What effect would late night sleep have on elevated blood pressure?

Q. What should I do to reduce my high blood pressure?

Answered by
Dr. Ahmed Mohamed Mahmoud Goha
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Sep 05, 2020 and last reviewed on: Dec 13, 2023

Hello doctor,

I am 37 years old. My BP reading is 160/115 mmHg and I am sleeping late. Please advise what I should do.



Welcome to icliniq.com.

I can understand your concern. High BP (blood pressure) can be due to various reasons and sometimes can affect organs such as heart, kidney, etc. as well. To rule out if there are any secondary causes to your hypertension (high BP), I suggest you, to get a few additional tests and start taking medications to lower your BP levels. I recommend getting the following laboratory tests done to analyse your general health. Do urinalysis (urine tests), fasting blood sugar levels, HbA1c (glycated hemoglobin, which measures the average glucose levels of the past two to three months), Hematocrit (measures the red blood cells in your blood), serum sodium, potassium, creatinine, and calcium, and lipid profile. Also, to rule out the cause of high BP in your case, I suggest getting the following tests such as Estimated or measured GFR (glomerular filtration rate) to check for chronic kidney disease, CT (computed tomography) and angiography to check if there is coarctation of the aorta (narrowing of aorta, the large blood vessel of the heart), DST (dexamethasone suppression test) to check for cushing syndrome (a condition that occurs due to high cortisol (a steroid hormone) exposure for a longer period of time), Urinary metanephrine and normetanephrine tests to check for conditions like pheochromocytoma (a type of tumor that occurs in the adrenal glands), Doppler ultrasound, MRI (magnetic resonance imaging) to check for renovascular hypertension (hypertension caused due to narrowing of the arteries carrying blood to the kidney), Aldosterone test to check for primary aldosteronism, TSH (thyroid stimulating hormone) level, and PTH (parathyroid hormone test) to check for thyroid or parathyroid diseases, ECG (echocardiography), Abdominal sonography, Fundus examination (a routine eye examination recommended in patients with hypertension) and 24-hour ambulatory BP monitoring (method to measure BP continuously) before and after the treatment should be considered. I suggest you to start taking tablet Exforge HCT (Amlodipine, Valsartan, Hydrochlorothiazide) 5 mg/ 160 mg/ 25 mg and alter your diet to a low salt and low fat diet, avoid habits such as smoking if any, minimize the intake of alcohol and caffeinated beverages, exercise for atleast half an hour five days a week to avoid stress and tension, and get enough sleep. Revert with your investigation reports and monitered BP levels of two weeks. I hope this helps.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I have high blood pressure and feel chest pain. Please help.

.. could be related to gastroesophageal reflux or muscle pain. I recommend taking an antacid and Acetaminophen. If the pain persists, I would recommend consulting with your attending physician for a physical exam and some tests as follows: Resting ECG   Read full

What medicines can help treat renal hypertension?

These would be able to get your blood pressure well under control ...   Read full

I am on Rosuvastatin and Amlodipine. What are my lipid profile and liver test showing?

Hello doctor, I need you to please analyze my lipid profile and liver test where I can see that a few numbers are at a very high end ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Axumin Pet Scans in Prostate Cancer: What Is It and How Does It Work?
Axumin PET scans can locate recurrent illness in previously treated persons for prostate cancer by displaying elevated prostate-specific antigen levels (PSA).  Read more»
Avoiding Dental Abrasions
Cervical abrasions are abnormal concavities on the tooth surface due to mechanical wearing. Read this article for more information.  Read more»
Retinal Diseases in Children - A Complete Guide
Certain abnormalities can be present in the retina of some children. Continue reading to learn more about retinal diseases in children.  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.