How can normal blood pressure suddenly rise and stay on the high side

Posted by penstruck @penstruck, Sep 24, 2025

I am a 75-year-old female. I left an extremely stressful job in March. My nerves and my BP were frayed and high. However, my BP is fluctuating and staying on the higher side.
The BP ranges from 127/71 to 133/75. My doctor gave me a BP medication, but it caused side effects.
My doctor is driving me a little crazy and insists I have an at-home BP machine. The at-home BP machine instructions read: Don't eat or drink anything, and still completely still, feet flat on the floor, for at least 30 minutes before taking a reading." Sitting completely still is difficult.
The readings today started at 158/70 and ended at 133/75. Three or more readings are required. Two days ago, the reading started at 137/66 and ended at 127/70.
What is a serious BP? I'm really concerned and fear going back to the doctor.

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You didn’t mention anything about exercise. With a regular exercise routine like even walking, riding a stationary bike while watching TV, staying active — but not stressed over the course of the day your blood pressure should be normal. Yes, your blood pressure will fluctuate easier as you age, but if you want to stay healthy and fit without being on medicines (with side effects and consequences) then take a 20 minute walk every day. Being retired now, exercise or even deep breathing shouldbe a priority. I am 68 years old and there are a variety of things that raise my blood pressure. I agree with your doctor that you should have a home BP kit. I bought a $20 one from Amazon years ago. When the BP is high, I always think the machine is malfunctioning, but it’s not. I need to look at the salt in my diet, The exercise I may be lacking, the pain I may be experiencing (pain really raises my blood pressure) or the Dailystress. When I look at these things and I make the necessary changes, my BP always returns to 114/70. I am 68. In my opinion, leaving your blood pressure higher than your doctor recommends is a doorway for other problems. They always told me that 132/78 is just fine however, by the time I would be 132 I have insomnia, and I know I have to tweak something to bring it back down to 120.

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Profile picture for bajjerfan @bajjerfan

I bet your doctor's nurse doesn't give you time to relax after you walk into the exam room. I know mine doesn't.

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@bajjerfan
I think most everybody’s blood pressure goes up a little when they have a doctor appointment. I know mine does, and my husband does.. If it’s on the high side in the doctors office, they always wait a few minutes and take it a second time and it’s always lower.
And on the other hand, my blood pressure is always on the low side so I have to be careful.

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Profile picture for ruth36 @ruth36

@bajjerfan
I think most everybody’s blood pressure goes up a little when they have a doctor appointment. I know mine does, and my husband does.. If it’s on the high side in the doctors office, they always wait a few minutes and take it a second time and it’s always lower.
And on the other hand, my blood pressure is always on the low side so I have to be careful.

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@ruth36 It's a well-known phenomenon called 'white coat syndrome'. Doctors know that a patient's in-office BP will read high. That is why the accepted practice, rarely followed, is to take three measurements spread over several minutes. This allows time for the patient to relax a bit, have an opportunity to be heard and to hear the doctor respond, and to become more comfortable and secure in the offices of an authority figure.

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Man I'm 48 and you're blood pressure is a lot better than mine is! O have stage 4 marginal zone b cell non Hodgkin's Lymphoma as well but today I tested my blood pressure and it was scary high! It was literally 184/103 I had to take a clonodine to bring it down and right now it's still high at 168/96 but I'm happy it's going down . Hopefully they can figure out what's going on causing my BP to get so high . I take BP meds 3 times a day and Dr recently put me on beta blockers but it's still high. Really scary I don't wanna end up having a stroke or heart attack I already have enough health issues. Best wishes to you ! Take care 🙏

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Profile picture for ruth36 @ruth36

@bajjerfan
I think most everybody’s blood pressure goes up a little when they have a doctor appointment. I know mine does, and my husband does.. If it’s on the high side in the doctors office, they always wait a few minutes and take it a second time and it’s always lower.
And on the other hand, my blood pressure is always on the low side so I have to be careful.

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@ruth36 I always get horrible anxiety about going to any Dr appt.

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Profile picture for dottie47 @dottie47

Man I'm 48 and you're blood pressure is a lot better than mine is! O have stage 4 marginal zone b cell non Hodgkin's Lymphoma as well but today I tested my blood pressure and it was scary high! It was literally 184/103 I had to take a clonodine to bring it down and right now it's still high at 168/96 but I'm happy it's going down . Hopefully they can figure out what's going on causing my BP to get so high . I take BP meds 3 times a day and Dr recently put me on beta blockers but it's still high. Really scary I don't wanna end up having a stroke or heart attack I already have enough health issues. Best wishes to you ! Take care 🙏

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@dottie47
I thought I would share something I learned a year ago when I was getting ready for surgery (female issue not lungs) and had been dealing with the aftereffects of a. Iris that left me with a cough. I keep the tea Throat Coat in our pantry for these occasions and as I was about to make a cup, I read the box panel and noticed a warning I had not seen before: “ do not use this product if you have high blood pressure”. Licorice root is one of the ingredients. Anyway, I stopped drinking the tea and my BP returned to normal for me a few days later. Are you eating or drinking anything different?

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Profile picture for gloaming @gloaming

@penstruck The cuff should be modestly snug, but not 'snug'. It is supposed to take up any gaps by inflating, over-inflating, and then gradually releasing the pressure while the sensor is more firmly pressed against the radial artery, just above your inner elbow.
When I calibrate my Samsung Galaxy watch for its BP measurement app (also does ECG, blood O2 sat, and the newest version does skin free radical assessment to provide guidance on better eating habits...yes, it's true!), the instructions say to use the calibrating cuff on the opposite arm....the OPPOSITE arm...of the one where the watch is located. If you think about it a bit, in order to get certified by the (Canadian in my case) government to have the app activated and available to customers, the data must show the certifying body that the measurements by the watch are highly veridical. That is to say, they closely match the regular cuffs when they are calibrated with one of the widely available cuffs sold here and there. If the cuff is to be worn on the opposite arm, then the two arms must be highly correlated in terms of their resulting measured BP. I'm not saying there is absolutely no difference; down a flexible pipe of endothelial and lumen tissue that comprises blood vessels, you'll get lower and lower readings the further you get away from the heart. But the cuff on one arm and the watch on the other are pretty close, and at about the same height as well. In fact, the cuff is about six inches higher if both arms are properly resting on a table in front of you.

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Profile picture for dottie47 @dottie47

Man I'm 48 and you're blood pressure is a lot better than mine is! O have stage 4 marginal zone b cell non Hodgkin's Lymphoma as well but today I tested my blood pressure and it was scary high! It was literally 184/103 I had to take a clonodine to bring it down and right now it's still high at 168/96 but I'm happy it's going down . Hopefully they can figure out what's going on causing my BP to get so high . I take BP meds 3 times a day and Dr recently put me on beta blockers but it's still high. Really scary I don't wanna end up having a stroke or heart attack I already have enough health issues. Best wishes to you ! Take care 🙏

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@dottie47, I am 76 and am also am fighting cancer (breast); the drugs I first tried to shrink a tumor, Aromatase Inhibitors, within 4 months caused my lowish hypertension to become Labile Hypertension. So from now on I take 3 BP drugs a day, and even in spite of those it suddenly takes a big leap up to 180 or 190/100 around once a week. If that happens I have to take a small dose of Hydralazine to bring it down within 30-40 minutes. Same drug they would use in the ER, except in pill form. This is not fun. It used to hit 175/ spikes every night, but does not now taking more Beta Blocker Carvedilol before bed. I got another health issue by treating my cancer! At my age my Gerontologist PCP says if I can keep it down around 130/80 or so that's good.

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Profile picture for jardinera25 @jardinera25

@dottie47, I am 76 and am also am fighting cancer (breast); the drugs I first tried to shrink a tumor, Aromatase Inhibitors, within 4 months caused my lowish hypertension to become Labile Hypertension. So from now on I take 3 BP drugs a day, and even in spite of those it suddenly takes a big leap up to 180 or 190/100 around once a week. If that happens I have to take a small dose of Hydralazine to bring it down within 30-40 minutes. Same drug they would use in the ER, except in pill form. This is not fun. It used to hit 175/ spikes every night, but does not now taking more Beta Blocker Carvedilol before bed. I got another health issue by treating my cancer! At my age my Gerontologist PCP says if I can keep it down around 130/80 or so that's good.

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@jardinera25 You may have what is called labile hypertension, describes blood pressure that fluctuates unpredictably, spiking suddenly from normal to very high levels and then dropping back down. Like bp in general, there is no known cause & just needs to be managed .. as you are doing. I have it as well.

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Yes, I know management is what I've been told I have to do now. I do know the cause, the aromatase inhibitors I was on for 4 months. I'd like to discuss management strategies.
Thanks,
Patty Jardinera

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