Common "White Coat Hypertension" queries answered by top doctors | iCliniq

White Coat Hypertension

White coat hypertension is a condition presenting with increased blood pressure in the patients after reaching the doctor's clinic or hospital. Patients may have normal blood pressure at their home, and after reaching hospitals, they can show increased blood pressure after seeing doctors with white coats.

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My mother's blood pressure keeps on fluctuating despite taking medication. Why?

Query: Hi doctor, This concerns my mother's BP (blood pressure). She is nearly 154 pounds in weight and has been on BP (blood pressure) treatment for the last four months, and here I am giving a summary regarding her BP treatment. Four months ago, the first time the treating physician checked her BP for th...  Read Full »

Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to I do feel she needs ambulatory BP (blood pressure) monitoring to see her BP and variations throughout the day rather than just measurements at the physician's clinic. This is to rule out what is known as white coat hypertension (which is due to high BP at the time of me...  Read Full »

I have white-coat hypertension. Kindly help.

Query: Hello doctor, I am a 71-year-old female. I have white coat hypertension. I have had this all my life. I have been to numerous psychologists and therapists. I am in good health and take 1 mg of Synthroid daily. When I go to the doctor's office my BP goes sky high. At home, it is around 120/70. I went...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to These blood pressure spikes related to white coat syndrome are not dangerous and do not cause any permanent damage to your heart or blood vessels. They are caused by the anxiety when consulting with your doctor. These spikes do not need to be treated. There is no nee...  Read Full »

What could be the reason for a rise in BP in evening?

Query: Hello doctor,My age is 43. My weight is 167 pounds, and my height is 5'5 feet. I was an athlete and discontinued sports around ten years back. I am an ecology and environment consultant by profession. I was diagnosed with hypertension six years back and was taking medicine last year. My BP reached t...  Read Full »

Dr. Anoop Mathew

Answer: Hi, Welcome to The basic question is if you really have hypertension or all along was it just what we call white coat hypertension, which shows high blood pressure readings in the hospital alone. So, to answer this we have two options. First, you can do a home BP recording with a reli...  Read Full »

After a general checkup, my blood pressure was found to be 135/60 mm Hg. Should I be worried?

Query: Hello doctor, I had a checkup today with a new doctor, and I have not had a general checkup in about a decade. I am a 37-year-old male, height 6 feet 2 inches, and weighing 163 pounds. I am a non-smoker, drink once or twice per week, and eat a fine but definitely not the perfect diet. I exercise reg...  Read Full »

Dr. Prashant Valecha

Answer: Hello, Welcome to Good to hear that you are following an active lifestyle which is good for your health. According to studies and medical guidelines, your systolic blood pressure is slightly on the higher side. But with age, there can be some stiffness in vessels, so it may cause some...  Read Full »

Is it safe to cut my Lisinopril-HCTZ 12.5 mg dosage in half to match the recommended dosage from my doctor?

Query: Hello doctor, I took Amlopidine 5 mg (milligrams) and continued it till the next day. I experienced numbness in my fingers due to the medication, but the doctors dismissed it as anxiety. I have a prescription for Linsonpril-HCTZ 12.5 mg, which I received when I visited the ER for high blood pressure...  Read Full »

Dr. Srivastava, Sumit

Answer: Hello, Welcome to Your first query consult is on us! I read your query and can understand your concern. Amlodipine has not been effective in controlling your blood pressure. Lisinopril with HCTZ (Hydrochlorothiazide) is a potent combination of two drugs that control blood pressure. Th...  Read Full »

How can I get rid of white-coat hypertension and does it affect my future pregnancy?

Query: Hello doctor,I have white-coat hypertension that I can not get rid of. Something about getting my blood pressure (BP) taken gives me anxiety. I am an otherwise healthy 30-year-old female who is very active. My BP at work is always normal (120/80 mm Hg). I feel like I can not control it and when goin...  Read Full »

Dr. Kulkarni Rahul Suresh

Answer: Hello, Welcome to I understand your concern. Do not worry too much about your condition. We encounter a similar situation more than often. It is fairly common. Try some good relaxation techniques like meditation, especially transcendental meditation. Try Yoga too. You should not thin...  Read Full »

I have hot flushes and anxiety at 4 pm every day. Please help.

Query: Hello doctor, I recently was referred to a renal specialist for low sodium levels by my primary care physician. After a complete kidney workup, he said that they were functioning well. But, he changed my hypertension medicine from Lisinopril to Losartan and discontinued my diuretics. As a result, my...  Read Full »

Dr. Sadaf Mustafa

Answer: Hello, Welcome to I am not sure why he was reluctant to put you back on Lisinopril when you had no real issues with it in the first place. Both Lisinopril and Losartan are sister medications but from two different groups that works pretty much in the same way. If your kidneys are toler...  Read Full »

My mother has been taking BP medicines for four months but there is no improvement. Please help.

Query: Hello doctor, My mother has been taking medicines for blood pressure for four months. She has been on tablet Telmipil 40 milligrams and capsule Nicardia 5. Despite taking these medicines, there is no decrease in her blood pressure levels. Instead, her BP got increased. The doctor has prescribed anot...  Read Full »

Dr. Arpit Varshney

Answer: Hello, Welcome to I went through your query and understood your concern. The medicines prescribed to your mother are in general sufficient to control blood pressure. However, if her blood pressure is not getting controlled by these medicines, there can be two causes, White Coat Hypert...  Read Full »

Why does my blood pressure raise on seeing a white coat?

Query: Hello doctor, I am a 27-year-old male working in the IT sector. For the past few months, I am monitoring my BP (blood pressure) and pulse rate. My blood pressure is in the range of 130/90 to 150/90 mm Hg, but today it was 140/90 mm Hg, and my pulse rate is in the range of 85 to 95 beats per minute. ...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to 140/90 mm Hg is the upper limit of normal blood pressure. Sometimes slightly higher blood pressure may be due to anxiety, especially hospital or related clinical anxiety called whitecoat hypertension. Avoid a sedentary lifestyle, adopt an active lifestyle, reduce sal...  Read Full »

What can be the reason for high blood pressure in a 19-year-old boy?

Query: Hello doctor, I am a 19 year old skinny male. My BP was 158/100, but that could be because I was anxious at the doctor's. I have no prior health conditions. What could be the causes of a high blood pressure for me other than anxiety?  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to I understand your concern. Your age is 19 and your blood pressure is high. There are certain causes of hypertension in the young. The other causes have to be ruled out before labeling it as anxiety related hypertension. These include:  Renal abnormalitie...  Read Full »

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