I would be so reassured if they stapled them in my chart! [:)]

Lisa, I think I snore when I'm sick [:)] but otherwise not. My "thing" seems to be that the longer I am up the higher the BPs climb and the worse the swelling & other symptoms get, but once I'm in bed sleeping, it starts to get better fairly quickly. [Now, if only I could spend the last 10 weeks of my pregnancy sound asleep on my left side - I would have perfect pregnancies LOL! [;)] ].

Thanks for the info ladies!

Kelly

lisainnj
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Re : High BP in evenings / Anxiety about communication

Postby lisainnj » Sat Jul 01, 637684 1:23 pm

I'm another one with higher evening blood pressures - on other threads there have been others.

One thing to watch out for with high evening or night BPs, is snoring, which many pg women do - it raises the BP. If you do - get dh to listen, you should definitely have it treated. There was a study of women with preeclampsia who snored who were treated with CPAP devices (continuous positive airway pressure ) and their sleeping BPs were reduced by close to 20 points compared to women who weren't treated.

Hang in there.

fiona
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Re : High BP in evenings / Anxiety about communication

Postby fiona » Thu Jun 22, 637684 6:45 am

Kelly,

it sounds like the aldomet is losing the battle but hopefully a higher dose will keep you stable a bit longer. I agree with everything that's been said and would urge you to log those pressures: my last OB stapled them into my chart and took them very seriously. But then he knew what would happen if he didn't ;-)

raspbeari
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Re : High BP in evenings / Anxiety about communication

Postby raspbeari » Thu Jun 22, 637684 6:07 am

kelly good luck with your appointment tomorrow. I have run across one, maybe two people here(over the last year) who also mentioned a similar blood pressure pattern. Many have talked about labile pressures too, where the pressures would be different at different times of day.

Most of my symptoms came at night as well, headaches, nauseau, stomach/back pains, anxiety, just generally felt really off.

anyways good luck tomorrow, I am sending good thoughts your way.[:)]

kelly w
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Re : High BP in evenings / Anxiety about communication

Postby kelly w » Thu Jun 22, 637684 5:43 am

Barbara, you are the first person I ever "talked" to that had the same thing with the BPs rising through the day! It is good to know I'm not the only one.

I will see my maternal-fetal doc tomorrow, so I'll update then. Hopefully this practice will be great and I am just worrying over nothing.

Thank you for all the advice ladies!

Kelly

raspbeari
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Re : High BP in evenings / Anxiety about communication

Postby raspbeari » Wed Jun 21, 637684 2:30 am

kelly,
I am so pissed reading what is happening with you. I experienced something very similar with my bp readings and I could swear you are seeing the obs I saw. I also overheard one complaining about me being back again outside in the hall with another doc[:(] I can't believe what that doctor said about you on the phone [:(!]

so yeah my bps same exact thing, low in the morning and early afternoon, then rose steadily and got super high around 1am in the morning.


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