What is Blood Pressure?
Let us now understand what BP means ‘Blood Pressure’ …
As the name implies, it is pressure. The pressure created by the flow of blood through pure blood vessels is called Blood Pressure or BP. This pressure varies during both the contraction and relaxation of the heart.
The heart contracts and expands 60 times per minute. At the time of contraction, the blood pressure is always higher than the time of relaxation of heart. The pressure that the blood builds up on the blood vessels during the contraction of the heart is called ‘systolic blood pressure.
On the other hand, the blood pressure that builds up during the heart’s relaxation is called ‘diastolic blood pressure’. Blood pressure at the time of contraction is the need to supply blood to organs other than the heart. Diastolic blood pressure is what the heart needs to supply blood to itself.
Systolic Blood Pressure / Diastolic Blood Pressure is measured when measuring blood pressure in the medical field. E.g. If systolic blood pressure is 120 and diastolic blood pressure is 80 then the blood pressure is 120 by 80 and while writing systolic blood pressure / diastolic blood pressure it is 120/80 which is 120 oblique 80, it is normal range of blood pressure. ‘Mm of hg’ is the unit of blood pressure. Blood pressure needs to be controlled. If the blood pressure is low, then there is a possibility of failure due to a lack of energy and oxygen required by the organs.
If the blood pressure is elevated, there is a risk of organ failure or rupture of blood vessels due to pressure on the cells of the organ.
What is Low BP?
So far you have B.P. Understood what that means. Let us now understand what is meant by ‘Low BP’ …
Healthy man’s BP This is usually 120/80. Systolic means BP during heart contraction. It is 80. Hatch B.P. Less than 90 and Diastolic BP. When it was less than 60, it was said that ‘Low BP’ came. But most doctors believe that the blood pressure at which a patient begins to have symptoms is considered a ‘low BP’ for that person. There are numerous reasons for low BP. Let’s look at some of the important reasons …
• Childbirth: Due to changes in the circulatory system, various hormones in the body, i.e. hormones, can cause changes in the body and lower blood pressure. This is normal. It usually does not cause symptoms. After the baby is born, the blood pressure returns to prenatal levels.
• The patient’s BP can also be affected by low heart rate, heart palpitations, heart attack, and heart failure. Were reduced.
Hormone problems (glandular diseases): There are different types of glands in our body which produce the hormones required by the body. Diseases of the thyroid and parathyroid glands, such as the thyroid and parathyroid glands in the neck, and auditory disease of the kidneys (Audison’s disease) are also likely to lower blood pressure. Some patients also have low blood pressure due to diabetes or low blood sugar.
Dehydration: Dehydration, possibly due to vomiting, diarrhea, increased diuretics, or even after a lot of hard work.
Blood loss: i.e. due to loss of blood in the body. BP can also be caused by injury to the body in an accident and bleeding and internal bleeding. Decreases. When it enters the bloodstream through infection, it lowers the life-threatening blood pressure.
Lack of nutrients in the body: Vitamin B-12 vitamins, folic acid can lower blood hemoglobin and lower blood pressure.
Medications mainly given for high blood pressure, some drugs used to increase the hardness of the penis i.e. drugs used for erectile dysfunction are likely to lower blood pressure when taken mainly with heart drugs.
In a couple of hours after meals, some patients have BP. Were reduced. Blood flow to the digestive tract is increased to facilitate digestion after a meal. In this case, other blood vessels in the body constrict and keep blood pressure under control.
In some older persons, this balance is not maintained in patients with high BP and diabetic patients with autonomic nervous system failure. Such individuals are advised to eat more or less starchy foods, such as carbohydrates, alcohol, and plenty of water. A unique connection is established between the brain and the heart. Standing too often can cause some children and adolescents to have the wrong message, which can lead to heart failure, low blood pressure, and dizziness.
Symptoms of low blood pressure
• Extremely severe BP lowers fatalities.
• The patient’s heart rate is weakened and the pulse rate is increased. The skin is sweaty, cold and pale, the breathing is slow, the person is confused. Such patients need to be hospitalized.
What is High BP?
Many organizations, societies and hospitals work on blood pressure. There are differences of opinion in defining the high BP of each organization. But if the patient’s BP is above 130/80, that is, if the upper BP is above 130 and the lower BP is above 80, then it should be taken seriously.
Hi BP guidelines are regularly issued by JNC i.e. Joint National Committee.
The latest guidelines include the JNC-8 guidelines. It states the age of the patient and how much BP should be in case of high blood pressure and other ailments. High blood pressure is expected to be less than 150/90 in people over 60 years of age who do not have diabetes and kidney disease.
Blood pressure is expected to be less than 140/90 in patients between 18 and 59 years of age who have no other disease and over 60 years of age, with diabetes and kidney disease.
Different types of high BP
Secondary Hypertension – We will discuss the causes of high blood pressure in detail.
But there are other types of hypertension that are more important for treatment –
White Coat Hypertension
Masked Hypertension
Resistance Hypertension
Malignant Hypertension
White Coat Hypertension
In the future, these patients may have to take high blood pressure medication at home due to high BP. Therefore, all new patients received 24 hours B.P.P. Should be measured. Patients with white coat hypertension also need to have regular 24 hour BP (ABPM). Anxiety is caused by anxiety.
Resistance Hypertension
It is important to understand that it is not the number of pills that is important but the number of drugs in a pill. One pill may contain one or more drugs. Therefore, even people with 2 pills may have Resistance Hypertension. This often has secondary causes. Such patients should definitely consult a Hypertention Specialist.
Am I at risk for high blood pressure?
Friends, your question is correct. Everyone in the human race needs to be aware of these dangers. Only then can the number of patients in India and alternatively in Maharashtra be brought under control.
Among the dangers of high blood pressure are some that you cannot change. I.e. Non-Modifiable Risk Factor. On the other hand, there are some dangers which can be changed to reduce the nature of the danger.
Read our blog Know Your Risk for High Blood Pressure for more information.
Non-Modifiable Component of blood pressure
• Age – The risk of hypertension increases with age. Between the ages of 18 and 35, the BP rate is 7.57%, between the ages of 40-59, 35%, and over 60, 65%.
• Gender – Men up to age 65 are at higher risk of high blood pressure than women. At age 65, the risk is the same for both.
• The Ethnicity – Asians have a higher risk of high blood pressure than whites.
All of the above factors are not within the jurisdiction of man, they come with us by birth.
Modifiable Component of blood pressure
1) Obesity – As obesity increases. The risk of hypertension also increases. Obesity increases the amount of fat in the blood vessels. So the heart has to work harder. This is why it is important to control obesity.
2) Smoking – The risk of high blood pressure increases in a person who smokes. Nicotine causes blood vessels to constrict. It loses its elasticity and, in turn, increases its hypertension. High blood pressure in smokers increases by 5 to 10 mm of mg. Consumption of other tobacco-based alternatives such as sweetmeats, brownies, tobacco, khaini, zarda, gutkha also raises the risk of high blood pressure and increases the risk among those who consume them.
3) Dietary salt content – People with more than 2 grams of salt in their diet are at increased risk of high blood pressure. Salt retains body fluids. As there is fluid retention, dietary salt should be kept low. That’s what everyone says.
4) Alcohol – Alcohol is a dangerous substance. It can never cure the body. Alcohol also poses other psychological risks. As a result, more than 60 ml of alcohol is harmful in men. As well as alcohol, other fatty substances, salts are absorbed into the body. This increases the risk of obesity and dietary salt. Because of this, if it is not possible for anyone to avoid alcohol, they should avoid these other things.
5) Lack of movement, lack of exercise – This increases the risk of high blood pressure. It also increases the risk of obesity and, alternatively, high blood pressure.
6) Stress – There is a risk of high blood pressure due to increased adrenaline in the body, as well as the person suffering from stress, smoking, alcohol diet. This increases the risk of high blood pressure.
7) Pain Killers – Some painkillers increase the risk of high blood pressure. So please do not go to the medical and take any painkillers without consulting a doctor.
8) Cold and cough medicines – Pseadoephridrine and Phenylephrine increase the risk of high blood pressure. Therefore, these medicines should be taken only on the advice of a doctor.
Causes of hypertension, Causes of high BP
The causes of hypertension are mainly divided into two .
1)Secondary Blood Pressure (Secondary Hypertension) – Let us understand what is defined as Secondary Hypertension.
High blood pressure is caused by secondary hypertension in 5 to 10% of patients with high blood pressure. Secondary hypertension, as the name implies, is caused by other medical conditions. Such as kidney disease stenosis of the blood vessels of the kidneys. This reduces the circumference of blood vessels and reduces blood flow to the kidneys. Diseases of the adrenal gland above the kidneys also include Cushing’s syndrome, adrenal adenoma, etc. Obstructive sleep aprea is a disease associated with the thyroid gland, coronary heart disease, obstructive sleep apnea.
It also causes wheezing when the neck muscles and tongue muscles become weak during sleep. Some medications, such as steroids, pain killers, birth control pills, immunosuppressive drugs, and decongestant cough medicines also cause high blood pressure. Let’s look at the causes of secondary hypertension if there are any symptoms.
1) Hypertension in youth
2) Uncontrolled hypertension despite taking medication (i.e. resistance Hypertension)
3) Adrenal gland disease can occur in people with excessive sweating, increased heart rate and headaches, and anxiety. Weight gain, weakness, unwanted body hair, abdominal wrinkles, premature menstruation in women. Cushing Syndrome of the Adrenal Gland.
Weight loss will be followed by fatigue and constant tiredness. Daytime sleepiness due to low potassium in the body. Disorders such as fatigue, partial sleep at night, dizziness, etc. can be disturbed insomnia. Secondary hypertension is completely cured in some patients. In some cases, however, there is a shortage of drugs, so a diagnosis is needed. So if you do not control the above symptoms and have hypertension in your youth, it is very important to find out the causes of secondary hypertension.
1) Primary Blood Pressure (Primary Hypertension) – Also called Essential Hypertension or Idiopathic Hypertension in medical parlance. Let us now see what primary hypertension is. Patients with no other cause of secondary hypertension (BP). They are called primary hypertension. For this we first defined secondary blood pressure. These include genetic factors, diet, addiction, obesity, stress, lifestyle, alcohol and other factors that limit blood pressure control. And it is believed that it causes primary hypertension. Primary hypertension is the cause in 90 to 95% of people, so this change in diet and habits is considered to be the cause of hypertension, while medicine focuses only on controlling hypertension.
Age and blood pressure
According to a survey, more than 70% of people over the age of 60 have BP, while 30% of people in the age group of 40-59 have BP. Aging is a natural process, but it increases the risk of certain diseases by 40 to 100 times more than young people. However, this does not mean that hypertension does not occur in children and adolescents at all. Hypertension is also found in children and adolescents. Although the rate is lower in older people than in older people, it is not negligible.
Hypertension at an early age is most often due to secondary causes of hypertension. Therefore, people with hypertension in their forties need to look into all the causes, especially those related to hypertension. Also, high blood pressure at an early age increases the risk of developing high blood pressure in the future. Changes in lifestyle, diet, and medicine are just as important. The more this change, the lower the rate of untimely deaths. Also, lifestyle changes are of no use for a while. It must be carried out throughout life. Therefore, it is important to adopt a good lifestyle at a young age.
Symptoms of hypertension
Of course it happens only when BP is more than 130/120. Otherwise it does not happen. There are some nonspecific symptoms. Such as visual problems, chest pain, feeling weak, shortness of breath. But these are all indirect symptoms. Of course, hypertension does not have such special symptoms.
Hypertension has no symptoms, so the diagnosis is delayed. That is why it is also called Silent Killer.
Your personality and hypertension
Chronic illnesses can be overcome if mental capacity or personality is strong. Regularity, understanding, habitual restraint is a very important part of treatment for overcoming physical ailments. Our personality is made up of the environment around us, society, our body and mind. There are different aspects of personality. We will look at some aspects of personality and the relationship between hypertension.
1) Perfection – Perfection is not the right thing for high blood pressure. Bringing perfection into every individual thing is probably evolutionary. But there is an element of his insolent insistence. If you are losing your peace of mind due to slippery feet, not getting something in place, then such perfection is detrimental in terms of hypertension.
2) Short Temper – If you are irritated by small things, then it is not suitable for your BP. Your anger increases your heart rate, increases BP, weakens you mentally. People forget the difference between being angry and being irritated. When you are angry, you do not want to disturb your peace of mind. Keeping the mind calm and making the other person aware of the expected change is to be angry.
On the other hand, disturbing your peace of mind is called irritating. So it is okay to say be angry but not irritated. It is not right to be angry, but it is better to be angry than to be angry. I mean. This is called immediate anger. Being irritable is harmful for BP.
3) The tendency to hate
If you don’t get along with a lot of people around you. If you don’t trust anyone early on, if you are very skeptical, then there will be constant animosity towards leaks. The tendency to despise all good and bad things is an alternative to high blood pressure.
4) Irritability – Irritability as mentioned earlier Irritability is harmful for BP.
5) Negativity (Pessinission) – If your attitude is negative about most of the events, objects, people, then you may fall into the trap of hypertension.
6) Haste and Haste – Even if a person is always in a hurry, that person can get high blood pressure.
Adverse effects of blood pressure
• Kidney – High blood pressure affects the blood vessels of the kidneys and numerous filters in the kidneys, which reduces the function of the kidneys. It is called C for Chronic, K for Kidney, and D for Disease.
Chronic Kidney Disease. Also, if blood pressure stays out of control for a long time, chronic kidney disease can lead to renal failure. Therefore, a person with BP should have regular urine and blood tests for their kidneys.
• Brain – BP can lead to blockage of blood vessels in the brain (i.e. throbosis) or rupture of blood vessels leading to bleeding or paralysis. The effects of BP on the kidneys can be predicted, but in the case of the brain, it is somewhat difficult.
• Heart – High blood pressure can affect the heart and cause a heart attack. There is a risk of heart failure due to high blood pressure.
• Eyes- Hypertension can lead to rupture of blood vessels in the eye, affecting the retina of the eye i.e. retina and also loss of vision.
Is there a complete cure for high blood pressure?
One thing I would like to mention here is that your blood pressure is under control. This means that hypertension is not completely cured, so please do not stop taking BP pills on your own.
If you take a pill by mistake at any time and there is no problem, then people develop unnecessary false self-confidence. If you need to reduce your medication or high blood pressure pills you can consult with us online to see if you can stop.
How to measure blood pressure at home?
The cuff of the sphygmomamometer should be tied to the rod of the right or left hand. Make sure that the tubes connecting the sphygmomamometer and the balloon are in the middle. With the help of mercury on the top of the spygmomamometer, there is a record of 280 intervals starting from 0, 10, 10. Place your hands on the pulse on the side where the BP cuff is placed and make a chain of heartbeats. Slowly move the mercury up through the balloon. If this mercury closes at 120, remember that number. This is the systolic blood pressure of 120 people. This is called Palpatory Method. Diastolic blood pressure cannot be taken in this method.
The second method uses a stethoscope. This diaphe should be placed on the opposite side of the corner of the hand in the middle. Then the number obtained by the above method i.e. Palpatory Method. Take 20 to 30 more mercury on it. Then slowly with the help of a knob release the air filled in the cuff. You will hear knocks as the mercury goes down. When the pulse starts, the pressure reading is called systolic, meaning upper BP. Slowly move the air down through the knob, when the knocking sound stops it should be considered as diastolic i.e. lower BP.
The purpose behind explaining this process is to add to your knowledge. If you find this process difficult, you can use an automatic machine. Automatic machines do not require a stethoscope. It has a BP cuff and machine. The cuff of the BP is connected to the machine by a rubber or plastic tube. It is expected that the connecting tube of the cuff will be on the side of the arm.
The automatic machine has a small screen. There is also an on / off button on the machine. Press the on / off button after lifting one of the cuffs of the machine. After a while the pressure on the bar begins to increase with the help of the cuff. Gradually the pressure begins to decrease with the control of the automatic machine. When it decreases and the pressure decreases, readings are taken on the machine in the form of 140/90, 130/80.
Avoid smoking half an hour before or before taking BP. Sit quietly for five minutes before taking BP.
Avoid talking while taking BP. It is better to look at the average BP by taking BP twice than by taking it once.
Why should blood pressure be controlled?
If BP is out of control, then high BP puts pressure on the cells of the main organs of the body like brain, kidneys, heart and so these cells become ineffective. It also affects other cells in the body due to high BP. Staying in BP control means taking care of your heart, kidneys, brain. The alternative is to take care of your health.
Keeping your BP under control will prolong your life so you can work harder and faster. Your life can be happier if your BP is under control. Keeping your BP under control is even more important financially and socially.
If your BP is under control then you can avoid the side effects of BP, alternatively reduce the cost to the body. The cost of controlling your BP will be for medicines, doctor’s fees, not at all. It should be considered as an investment in your health.
Every member of the family has a unique significance, be it grandparents, parents, brothers and sisters, husbands or wives, children, grandchildren and great-grandchildren. Everyone has an important role to play in the family. And every relationship is important to everyone. This is the tradition of India, everyone’s health is important to preserve this tradition. So everyone in the family needs to have their BP under control.
People get up from hard work and while consuming it, they leave the world due to controlled diseases like blood pressure. This you inflict injustice on your body, so I request all of you. If you love your family, control your BP, try to control who has BP in your family.
Importance of Pills for Blood Pressure Patients:
Many patients complain to the doctor and to both of them for BP pills. But one thing to note is that if you have to take BP medication, it is a gift, not an injustice done to you by God. There are many diseases for which no medicine is available. You are lucky that God has given you the opportunity. You can use these pills to help you stay healthy.
Attitudes towards BP and pills need to be positive.
It is advisable to see a doctor one week before the end of BP medication and take the next medication. Preferably avoid the same drug company. BP has nothing to do with medication or diet. You are expected to take the pill regularly. It would not be wrong to say that it is pure nonsense to avoid a BP pill because you have not eaten breakfast. Whenever possible you should have all of these components in place for launch to maximize profits.
Upon waking or before going to bed
With and after diet
Bathing, brushing teeth
You are expected to perform these actions at the same time each day. The timing of the pills should be the same every day before and after these actions. Can run back and forth for 10-15 minutes. But daily time must be observed. Often two different types of BP medications are given in the same pill. Also the dosage of BP drugs may vary. It is advisable to have your pills with you every time you go to see a doctor. Because it is often difficult to understand what a drug is in the name of medicine. This is because the name of the drug is given by the company.
The company can give the drug any name. But from the ingredients in it, of course, from the content, one understands how the tablet works. That name can be broadly called Phermatical Name. As the type of biscuit is the same but the company making it is different so the name is different. Biscuits but the name is different and the medicine is the same and the name may be different as the company is different. So every time you go to see a doctor, take medicine so that it will be easier for the doctor.
Another important thing about the pill is not to miss the pill at least 2-3 days before going to the doctor. Because if you go to the doctor without taking pills and you find high BP, then it becomes difficult to understand what caused high BP. This means that it is difficult to understand that BP is not under control by taking BP pills. So it is important to take the pills without fail before seeing a doctor. If possible, remember the names of BP tablets.
If the name is remembered then the pill of this name will be remembered in the morning / afternoon / night so that the medicines will not be missed. Or it will be remembered if any change is made in it. Don’t rely on another person to take the pills. If the person is not at home, they may miss a dose of the pill.
Salt and hypertension
How much salt does a person need to live life? How much salt do we need? What are we going to prepare to control dietary salt? We will discuss this today.
Salt is important for life. Salt is important for controlling your body’s water, for nerves in the body, and for muscle contraction and proliferation. You need about 1500 grams of sodium in a day, which is two thirds full. We can add 1 teaspoon of salt to our diet in 24 hours. More salt than this can be harmful to the body. There is some misconception about salt. Like, I don’t have to worry about salt.
1) I am healthy. This is not true. Even if your blood pressure is not high, eating too much salt in the future can be harmful. For this you should check your BP regularly, so you will realize that you are not taking too much salt.
2) I eat as much salt as I want but I have no symptoms. As we have seen, the symptoms of high blood pressure do not occur most of the time, so even though the salt content is high, there are no symptoms at present, but in the future those symptoms may occur and may cause discomfort.
3) I already have BP. Then what is the use of reducing salt. This is not true. Admittedly, there is already BP. But if you reduce your salt intake, it will help you to control your BP.
4) Salt is a natural substance. So it is not a remedy. It is an exaggeration to say that what is in nature is not harmful to us. Naturally, fruits and vegetables contain salt, which is acceptable, but some foods try to add more salt.
5) It is not right to say “food has no taste without salt”. This is scientifically incorrect. Food can be made delicious even with less salt. For this you can add garlic powder in food. Can eat fresh foods.
6) If any food item has more than 480 mg of salt, it is harmful.
high blood pressure and weight
1) Like I am overweight. But I do not suffer from hypertension. Although such a picture appears in some patients, weight is an important risk factor. Even if you do not have high blood pressure today, in the future you may be at risk of high blood pressure due to this weight. So be careful.
2) How do I get high blood pressure while I am under weight control?
Even if your weight is under control, you may have hypertension because you have noticed that hypertension is not the only cause but there are numerous causes. So it is a good idea to keep your weight under control. But in the future you may have higher BP if you gain weight. So weight must be under control.
3) ‘We lost so much weight but the pills don’t stop. ‘
If you lose weight, your BP stays under control. Your pills may be reduced, but it is not fair to expect your pills to stop working completely. Many of us who meet BP for the first time decide to make a change in our life as soon as we realize it. This is a good thing. However, it is up to the hypertension specialist, not the patient, to decide if the BP will be completely controlled and the medication will be needed. So don’t be fooled by the illusion that you will lose weight and have BP. Weight loss will be followed by fatigue and constant tiredness.
4) If you lose about 1 kg weight, your blood pressure will decrease by 1 ml ltr. Now the most important misconception is ‘eat so little, but still don’t lose weight’. Friends, the weight of the human body is tax. So it is an indicator of human diet. Your body is made up of flesh, bones, water and fat. The most important revelation here is that the most harmful thing to your body is fat (meaning fat).
The purpose behind losing weight is to lose fat. Some medications are often taken to reduce the amount of flesh, bones and water in the body and to lose weight. It is not suitable for the body. Fat loss is more important for BP than weight loss. So the most important thing is to reduce this fat.
Now let us see what is fat?
Now let us first understand what calorie deficiency is. Suppose the body needs to expend 2500 calories. And we only consume 2000 calories from food in 24 hours. There is a shortage of 500 calories. If you want to lose half a kilo of fat a week, you need to burn 500 calories a day, that is, 3500 to 4200 calories a week. This means that if you deficit about 500 calories per day, you will lose half a kilo of weight in a week.
People have a common problem, the doctor reduces the amount of food but does not lose any weight. How will it be, if you cut down on meals for a week but eat so much in one day, how will you lose weight if you are filling up for a whole week? Some people say that they only eat one meal at a time, but if the calorie deficit sheet is not formed even after one meal, then how to lose weight. What good is a web site if it simply “blends in” with everything else out there?
If you want to lose weight, first you need to calculate your daily calorie requirement. We are going to teach you how to do it in BMR. Weight loss will be followed by fatigue and constant tiredness. For this, you have to estimate how many calories are going from your meal. Weight loss will be followed by fatigue and constant tiredness. In my experience, the proportion of people who are able to control their weight even after understanding high blood pressure is less than 10 percent.
Weight loss will be followed by fatigue and constant tiredness. And only a hypertension specialist can think holistically about this. And weight loss benefits are important not only for BP but also for diabetics, kidney disease, heart disease.
Diabetes and hypertension
In most patients, diabetes is associated with hypertension.
Because some risk factors like lifestyle, weight of a person, personality, addictions, etc. are common to both. Because of this, most patients have both diseases. In fact, hypertensive patients are at risk of developing diabetes and diabetic patients are also at risk of developing hypertension. In patients with diabetes, hypertension needs to be controlled more strictly. Diabetics also need to check their blood sugar regularly to see if their blood pressure is under control.
When both hypertension and diabetes are combined, the potential risks to the patient from hypertension and diabetes are greatly increased. Therefore, a diabetic patient should check his blood pressure regularly. Also, a person with high blood pressure needs to have their blood sugar checked regularly.
Patients with diabetes should have regular kidney tests, such as urine protein, blood sugar, and blood creatinine, at least once a year.
What is DASH diet ?
D for Dietory
A for Approach
S for Stop
H for Hypertension
Read more about Dash diet for high blood pressure and Dash diet for hypertension
High blood pressure and diet, DASH diet
DASH: –
D for Dietory
A for Approach
S for Stop
H for Hypertension
I.e. Dietary Approach to Stop Hypertension. There are no special foods in the DASH diet. It is recommended to eat fruits, vegetables and whole grains. Consume lean or low fat dairy products, fish, vegetable oils. Avoid high fat foods like meat, fatty dairy products and local oils like coconut oil, palm oil. Sugary sweets and honey should be avoided or controlled. Before adopting the DASH diet, first of all keep in mind your age, your mobility level.
Secondary means light labor, related to our daily life. In moderate labor it is expected to walk 1.5 to 3 miles per day, 3 to 4 miles per hour. Active means more than 3 miles per day (3-4 miles / hour). The Dash Diet helps in lowering high blood pressure and lowering LDL Cholesterol (Bad Cholesterol) in the blood.
Daily Nutriad levels of DASH dietary plan
Total Fat 27% of calories
Saturated Fat 6% of calories
Total Protein18%
Total Carbohydrate55% of calories
Na2300 mg
K4300 mg
Cal1250 mg
Mg500 mg
Fiber30 g
Cholesterol150 mg.
Make the changes slowly while starting the DASH diet.
If you are not eating fruit and are consuming fruit juice, slowly start including fruits in your diet. Instead of using substances like soda, alcohol or tea with meals, start using substances like milk, curd.
Make it a habit to read food labels.
Avoid meat.
• Whole Grain should be used. It is rich in fiber and minerals.
Blood pressure and exercise
There are different types of exercises. The effect of exercise on hypertension depends on the type of exercise, the time it takes to do it, the frequency of the exercise, and the intensity of the exercise. Generally, moderate to high intensity exercise, about 30 minutes at least 5 times a week (usually 150 minutes per week) is considered suitable for hypertension.
Exercise is important for two things.
1) To control weight and
2) To strengthen the heart.
Exercise should be part of your routine. So you get rid of stress. They also become energetic.
Answer a few questions yourself before choosing the type of exercise.
What type of exercise do you enjoy?
Would you like to work alone in a group?
There are three types of exercise
1) Aronic or Cardiac Exercise for the heart helps in strengthening the heart by increasing the heart rate. E.g. Walking, running, jumping rope, cycling, swimming etc.
2) Strength Training – This is an attempt to strengthen the muscles. E.g. Lifting weights.
3) Stretching – This makes you more flexible. This helps in reducing the injuries caused by exercise.
4) It should be fun for you to exercise regularly. It should fit into your diary. Great if you have a partner to exercise with.
5) Exercise type should be safe for you.
In general, it is natural to increase heart rate and increase respiratory rate. But if you have chest pain, weakness, neck, shoulder pain, then stop exercising.
Examination of patients with high blood pressure
To determine the diagnosis of hypertension
To find out the causes of hypertension
To investigate the effects of hypertension on the organs
Office BP- Monitory
ABPM stands for Ambulatory BP Monitoring. A small machine is attached to the patient’s waist for 24 hours. This machine has a BP cuff. Which is tied to the patient’s arm. This is the setting in the machine. So that BP is automatically measured in half an hour during the day and for an hour at night. Each time BP’s readings are stored in BP’s machine.
After 24 hours, this machine is connected to the computer and every hour BP is obtained. Using this information and maths, it is decided whether the patient has BP or not. This test is usually done by a hypertension specialist.
Blood tests to find the cause of hypertension
• CBC – To find out the number of hemoglobin, white blood cells and platelets in the blood
• Sr. Creatinine – To check the level of creatinine in the blood.
• It is useful to check whether the kidneys have high blood pressure.
• Thyroid test – T3, T4, TSH are tested for blood hormone levels.
• To check the level of sodium and potassium in the blood.
• Check blood fat levels such as LDL, HDL, cholesterol, TG – Triglyceride.
• Sonography
Abdominal sonography is performed with the help of sonography machine if there is BP at a young age. In most patients, sonography tests the blood vessels that supply blood to the kidneys. The diameter of the blood vessels in the kidneys decreases and hypertension occurs. To him RAS. Also called renal artery stenusis. It is best to have a sonography specialist who examines you regularly.
• CT – Scan (Abdominal)
CT-Scan is recommended in certain patients based on their symptoms. Presumably there is a gland called adrenl on the upper side of the kidney. Patients with those glandular tumors may have high blood pressure. This test should be done with the advice of a hypertension specialist.
Now some research has to be done to check the effect of hypertension on the organs. Such as
• Urine detection – In patients with high blood pressure, the release of proteins from the urine, i.e. the presence of albumin, is a symptom of kidney disease. Blood creatinine levels are also increased if hypertension affects the kidneys.
• ECG-Elctrocardiogram (chest bandage) and 2D ECHO (heart sonography) are performed to check the effect of high blood pressure on the heart. Fundoscopy is done to check if the eyes are affected by high blood pressure. This is reported by the ophthalmologist himself. This examines the retina, the inner membrane of the eye. Hypertension sometimes affects the brain and sometimes causes paralysis. This can often require a CT-scan of the brain.
Vaccination of hypertensive patients
The vaccine is given every two months. This vaccine protects against most of the germs of pneumonia. The immunity developed by this vaccine lasts for 5 years. The flu vaccine lasts only one year and should be taken only once a year.
Patients who are on dialysis due to hypertension need to get Hep B vaccine. It is also called jaundice vaccine. Of course this is jaundice that spreads through the blood. The dose is usually 0,1,6 months. But in kidney patients the dose is 0,1,2,6 and double than usual.
Counselling of cook for Blood Pressure Control
This person needs to be convinced of the importance of less salt. Some people are convinced that a meal without salt cannot be delicious. Such people need to use asafoetida and a small amount of spices to make the meal delicious. Include fresh fruits and vegetables in your diet. Avoid using frozen vegetables and fruits.
Make it a habit to read food labels. So that you can understand the amount of salt in it. If you are going to take the same food, then the products of different companies have less salt content. Take low-salt products. Avoid foods that do not taste salty but are high in salt
Taste is what you get. In short, the taste becomes as you get used to your tongue. If you keep eating less salt for 6 to 8 weeks, you will not like foods like potato chips.
Some good restaurant websites have salt in their dishes. Salt should preferably be used in cooking. Avoid eating salt while eating. Avoid adding salt to the plate. Instead of taking a spoonful of salt, add salt from a small hole-shaped pot. They also use salt in food preparation to preserve the flavor of food. It is also used for storage in foods like pickles and papads, which are made once a year. At that time, eat less salt carefully. Some foods such as curry powder, tamarind, saffron, etc. are eaten with salt. Such habits need to be changed. Chicken, boiled eggs are also eaten in moderation. It also increases the salt in the food.
Dr.Sham Pagar
Nephrologist (Kidney Specialist), Blood Pressure Specialist in Nashik, Maharashtra, India.
Kidney Disease and Blood Pressure are well controlled with medicine along with lifestyle modification. Only medicine will not be enough, proper education & Information regarding disease is equally important.
follow us on https://www.facebook.com/sham.pagar
