Daily Column

DEAR DR. GOTT:
Is there a way to cure “white coat” hypertension?

DEAR READER:
“White coat” hypertension is a condition in which blood pressure (BP) rises to above normal just before and during a doctor’s appointment but returns to normal or below normal upon leaving the office.

This occurs because of the anxiety and stress related to seeing a doctor. It is not related to true hypertension which is consistently high BP readings. There are steps that can reduce these feelings, as well as ways to achieve more accurate readings.

Establishing readings while at the doctor’s as well as at home in a more relaxed atmosphere will provides a basis for proper diagnosis between true or “white coat” hypertension. If home readings are at or below normal, then certain measures can be taken.

For example, relaxation techniques, such as deep breathing, can be done in the waiting room before an appointment. Having your BP checked at the end of the visit rather than the beginning will also allow for time to relax and adjust to the situation. If these steps fail, it may be necessary to purchase a blood pressure cuff for home use so that levels can then be sent to the physician on a regular basis.

To give you related information, I am sending you a copy of my Health Report “Hypertension”. Other readers who would like a copy should send a self-addressed, stamped number 10 envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

About Dr. Gott