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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Blood Pressure At Rest?

My boyfriend is a walking dead man... his blood pressure is extremly high even when HE is at rest. Weve been together almost 5 years. The problem is hr keeps waking up with blood in his mouth. This is a everyday for the last 5 years im starting to get nervous can u help?
Thu, 11 Dec 2014
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Neurologist 's  Response
I read your question and I understand your concern.

High blood pressure can and should absolutely be treated or sooner or later there will be serious consequences. You don't mention the numbers of those very high values, but the blood thing indicates nosebleed due to very high pressure causing the vessels in the nose to rupture.
Regarding the cause, there are cases of essential hypertension, meaning no cause can be identified, but there are cases especially if manifested at a young age when a cause can be found and be treated like kidney conditions, abnormalities of blood vessels, endocrine (hormonal) issues. Those are identified by appropriate imaging and lab tests. Even if no cause is found there are many drugs available to control his blood pressure.
Of course first he must understand that his ignoring the problem could be serious, that the condition is treatable and that he must be evaluated by a doctor as soon as possible.

I hope things work out for the best
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What Causes High Blood Pressure At Rest?

I read your question and I understand your concern. High blood pressure can and should absolutely be treated or sooner or later there will be serious consequences. You don t mention the numbers of those very high values, but the blood thing indicates nosebleed due to very high pressure causing the vessels in the nose to rupture. Regarding the cause, there are cases of essential hypertension, meaning no cause can be identified, but there are cases especially if manifested at a young age when a cause can be found and be treated like kidney conditions, abnormalities of blood vessels, endocrine (hormonal) issues. Those are identified by appropriate imaging and lab tests. Even if no cause is found there are many drugs available to control his blood pressure. Of course first he must understand that his ignoring the problem could be serious, that the condition is treatable and that he must be evaluated by a doctor as soon as possible. I hope things work out for the best