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Your request is not unreasonable, I agree that you should see another GYN. And if you find something, sue your old GYN for not doing his/her job and missing a diagnosis.

 

Got it. Whew! At least i'm assured that i'm thinking clearly. Thanks doc!!

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Bakit tumataas mga blood pressure pag pagabi na. Whats the logic behind it

 

Play of hormones and other cofactors yan. Depende din sa physiology ng tao. yung iba have an early morning BP rush, pagkagising tsaka lang mataas BP, yung iba pag gumagabi na tsaka tumataas.

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From Mayo clinic emeritus hypertension specialist.

 

Blood pressure: Does it have a daily pattern?

Does blood pressure have a daily pattern? I've noticed that my blood pressure is always lower in the morning than at night.

 

Answer

from Sheldon G. Sheps, M.D.

 

Blood pressure has a daily pattern. Blood pressure is normally lower at night while you're sleeping. Your blood pressure starts to rise a few hours before you wake up. Your blood pressure continues to rise during the day, usually peaking in the middle of the afternoon. Then in the late afternoon and evening, your blood pressure begins dropping again.

 

Having an abnormal blood pressure pattern, such as high blood pressure in the morning, can mean that you have a health problem. Potential problems include:

 

Poorly controlled high blood pressure

Sleep apnea

Tumors of the adrenal gland

Kidney disease

Risk factors for developing an abnormal blood pressure pattern include:

 

Night-shift work

Caffeine use

Tobacco use

Too much stress

Taking blood pressure medications that don't last 24 hours

Your doctor can tell you if an abnormal daily blood pressure pattern may need treatment. He or she may recommend a 24-hour blood pressure monitoring test. The device used for this test measures your blood pressure at regular intervals over a 24-hour period and provides a more accurate picture of blood pressure changes over a typical day and night.

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From Mayo clinic emeritus hypertension specialist.

 

Blood pressure: Does it have a daily pattern?

Does blood pressure have a daily pattern? I've noticed that my blood pressure is always lower in the morning than at night.

 

Answer

from Sheldon G. Sheps, M.D.

 

Blood pressure has a daily pattern. Blood pressure is normally lower at night while you're sleeping. Your blood pressure starts to rise a few hours before you wake up. Your blood pressure continues to rise during the day, usually peaking in the middle of the afternoon. Then in the late afternoon and evening, your blood pressure begins dropping again.

 

Having an abnormal blood pressure pattern, such as high blood pressure in the morning, can mean that you have a health problem. Potential problems include:

 

Poorly controlled high blood pressure

Sleep apnea

Tumors of the adrenal gland

Kidney disease

Risk factors for developing an abnormal blood pressure pattern include:

 

Night-shift work

Caffeine use

Tobacco use

Too much stress

Taking blood pressure medications that don't last 24 hours

Your doctor can tell you if an abnormal daily blood pressure pattern may need treatment. He or she may recommend a 24-hour blood pressure monitoring test. The device used for this test measures your blood pressure at regular intervals over a 24-hour period and provides a more accurate picture of blood pressure changes over a typical day and night.

 

well said! common recommendation already in american heart association is to do a 24 hour ambulatory blood pressure monitoring in hypertensives

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  • 2 weeks later...
  • 5 weeks later...

I wouldn't advise taking them if you have a heart problem, especially if you're taking nitrates. Sexual enhancers usually contain compounds which can 1)increase heart rate which can cause the heart to overwork itself and 2)vasodilators which can cause your blood pressure to drop suddenly. Of course, this is all in theory, since no one actually puts on the side of the box kung ano ang laman ng mga supplements na yan. Take at your own risk

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  • 4 weeks later...

Gents,

 

Any orthopedic surgeon/rehabilitation doctors here?

 

I have a question regarding dislocation/fractures and the like.

 

Kasi my cousin have a second right shoulder dislocation that occurred two years ago early 2011 dahil sa isang practice match sa MMA. with proper treatment and rehabilitation sa sikat na government hospital e naka-recoever siya ng mabuti. As per previous advise by the doctor ay wag na daw siya mag engage sa MMA sports dahil sa injury. So tumigil na siya for about two years na, pero recently may nakausap din kasi siya na conditioning coach at MMA professional na pwede pa daw siya mag MMA in consideration na dapat magpa surgery siya to tighten the muscle and undergo a different set therapy.

 

Ang tanong ko po ay possible ba talaga yung sinabi ng MMA coach at professional? and if ever, magkano ang magiging cost nun (surgery, therapy, conditioning, etc)?

 

please share your suggestions, opinions. All comments are highly appreciated.

Edited by Archus
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  • 2 weeks later...

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