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blood pressure for child
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blood pressure for child

I am not really sure what to post this under.  My child was born premature and when she was born they heard murmer in her heart.  she was in the hospital for over 4 weeks and when we left they said that just to keep and eye on this.  We then moved from that city and I ask about it each time we go to the Dr but they say they do not hear it.  I have mitrovalve prolapse and with her she always seems like she is retaining water and is bloated.  I have to fight with her to get her to drink, always  saying she is not thirsty when she wakes up in the morning she does not go to restroom, sometimes it is noon or later before she does, even if I have been pushing liquids.  I took her to the Dr couple of months ago just routine checkup and they took her blood pressure and she said seemed a little high, but then said it was probably just the wrong size cup on her so I made her go and get another one.  I took it yesterday and it showed to be 116 over 63.  I am not sure what a pressure is suppose to be for a child.  But it was a lot higher than what it use to be.  She does not eat a lot but she seems to gain weight all of the time.  she is 5 years old and over 80 pounds.  We walk at night when we get home for exercise so she can play at play ground and ride scooter.  Does not seem to get out of breath, but she turns beat red everytime we are active.  should I be concerned?

Thank you,
Melanie
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306245_tn?1244388567
my son is 5 and his BP is 90/60 however he has a lot if heart issues too. as for the murmur if they don't hear it then it is gone. most murmurs are classified as a innocent murmur. my son's wasn't so innocent at birth he had ti fixed and now he has a soft grade 1/6 murmur which is okay. I know how scared and worried your are. I googled this and hope it helps
Because of this fact, the American Academy of Pediatrics recommends that the blood pressure be checked as a part of the yearly checkup beginning at age three. In general, the blood pressure normally increases as the child gets older. And the blood pressure is also significantly affected by height with the taller child having a higher blood pressure. In other words, a 4 year old who falls at the 5th percentile for height on the growth curve will have a normal lower resting blood pressure as compared to the 4 year old at the 95th percentile for height.

Emerito, the concern about hypertension in children occurs when the blood pressure is found to be above the upper limits on three separate occasions. It is important to note that the blood pressure reading may be inaccurate if the choice of blood pressure cuff size is inappropriate for the size of the child. The optimal blood pressure is simply one that is high enough that the child does not become dizzy because of low blood pressure but low enough that it does not exceed the upper limits based on height and age. Below is a table that gives the range of upper limits for the systolic and diastolic portion of the blood pressure. The lower number of the range represents the upper limit for a child at the 5th percentile for height. The upper number of each range represents the upper limit for a child at the 95th percentile for height.

For Example, using the table below:

A 5 year old boy at the 5th percentile for height would have hypertension if his blood pressure was consistently 108/69.

A 5 year old boy at the 95th percentile for height would have hypertension if his blood pressure was consistently over 116/74

Age

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

Upper Limit of Systolic
Blood Pressure For Boys

98-106
101-110
104-113
106-115
108-116
109-117
110-119
111-120
113-121
114-123
116-125
119-127
121-130
124-132
127-135
129-138
132-140

Upper Limit of Diastolic
Blood Pressure For Boys

55-59
59-63
63-67
66-71
69-74
72-76
74-78
75-80
76-81
77-82
78-83
79-83
79-84
80-85
81-86
83-87
85-89

Age

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

Upper Limit of Systolic
Blood Pressure For Girls

101-107
102-109
104-110
105-111
107-113
108-114
110-116
112-118
114-120
116-122
118-124
120-126
121-128
123-130
124-131
125-132
126-132

Upper Limit of Diastolic
Blood Pressure For Girls

57-60
61-65
65-68
67-71
69-73
71-75
73-76
74-78
75-79
77-80
78-81
79-82
80-84
81-85
82-86
83-86
83-86

Read more: http://parenting.ivillage.com/tp/tphealth/0,,3qj7,00.html#ixzz0NvUWQ5Ru


Also it depends on the type of cuff you are using. if you are using hte old fashioned kid good for you. sometimes the automatic ones are off base. I know this is going to be hard but when checking her, have her sit still and quiet and have her arm elevated, our doctor said that is the most accurate way of getting it. don't keep repeating it either in the same arm check both arms around the same time fo day too. you might get different reading in each arm keep a diary too just for your information then when you go see her doctor have them look at it.
good luck
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306245_tn?1244388567
sorry somehow this posted before I had a chance to finish. my son is only in the 24th height and 40th for weight. he is 36 inches and is just 40 pounds. he didn't eat too much as a baby due to his heart issues also in my opinion push more to drink that maybe a factor too dehydrated
good luck
michelle
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