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    White Coat Syndrome
    avatar
    Shoes05 posted:
    Any ideas, suggestions, on how not to have "white coat syndrome?"
    Pressure always high in doctor's office and fine at home.
    Reply
     
    avatar
    kjme11374 responded:
    Try to figure out WHY its happening. Its probably a fear of the "unknown". MY BP also goes up at dr's office (if it's a NEW doctor), yet when I had my endoscopy, BP hardly went up at all. if you can, take a trusted friend with you. Discuss with him/her before you go what you want to ask doctor. This way if you forget to ask, your friend can ask.

    Here's some reading material for you:

    http://www.medscape.com/viewarticle/482891

    http://www.webmd.com/anxiety-panic/features/beyond-white-coat-syndrome

    http://www.everydayhealth.com/hypertension/why-you-shouldnt-ignore-white-coat-hypertension.aspx

    And this one is a forum in the UK:
    http://www.patient.co.uk/forums/discuss/white-coat-syndrome-73198

    hope this is helpful to you. BTW, I have no medical training, but I LIKE to read and any advice I give is based on my personal experience.

    Lastly, have you talked to your doctor about this? I think generally its a normal reaction.
     
    avatar
    oldhollywoodgal replied to kjme11374's response:
    My doctor knows I have White Coat Snystrum. My bp is fine when I am at home. I get really nervous in his office. But he prescribed bp pills. They don't agree with me. He doesn't listen.
     
    avatar
    billh99 replied to oldhollywoodgal's response:
    Have your doctor give you a an ambulatory BP test. That is a portable BP monitor that you will wear for 24 hrs and it takes a reading every 10-20 minutes.

    That is considered the gold standard. And home BP is second best.

    Learn some relaxation exercises. The book Relaxation Response, by Herbert Benson is a good place to start.

    Make sure that they use approved methods when taking your BP. Which is never done.

    Sitting with the back supported, feet on the floor. And rested for 5 minutes in a quiet place. Not rushed in and the BP taken as soon as you can roll up your sleeve.

    But he prescribed bp pills. They don't agree with me. He doesn't listen.

    Remember, you are always in charge.

    White coat hypertension indicate a "sensitive" system and in some cases leads to full time hypertension.

    So don't completely ignore it. With any treatment there is a trade off between effectiveness and side effects.

    Maybe a different class of med or lower dose would be more appropriate.


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