Conversation: The conversation between human and AI assistant.
[|Human|] My husbands BP rises when he doesnt have good bowel movement.  He eats cereal and apples daily, drinks lots of water, walks and watches his diet.  But he still gets constipated sometimes.  Hes 54.  He also gets anxious before going to a doctor, so his BP reading is never right and the doctor ends up giving him more meds.  When his bowel movement is good, his BP goes down low, sometimes even under 120/80.  He thinks he can cut som meds or at least cu dosage.  Have you heard about or met any patient like ths?  What do you advvise him t do?
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. We deal every day with persons with resistant hypertension or with persons that get emotional high value during medical visits. This is a quite known issue in medicine, we call it white coat hypertension. This means high pressure values during medical contact because of high emotions. Gastro intestinal problems might affect pressure values. If a person experience pains it is normal ti have high values. So, if I was your treating doctor, to decide the correct treatment I would recommend some examination like a cardiac echo to evaluate heart function and walls, a full blood analyze to check renal function, electrolyte and the most important in this case a holder pressure monitoring to evaluate blood pressure values during day and night. Only after this we can better judge of mean values, exclude emotional component and have a full view how to treat hypertension. Hope I was helpful. Best regards, Chat Doctor.