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Guest
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Aug 3, 2005, 7:04 PM

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High blood pressure Can't Post

I went to my dentist to have my teeth cleaned today and was told that my blood pressure was too high and that I needed to go get it checked. Should I just go to a family doctor or to a heart doctor? I don't have a family doctor.


pugdog
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Aug 4, 2005, 3:54 AM

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Re: [Guest] High blood pressure [In reply to] Can't Post

Being nervous can elevate blood pressure, and a dentist visit is a sure-fire pressure cooker.

There are plenty of places to get your BP checked, and most machines are now fairly reliable (mostly due to legal pressures), so those machines in the mall or at the supermarket or pharmacy will give you a good idea.

Check it several times, and if the readings are always high, then yes, you need to see someone.

If you check it several times, and the pressure is mostly normal when you are AT REST (not anxious, not having just run down the street, not leaving work and having sat in traffic for an hour... etc) then you are probably OK to wait for your regular check up.

If you are worried, then find yourself a family doctor. You don't need to see specialists or pay higher fees just to have BP checked, when most doctors offices do it for a nurse-only visit, and many places (like some pharmacies) will do it for free.

The only time you need to see a doctor about it is if it's really elevated, and never (or mostly never) in the normal range. You can't tell that from ONE BP CHECK -- or even several checks done at one visit on any given day. There are many reasons why BP can go up transiently, and then come down to its normal level. If you treat a person who really has normal BP most of the time, for a few "high" readings, the side effects and symptoms from LOW BP start to become very significant.

Hope this helps.


smithn
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Aug 10, 2005, 9:20 PM

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Re: [Guest] High blood pressure [In reply to] Can't Post

I agree 100% with Pugdog.


bkdaniels
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Dec 6, 2005, 4:46 PM

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Re: [pugdog] High blood pressure [In reply to] Can't Post

First, assuming that you are at least 13 years of age, after speaking to Thina, Health Manager, Dr. James L. Bevans, D.D.S Kids Dentistry & Association - Little Rock, you wouldn't qualify for kids dentistry, so she preferred not to comment. But whatever the case, a family doctor (Primary Care Physician) is always makes a good choice, because He/she already has some-what-of-a physician - client relationship developed with you. Meaning, he/she knows you and your past medical history, which could lead to a more accurate diagnosis, if necessary. [2]

Futhermore, during a phone interview with a Dental Receptionist at Dr. Tomie McCall Jr, D.D.S. office - Little Rock, explained the procedures for this type occurance. If the blood pressure is very high, the Dentist would call your Primary Care Physician to futher review your medical history. [3]

You were, probablly, not qualified to get your teeth cleaned today because:
Dental cleaning requires an antibiotic e.g. Amoxicillin to be administered before treatment, to help prevent infections. Then, an Anestesia is aministered in the area to make it feel numb. The Anestesia, however, would cause a rise in blood pressure, adding to the effect, which could result in a stroke. [3]

Especially if the patient was recieving a deep scaled cleaning (involves digging deep into the gums). Bleeding can become profusly uncontrolable.

One thing that I strongly agree with the receptionist on is: your Dentist sould have sat down to talk to you and explained this situation. Nevertheless, in cases when there is an elevated blood pressure, the Dentist would recommend that you contact your Family Physician for futher review. [3]

Every dentist may conduct slightly different practices, however, states the receptionist. Dr. McCall requires that before the patient can return, he/she must bring a letter from his/her Family doctor clearing him/her of any previous history of high blood pressure, medications, etc. [3]

Unfortunately, after looking over all of the causes of high blood pressure and still no idea for the reason it was elevated is definately a wake up call. Finding yourself a Family Doctor would allow an opportunity for your Physician to monitor your blood pressure on a regular basis if there is no prior history. [1]

Hope this answers your question!

REFERENCE(S)

1. Agha M.D., IA. Blood pressure - high. U.S. National Library of Medicine|
National Institutes of Health | Department of Health & Human Services. (11/2005) http://www.nlm.nih.gov/medlineplus/ency/article/003082.htm

2. Thina. Telephone Interview. 15 December 2005.

3. [Name Disclosed]. Telephone Interview. 15 December 2005.

4. Andrea Peirce, Parents Guide to Childhood Medications (ed, Daniel H. Albrant, Pharm. D., et al) Kansas, City:
American Pharmaceutical Association, 1996. p. 53-55.


The Prison Hospital

Prisoner: Look here, doctor! You've already removed my spleen, tonsils, adenoids, and one of my kidneys. I only came to see if you could get me out of this place!

Doctor: I am, bit by bit.

-- Aha! Jokes




(This post was edited by bkdaniels on Apr 21, 2006, 10:51 AM)

 
 
 


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