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Medical Forum / Diseases and Disorders / Prostate Cancer / May 2004Incontinence and high blood pressure.
In one of the recent posts the gentleman mentions experiencing some leakage due to being on high blood pressure medication. Has anyone else experienced that, or does anyone have any insight into what one should expect when starting medication for high blood pressure? My internist told me that I have high blood pressure, and I have a follow up visit in another month or so when he will put me on medication if I have not been able to bring it down with diet and exercise (so far no luck). I still have incontinence from the RRP, so I am worried that it will get worse if I do go on blood pressure med's. Thank you. David S. > In one of the recent posts the gentleman mentions experiencing some > leakage due to being on high blood pressure medication. Has anyone else [quoted text clipped - 7 lines] > Thank you. > David S. There might be some connection I take Flowmax(2/day) to help with slow flow problems due to Radiation. Also have high B/P and take meds for that. With just the B/P meds my pressure stays around 140/75. When I started the flowmax I peed better, but my B/P also drops to around 120/70 and at times during the day I get as low as 98/60. So it seems that I have a better urine flow with a lower B/P. I don't get to the point of leakage, but some times it comes close. Age - 69 8/12/02 - PSA 3.7 10/13/03 - PSA 4.69 11/11/03 - PSA 4.8 11/18/03 - Biopsy - 10 cores one core-25% of core-Gleason 4+4=8 all other cores benign tissue 12/10/03 - Consult - Oncologist 12/16/03 - Consult - Radiation Oncologist Treatment Plan - Northeast Ga Cancer Center HT - started 12/17/03 - Eulixen & Lupron (2nd 4 mo Lupron-4/26) 2/10/04 - Started - Flowmax and Megastrol Radiation - IMRT to begin 3/30/04 - 42 treatments hi david - i got put on high blood pressure medicine about three months before the RP and have been on it ever since. i'm up to about 99% continence now at the one year mark. i haven't heard anything about a relationship between the two subjects. if one were to step back and look at what the purpose of the medicine, it just allows the arteries to not constrict as much and stay open which drops the blood pressure. the incontinence problem is due to the muscle having to be re-trained or damage to the valve itself. assuming there is no damage to the valve itself and it is strictly a muscle problem, then i don't see where the BP would cause the valve to leak but it one were on muscle relaxants, i could. hope this helps. ~ curtis knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so." David, Frequently one of the first medications used for high blood pressure is a diuretic reducing body fluid and salt retention. I take blood pressure medication containing a diuretic and I believe it contributed to difficulty in regaining continence and contributes to minor drips. Coffee, tea, chocolate and most soft drinks contain caffeine, which is a diuretic and can contribute to incontinence. I can definitively tell when I have had too much of that. Not all BP medications contain a diuretic. Definitely watch your salt intake. I can tell a major difference in the BP when I keep salt low. Also exercise and weight loss have had a major impact for me. Good luck with the BP control. Steve M > In one of the recent posts the gentleman mentions experiencing some > leakage due to being on high blood pressure medication. Has anyone else [quoted text clipped - 7 lines] > Thank you. > David S. > In one of the recent posts the gentleman mentions experiencing some > leakage due to being on high blood pressure medication. Has anyone else [quoted text clipped - 7 lines] > Thank you. > David S. David, there are many varieties of blood pressure medication that act to lower blood pressure in different ways. Some of them act by relaxing smooth muscle and could probably contribute to incontinence. Diuretics act by producing more urine, which could contribute to incontinence. There are lots of others that have different mechanisms of action. It's common practice for doctors to juggle BP medicine to optimize effect and minimize side effects. Don't ignore high blood pressure, get treatment if you need it. There is no question that untreated high blood pressure can have dire consequences like heart attacks and strokes. Don't survive your PCa only to have a stroke!! Good luck. CPW > David, there are many varieties of blood pressure medication that act > to lower blood pressure in different ways. Some of them act by [quoted text clipped - 7 lines] > attacks and strokes. Don't survive your PCa only to have a stroke!! > Good luck. CPW Dr. W, And what is your opinion of non-prescription treatments for borderline hypertension? Things like garlic capsules or herbs. I have always been leery of them. Jim > Dr. W, > [quoted text clipped - 3 lines] > > Jim Anything that works is a good thing Jim. It's easy enough to try herbal stuff and see if it works for you. I found that simply losing weight, (Atkins for years now),and exercise reduced my BP and took me of my meds for 4 years.  SignatureJK Sinrod Sinrod Stained Glass Studios www.sinrodstudios.com Coney Island Memories www.sinrodstudios.com/coneymemories > And what is your opinion of non-prescription treatments for borderline > hypertension? Things like garlic capsules or herbs. I have always been > leery of them. The problem with herbal remedies in general is that they are incompletely studied. Usually, the evidence supporting their efficacy comes from anecdotal reports rather than controlled studies. Also, manufacturing processes vary and aren't regulated, so you never know for sure what you are getting or in what strength. Some non prescription techniques that do work include exercise, weight loss, and decreasing alcohol consumption.... CPW > > And what is your opinion of non-prescription treatments for borderline > > hypertension? Things like garlic capsules or herbs. I have always been [quoted text clipped - 8 lines] > loss, and decreasing alcohol consumption.... > CPW ....and smoking cessation and limiting salt intake.... CPW :-) >Subject: Re: Incontinence and high blood pressure. >From: cpw@traverse.com (C. Paul Williams, MD) [quoted text clipped - 16 lines] >....and smoking cessation and limiting salt intake.... >CPW :-) The infusion staff were verry worried about my high blood pressure, now -I- am worried about my LOW blood pressure, 130/75. > The infusion staff were verry worried about my high blood pressure, now -I- am > worried about my LOW blood pressure, 130/75. 130/75 is perfect. New guidelines recommend systolic (upper number) of 130 or less and diastolic (lower number) of 80 or less. Congratulations! CPW >>The infusion staff were verry worried about my high blood pressure, now -I- am >>worried about my LOW blood pressure, 130/75. [quoted text clipped - 3 lines] > Congratulations! > CPW I find this somewhat amusing. Normal blood pressure is usually defined as 120/80 or lower. I get worried a bit when my systolic blood pressure consistently exceeds 130. Systolic in the range 140-160 is usually considered borderline high. My blood pressure on occasion is 110 over 60, and I feel fine. Once after taking Viagra with grapefruit juice---not on purpose---the systolic pressure dropped below 100, but I still felt fine. I was under the impression that low blood pressure may in some cases be a symptom of disease but is not in itself a problem in otherwise healthy people. Perhaps I am mistaken. Actually blood pressure varies rather significantly throughout the day and can depend on the circumstances. It can depend on whether you are lying down or sitting up and which arm is used. Just moving around can raise it. It should be taken at the same time of day in standard circumstances, and a single reading doesn't necessarily mean anything. There is a condition called "white coat hypertension" where the patient shows high blood pressure in the doctor's office but has normal blood pressure at home. I've suffered from that. Also, I have to take naproxen to control arthritis in my lower back, and it has a tendency to raise my systolic pressure, which got into the borderline region at the doctor's office. I managed to get it back under control by losing about 25 lbs. > >>The infusion staff were verry worried about my high blood pressure, now -I- am > >>worried about my LOW blood pressure, 130/75. [quoted text clipped - 28 lines] > doctor's office. I managed to get it back under control by losing about > 25 lbs. Just took mine and it's 107/70. I had good control and stayed around 130/70 until I went on Flowmax (2/day). Even with adjusting my B/P meds I run anywhere from 140/85 down to the low 100's (even have had a few 98's). At this point I feel lightheaded and know not to drive, etc. My Doc says the low B/P while I'm on Flowmax won't do any harm except to watch out for temp dizzyness, etc. Another month of Radiation and hopefully I can ditch the flowmax and get B/P back to normal again. Age - 69 8/12/02 - PSA 3.7 10/13/03 - PSA 4.69 11/11/03 - PSA 4.8 11/18/03 - Biopsy - 10 cores one core-25% of core-Gleason 4+4=8 all other cores benign tissue 12/10/03 - Consult - Oncologist 12/16/03 - Consult - Radiation Oncologist Treatment Plan - Northeast Ga Cancer Center HT - started 12/17/03 - Eulixen & Lupron (2nd 4 mo Lupron-4/26) 2/10/04 - Started - Flowmax and Megastrol Radiation - IMRT to begin 3/30/04 - 42 treatments >>>>The infusion staff were verry worried about my high blood pressure, > [quoted text clipped - 39 lines] > dizzyness, etc. Another month of Radiation and hopefully I can ditch the > flowmax and get B/P back to normal again. As we age, some of us find that the valves in the blood vessels in our necks don't work too well. That combined with low blood pressure can lead to fainting when rising from a prone position. Usually just being careful when getting up will deal with it. But I admit I have fainted in such situations several times. > Age - 69 > 8/12/02 - PSA 3.7 [quoted text clipped - 9 lines] > 2/10/04 - Started - Flowmax and Megastrol > Radiation - IMRT to begin 3/30/04 - 42 treatments Pain meds can cause lowering of blood pressure. That was the reaction I had when I had my Lymph Node Dissection and had APAP/Codeine "as needed for pain". When I took one, my bp was very low but recovered quickly. With Flomax I don't seem to have a problem with my blood pressure at all. > > 130/75 is perfect. New guidelines recommend systolic (upper number) > > of 130 or less and diastolic (lower number) of 80 or less. > > Congratulations! > > CPW > > I find this somewhat amusing. I'm delighted you are amused. When treating a patient with known hypertension, physicians aim to keep the systolic at 130 or lower and the diastolic at 80 or lower. I was responding to a gentlemen being treated for hypertension, not espousing normal blood pressure levels for the general population. For him to be concerned that his blood pressure of 130/75 was too low was not reasonable, and I was attempting to reassure him.... sorry for the lack of accuracy. CPW 130/75 is great. Up to the time I saw a urologist for frequent urination in Dec., the only BP checks I had were when I donated blood and it was always a little high, 150/90 or so. On the morning of my biopsy it soared to 220/110, the nurse told me not to think about the biopsy and to have pleasant thoughts, yeah sure. Following that I did see a GP and have since gotten it under control with some life style changes and meds, one of which (Cardura) has a collateral effect on the prostate and has helped with urination problems. Similar to PCa, high BP doesn't exhibit any symptoms until it's too late, the GP, quite frankly told me that if the BP continued the way it was, there would be no need to worry about the cancer. Tom > > > 130/75 is perfect. New guidelines recommend systolic (upper number) > > > of 130 or less and diastolic (lower number) of 80 or less. [quoted text clipped - 12 lines] > sorry for the lack of accuracy. > CPW >>>130/75 is perfect. New guidelines recommend systolic (upper number) >>>of 130 or less and diastolic (lower number) of 80 or less. [quoted text clipped - 11 lines] > was not reasonable, and I was attempting to reassure him.... > sorry for the lack of accuracy. Sorry. My comments in no way were meant as a criticism of what you said. What I was amused about, as I hope my comments indicated, was that someone should be concerned either way that his blood pressure was 130/75. I should have responded to the original post, but for some reason it was not available on my newsreader. What you said was right to the point. If anyone else interpreted this as a criticism, I hope this will clarify my intentions. > CPW > Sorry. My comments in no way were meant as a criticism of what you > said. What I was amused about, as I hope my comments indicated, was [quoted text clipped - 3 lines] > to the point. If anyone else interpreted this as a criticism, I hope > this will clarify my intentions. No problem... Blood pressure control is a tricky medical condition and quite important. As you indicated, it varies in a diurnal fashion, varies depending on who took it, etc. The more you know about medicine, and, I suspect, advanced mathematics, the more complicated it gets. CPW >Subject: Re: Incontinence and high blood pressure. >From: cpw@traverse.com (C. Paul Williams, MD) [quoted text clipped - 9 lines] >Congratulations! >CPW Thanks for the news! Two months ago mine was 180/95, by the way. Doc prescribed a pill that had a diuretic in it... maybe that is why I leak like a sieve now. Just a thank you to everyone that responded. I will discuss this in detail with my internist when I go for the next visit. David S. > In one of the recent posts the gentleman mentions experiencing some >leakage due to being on high blood pressure medication. Has anyone else [quoted text clipped - 7 lines] > Thank you. >David S. |
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