{"id":4086,"date":"2021-11-30T09:00:29","date_gmt":"2021-11-30T09:00:29","guid":{"rendered":"https:\/\/healthdrum.com\/blog\/?p=4086"},"modified":"2022-07-19T19:36:16","modified_gmt":"2022-07-19T19:36:16","slug":"blood-pressure-bp-what-it-is-and-how-much-it-costs","status":"publish","type":"post","link":"https:\/\/healthdrum.com\/blog\/blood-pressure-bp-what-it-is-and-how-much-it-costs\/","title":{"rendered":"Blood Pressure (BP) &#8211; What it is and How much it costs"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Blood pressure is a measure of heart pumping pressure.<\/span><\/p>\n<p><b>What is blood pressure?<br \/>\n<\/b><span style=\"font-weight: 400;\">Blood pressure is the pressure of the blood circulating in your arteries.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">It is produced mostly by the contracting heart. The top measurement is the systolic pressure when the heart is at maximum contraction. The diastolic reading is the bottom number and is the pressure when the heart muscle is relaxed between beats. Blood pressure commonly fluctuates throughout the day.<\/span><\/p>\n<p><b>What is considered normal blood pressure?<br \/>\n<\/b><span style=\"font-weight: 400;\">A normal blood pressure is about 120\/80.<br \/>\n<\/span><span style=\"font-weight: 400;\">Anything over a consistent level of about 120\/80 for adults is considered to be<br \/>\n<\/span><span style=\"font-weight: 400;\">hypertension. Especially, when over 130\/90 and persistent.<br \/>\n<\/span><span style=\"font-weight: 400;\">Children have a much lower normal BP.<\/span><\/p>\n<p><b>How is blood pressure measured?<br \/>\n<\/b><span style=\"font-weight: 400;\">Ideally, BP measurements should be taken throughout the day and over several days rather than relying on a single BP measurement taken in the doctor&#8217;s office.<br \/>\n<\/span><span style=\"font-weight: 400;\">The patient should sit relaxed.<br \/>\n<\/span><span style=\"font-weight: 400;\">The cuff and manometer should be at about the level of your heart.<br \/>\n<\/span><span style=\"font-weight: 400;\">The cuff size should be at least two thirds as long as the distance between your shoulder and elbow. Small cuffs will give you a false high blood pressure reading.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">BP varies throughout the day and night and periodic monitoring over several days is important in order to determine whether you have raised blood pressure or not.<\/span><\/p>\n<p><b>What is high blood pressure or hypertension?<br \/>\n<\/b><span style=\"font-weight: 400;\">High blood pressure or hypertension is also known as the silent killer because it can lead to some major medical problems without you having symptoms. This is the easiest and cheapest potentially life-saving condition that you can screen for yourself.<\/span><\/p>\n<p><b>What are the causes of raised BP or hypertension?<br \/>\n<\/b><span style=\"font-weight: 400;\">Most commonly (primary or essential hypertension) is related to:<br \/>\n<\/span><span style=\"font-weight: 400;\">poor lifestyle choices, poor diet, being overweight, smoking, stress, family history and age (arteries less elastic).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Secondary hypertension has an identifiable cause such as:<\/span><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kidney artery disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Endocrine\/adrenal (hormonal) disorders<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medications such as oral contraceptives, NSAIDs over long periods and <\/span>illegal drugs<\/li>\n<\/ul>\n<p><b>What can you do to normalize your BP?<br \/>\n<\/b><span style=\"font-weight: 400;\">Make determined and disciplined lifestyle changes.<\/span><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weight loss (get to the ideal weight for your height)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Healthy diet and smaller portions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Minimize salt intake<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Minimize caffeine intake<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercise (mainly for cardio benefits)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stop smoking<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Moderate alcohol consumption<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Meditation\/yoga<\/span><\/li>\n<\/ul>\n<p><b>Determined and disciplined lifestyle changes to normalize BP may eliminate:\u00a0<\/b><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Some doctor visits<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medications<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cost of visits and medications<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Side effects of medications<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Risk of diseases and impaired quality-of-life issues associated with hypertension<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Treatment cost of diseases caused by hypertension<\/span><\/li>\n<\/ul>\n<p><b>Untreated or inadequately treated hypertension leads to:<\/b><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dementia<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stroke<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blindness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heart attack<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kidney failure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Loss of erections<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Death<\/span><\/li>\n<\/ul>\n<p><b>Hypertension is generally underdiagnosed<br \/>\n<\/b><span style=\"font-weight: 400;\">About one third of the population is unaware they have hypertension.<\/span><\/p>\n<p><b>Hypertension is not well-controlled in most patients<br \/>\n<\/b><span style=\"font-weight: 400;\">About two thirds of those diagnosed do not have their BP under control because;<\/span><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They are not taking their medications as instructed<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Not taking the medications because of side effects and or, cost<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Overtreatment and being dizzy from low BP<\/span><\/li>\n<\/ul>\n<p><b>The goals of adequate BP treatment are:<\/b><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">To normalize your BP throughout the entire day (while on treatment you should monitor your BP throughout the 24 hour period as your current medicine may be controlling your BP only part of the day)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">To have no side effects<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">To have no impact on quality-of-life or erections<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">To provide a cost effective treatment along with your commitment to lifestyle changes. This should prevent the morbidity and mortality arising from untreated or inadequately treated BP.<\/span><\/li>\n<\/ul>\n<p><b>What classes of drugs are available for treatment of BP?<\/b><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Angiotensin converting enzyme (ACE) inhibitors, enalapril, captopril, lisinopril, benazepril, etc these medicines allow blood vessels to relax by preventing the hormone angiotensin from constricting the blood vessels<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Calcium channel blockers (CCBs), amlodipine, verapamil, diltiazem, etc these drugs prevent calcium from entering the smooth muscle of blood vessels and the heart causing relaxation of these muscles and therefore, wider blood vessels.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Angiotensin 11 receptor blockers (ARBs), irbesartan, losartan, valsartan, eprosartan, etc these drugs block the action of angiotensin and relax blood vessels.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Alpha blockers, doxazosin, hytrin, etc block the alpha constricting receptors of smooth muscle causing them to relax. These drugs can also relax prostatic smooth muscle and improve urinary flow.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These 4 classes of antihypertensives listed above are less likely to impact your erections but may still do so. Trying another drug within the same family of medications <\/span><span style=\"font-weight: 400;\">may be reasonable before moving on to another family of drugs if you feel you have side effects or your erections are compromised.<\/span><\/p>\n<p><b>Can BP control require more than one drug?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Sometimes one medication is insufficient to normalize your BP and a combination of drugs may be necessary. For example, one can start with a low dose of say hytrin and slowly increase the dosage. If BP is still high once you have reached a maximum dose for the hytrin a second medication such as irbesartan can be added and slowly increased till your pressure has normalized. Alternatively, you may start with a medication other than hytrin. Rarely, even two different medications may be insufficient to control your BP and further evaluation may be necessary.<\/span><\/p>\n<p><b>What are the common side effects of BP medicines?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">(specific drug actions and reactions should be researched in more detail elsewhere). <\/span><span style=\"font-weight: 400;\">Side effects are common and can impact quality-of-life and or, erections.<br \/>\n<\/span><span style=\"font-weight: 400;\">Common side effects include:\u00a0<\/span><\/p>\n<ul style=\"line-height: 1.6;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling different, noticing heart beats, aches, etc.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ACEs are often associated with a cough.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">ARBs are often associated with dizziness but may improve erections.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">CCBs are often associated with ankle swelling or constipation (and possibly a risk for breast cancer).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thiazide diuretics are often associated with loss of erections and increased urination. Thiazides are not an ideal drug for sexually active men.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Beta blockers commonly cause loss of libido, altered genital sensation and impotence or loss of erections (untreated BP causes the same issues &#8211; several other medications can affect erections). You can still take a medication such as cialis or viagra to improve erections but your BP may drop a little further.<\/span><\/li>\n<\/ul>\n<p><b>Treatment of high blood pressure can save your life.\u00a0\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Although adequate treatment of hypertension is vital, many of the drugs used to treat raised BP produce undesirable effects. Commonly physicians don\u2019t ask whether or not you have side effects as they are relying on you to tell them. Also, many providers\u00a0 will start you on some sample medication that they have been given by a pharmaceutical rep. Should you decide to continue with that medication you may be in for some sticker shock when picking up the prescription as these sample drugs are not generics.<br \/>\n<\/span><span style=\"font-weight: 400;\">Once you have made appropriate lifestyle choices and your pressure has normalized, periodic monitoring should be undertaken to ensure that your BP stays normal.<br \/>\n<\/span><span style=\"font-weight: 400;\">If you still have a raised blood pressure despite lifestyle changes and or, medications further evaluation and treatment may be necessary. See a physician.<\/span><\/p>\n<p><b>What is the cost of having your BP taken?<br \/>\n<\/b><span style=\"font-weight: 400;\">Most drug stores have equipment where you can check your blood pressure for free.<br \/>\n<\/span><span style=\"font-weight: 400;\">You can also buy blood pressure measuring devices at little cost. Taking your BP is easy and you can do this several times a day for several days so you have an idea of what your average BP is. If after making lifestyle changes your blood pressure is still high you should visit with a doctor.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The cost of a doctor\u2019s visit can vary between $80 &#8211; $250. Shop around and ask for cash pay pricing near you. Most physicians will gladly give you a discount for cash pay so they don\u2019t have to deal with burdensome health insurance plans.<\/span><\/p>\n<p><b>Book a visit now.<\/b><\/p>\n<p style=\"text-align: center;\"><b>Cash pay pricing beats insurance-based pricing and hassles. Check prices before you book.\u00a0<\/b><\/p>\n<p style=\"text-align: center;\"><a href='https:\/\/healthdrum.com\/costs\/visit-family-medicine-family-doctor' class='big-button bigblue' target=\"_blank\">Book your Blood Pressure visit<\/a><\/p>\n<p style=\"text-align: center;\"><span style=\"font-weight: 400;\">Written by HEALTHdrum<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Blood pressure is a measure of heart pumping pressure. What is blood pressure? Blood pressure is the pressure of the blood circulating in your arteries. It is produced mostly by the contracting heart. The top measurement is the systolic pressure when the heart is at maximum contraction. The diastolic reading is the bottom number and [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":4089,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[18],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Blood Pressure (BP) - What it is and How much it costs | HEALTHdrum<\/title>\n<meta name=\"description\" content=\"Find Affordable Healthcare with Self Pay Routine Care like checking Blood Pressure. 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Subsequently, he completed fellowship training in Pediatric and Adult Reconstructive Urology at the Eastern Virginia Medical School in Norfolk, Virginia. During his time there he also undertook NIH sponsored, pioneering research on \u201cUrinary Bladder Reinnervation\u201d earning him the honor of a Masters of Surgery Diploma through the University of Otago, New Zealand. Dr Vorstman returned to Miami to become a board-certified faculty member in the department of urology, Jackson Memorial Hospital, University of Miami. Eventually, he left academic practice, moved north to Coral Springs and established Florida Urological Associates pa (www.urologyweb.com) in 1987. Dr. Vorstman is passionate about consumer-directed healthcare and helping men diagnosed with prostate cancer navigate the minefield of prostate cancer misinformation. After retiring and leaving colleagues to continue the urology practice, he became founder and CEO of a healthcare platform that connects buyers and sellers of routine, cash pay healthcare services - www.HEALTHdrum.com\/ Through this platform he also enables colleagues to reclaim their profession from health industry exploitation. 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Subsequently, he completed fellowship training in Pediatric and Adult Reconstructive Urology at the Eastern Virginia Medical School in Norfolk, Virginia. During his time there he also undertook NIH sponsored, pioneering research on \u201cUrinary Bladder Reinnervation\u201d earning him the honor of a Masters of Surgery Diploma through the University of Otago, New Zealand. Dr Vorstman returned to Miami to become a board-certified faculty member in the department of urology, Jackson Memorial Hospital, University of Miami. Eventually, he left academic practice, moved north to Coral Springs and established Florida Urological Associates pa (www.urologyweb.com) in 1987. Dr. Vorstman is passionate about consumer-directed healthcare and helping men diagnosed with prostate cancer navigate the minefield of prostate cancer misinformation. After retiring and leaving colleagues to continue the urology practice, he became founder and CEO of a healthcare platform that connects buyers and sellers of routine, cash pay healthcare services - www.HEALTHdrum.com\/ Through this platform he also enables colleagues to reclaim their profession from health industry exploitation. Partial bibliography https:\/\/ascopost.com\/issues\/june-10-2016\/prostate-cancer-opinions-vary-on-gleason-scores-and-surgery\/ https:\/\/ascopost.com\/issues\/november-25-2020\/a-urologic-surgeon-assesses-the-current-state-of-prostate-cancer\/ https:\/\/www.medscape.com\/viewarticle\/945928 https:\/\/urologyweb.com\/robotic-deception-prostate-cancer-hoax-p-5\/ https:\/\/bvorstman.medium.com\/prostate-cancer-treatment-deception-and-lies-30e23f17b749 https:\/\/healthdrum.com\/blog\/the-gleason-6-prostate-cancer\/"}]}},"_links":{"self":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts\/4086"}],"collection":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/comments?post=4086"}],"version-history":[{"count":9,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts\/4086\/revisions"}],"predecessor-version":[{"id":4394,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts\/4086\/revisions\/4394"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/media\/4089"}],"wp:attachment":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/media?parent=4086"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/categories?post=4086"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/tags?post=4086"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}