HomeAnswersCardiologyblood pressure fluctuationI am in my early twenties, and I have hypertension for three years now. What should I do?

Why does my blood pressure goes from hypertension to hypotension at night?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At May 9, 2022
Reviewed AtJuly 21, 2023

Patient's Query

Hi doctor,

I am in my early twenties and I have hypertension for three years now. Hypertension does not run in my family and I am a very healthy individual who plays sports. I have currently 10 % body fat and have a healthy diet. During the day, I normally have systolic blood pressure between 130 to 150 mmHg and over 80 mmHg at night. While lying down, it is better and systolic blood pressure is 120 mmHg. However, my diastolic blood pressure also drops super low below 50 mmHg. Is this too low at night? And why do I go from hypertension to hypotension? Is there anything I can do? I had taken medications for the same earlier.

Hi,

Welcome to icliniq.com.

Measures to control blood pressure (BP) are avoid smoking and other addictions. Reduce salt intake in the diet. Reduce fatty foods, junk foods, and saturated fats in food. Avoid stress and anxiety. Do regular moderate-intensity exercise, such as brisk walking for 30 minutes daily. Have proper night sleep, at least eight hours per 24 hours, including at least six hours uninterrupted sleep at night. Reduce weight even if the weight is within normal range. Drink plenty of water. Do deep breathing exercises and meditation. Measure your blood pressure (BP) while you are totally relaxed. Sit for five minutes in a quiet room without talking to anyone. Empty bowel and bladder before checking BP. Avoid tea or coffee 30 minutes before checking BP. Sit on a chair with feet on the ground, back supported, hand supported on a table, cuff at the position of the heart. Check BP, and repeat after five minutes again. Then Check BP in the other arm and repeat after five minutes. During the entire period remain relaxed and quiet. Arm with higher BP readings is your actual BP. You may take at least two or more readings and the average of readings is your actual BP.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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