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Family Medicine  (Expert Forum)
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Blood pressure lower lying down
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.

Blood pressure lower lying down

by ValleyGirl618, Jun 20, 2006 12:00AM
Hello,

I have two questions:

I took my blood pressure today whild sitting upright and noticed that it was a little high - around 125/90. I took it again lying down and noticed that it was alot lower: 110/60. I was wondering what causes such a significant difference in blood pressure readings? The only other health problems have are that I am overweight and I (may) have a hiatal hernia.

As for my blood pressure, it is usually around 120/80. I'm not sure why it's higher today, but I recently started takend Rhinocort for nasal allergies. Could that cause a rise in blood pressure?

Thanks in advance for your response.

by Kevin Pho, MD, Jun 21, 2006 12:00AM
I am not aware of Rhinocort affecting the blood pressure that much.  

It may be possible that your heart rate increases as one stands, increasing blood pressure.  This can happen with episodes of volume depletion or venous pooling.  As the heart rate increases, blood pressure can increase.  As the volume depletion worsens, eventually the blood pressure will lower as one stands, rather than rise.  

This question can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
Member Comments (3)

by ValleyGirl618, Jun 21, 2006 12:00AM
To: Dr. Kevin
Thanks for your reply.

I wanted to follow-up on what you said about "venous pooling". I'm not sure what that is, however, I was diagnosed with varicose veins in my left leg. Could the two be related?

by caregiver222, Aug 23, 2006 12:00AM
It is not medically possible to provide an opinion without knowing (a) the pulse rate taken with each blood pressure (b) the arm (left or right).

by caregiver222, Aug 23, 2006 12:00AM
Without knowing the pulse rate we cannot differentiate between a blood pressure difference due to venous compensation and cardiac compensation.
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