A new study to answer the question: Which is the optimal blood pressure goal? has been terminated prematurely because it became statistically overwhelmingly clear that lower blood pressure targets will save lives.
That is a great outcome of a study: The clear-cut benefit of lower blood pressure. Not that it is all news: In medical school I already learned this medicine pearl: People with low pressure live for a long time, but they will feel lousy often – from dizziness and lack of energy. People with high blood pressure feel on top of the world – until they drop dead of stroke or heart attack.
It is good to know that our recent blood pressure goals have been set too high. If you have high blood pressure, or borderline high blood pressure, get ready for your doctor to put you on medication, or increase your anti-hypertension pills.
But the question is: Why do I read one report after the other about this blood pressure study, and all the commentators remark on how important it is to increase medications – and not a single commentator mentions that there are ways to lower your blood pressure without pills - naturally?
There are! You don’t have to take pills for the rest of your life; they can have serious side effect – one of the least seems to be impotence (erectile dysfunction), which is obviously a minor problem for the prescribing physician, but may make your life thoroughly miserable.
Here, if you want to go the natural way:
• End your hot showers always with a short (20 to 30 seconds) cold shower. Don’t do it yet if your blood pressure is uncontrolled high. But if you are on a pill, reasonably controlled, to can make this a daily habit. If a cold shower feels too harsh, wash yourself down with a cold facecloth twice a day in front of the sink.
• Get yourself a cheap step counter and walk more. The step counter is not really necessary, but is a great motivator. Walk more stairs, too.
• Also, walk on uneven surfaces whenever you have an occasion. Walking the beach, hiking, and walking barefoot have all been shown to lower blood pressure. One study showed that walking barefoot on pebbles is especially effective. Why is that so? The more uneven the terrain is, the more muscles you use, and the greater is the relaxation effect.
• Get enough sleep. Sleep deprivation leads to more stress, and stress increases blood pressure. Aim for being in bed around ten pm. Read for a few minutes, then sleep in darkness, with open window, whenever possible. Grandmother’s advice that sleep before midnight counts double sort of bears out in modern circadian rhythm studies.
• Meditate if your stress level is high. Or do woodworking, or play a musical instrument – any hobby that absorbs your attention wholly and makes you happy has a good de-stressing effect. Even just listening to soothing music lowers your blood pressure.
• Drink enough water. Salt does not seem the main culprit (but it does not hurt to ditch all processed foods – which are notoriously high in salt), but not drinking enough is. Aim for very light yellow urine. Dark urine shows that you are dehydrated (unless there is a kidney/bladder problem).
• Keep your relationships in order. I am all for a good fight if it is necessary. But an unhappy relationship will break your heart – with or without high blood pressure.
• Reduce screen time – TV, Twitter, telephone and Internet. All overexcite your brain. Be yourself – find quiet time often.
• Eat a diet high in vegetables and herbs. Plants contain thousands of chemical compound which all conspire to keep your blood pressure low. Eat meat but only organic (or from a farmer whose agricultural practices you trust). Have plenty of good fats like organic olive oil, coconut oil, cultured butter – fat is not the enemy.
• Slowly move toward your ideal weight by eating less sugars and starches. Avoid artificial sweeteners, too.
• And if you insist on a pill, let it be herbs (it may be advisable to work with a good herbalist – or a doctor who know herbs):
o Stinging nettle
o Linden
o Olive leaf
o Yarrow
o French Lavender
o Cinnamon
o Cat’s claw
o Hawthorn
o Celery seeds
o Garlic
o Cardamom
o Basil
And so many more! Some may go into your food as spices when you cook. Actually, cooking every evening from scratch might be the best course you could take: It will relax you after work and absorb your attention – and it will heal you body that gets high blood pressure from the pressures and habits of modern life. In 95 percent, hypertension is a lifestyle issue; only in five percent, a serious medical diagnosis (kidneys, endocrine) can be made.
If high blood pressure stems from wrong lifestyles, I suggest we replace it with better, healthier, more joyful lifestyles. Read More
Blog: On Health. On Writing. On Life. On Everything.
Always Make Sure Your Tank Is Full, And Your Bladder Is Empty
October 5, 2011
That was a billboard advice in Pasadena yesterday. Certainly excellent advice. But I doubt I would ever had found that kind of slogan on a billboard in Massachusetts. With endless, confusing highways – freeways they call them here – and huge distances one has to do with every mundane task, full tank/empty bladder are imperative.
California is different, I am finding out. It never rains in southern California – and I am finding that is not true, either.
For one thing: The supermarkets: At home, we have a huge natural health food store where I live. Here it’s the size of a railway station. One of the differences in the products is that frozen foods, ready-to-eat-meals and prepared dinners are much more common. Three aisles full of frozen foods alone!
I tried to find rice and lentils. As in rice. and. lentils. Not precooked. Not in a fabulous sauce or in an exotic recipe. Just red lentils and rice. At home, I can choose between about half a dozen kinds of rice: long, short, basmati, jasmine, brown, forbidden, wild (which is not really rice and should not be eaten by people with gluten problems) – you get the idea. Here they have a thousand pre-boiled, prepared, mixed varieties. And a single uncooked variety: long. Happens that I want short, for my congee in the morning.
To cook rice is one of the easiest tasks in the kitchen: You measure a cup of rice, add two cups of water and a pinch of salt, bring it to a boil, cover it with a lid, and let it simmer on low flame until all water has been used up. While the rice cooks, you prepare other dishes. I doubt it is much easier to scrape precooked rice from its plastic wrapping, put it into a bowl and microwave (yuck!!) it. Not to mention that your rice is made in a way you have no influence on: You don’t know the kind of water they use. They might have done the “cooking” via microwaving. And agents from the plastic wrap might have seeped and contaminated your rice. All that for a doubtful gain in “less work.” - Joy of cooking – where did it go?
The one thing I really enjoy so far: the pool. Today it’s cold for San Diego – in the low sixties – and it was drizzling a bit when I did my daily laps. Nobody else dared this kind of weather and took a swim with me. The chlorine smell is but light – I hope my skin will not scream after a while. Rain here is needed of course. It fills the reservoirs and reduces fire hazard.
Red lentils I haven’t found yet. Although I am sure I will find a store that carries red lentils. It’s only a question of more miles, more energy wasting on the freeways. And of course a question of an empty bladder. Read More
The Role of Your Neck in Urge Incontinence
February 21, 2011
As a physician I sometimes make observations that strike me as plausible – but I don’t have the wherewithal or time to scientifically check on them. Writing a blog might be one method to test an idea, and find out if others made similar observations.
So, here is my first one, pertaining to urge incontinence.
Wikipedia defines urge incontinence as “involuntary loss of urine occurring for no apparent reason while suddenly feeling the need or urge to urinate.” What really happens is the patient makes it to the stall but then goes before she has a chance to pull down her pants. Or she hears water tinkling, and tinkles herself.
The two other forms of urinary incontinence are stress incontinence and overflow incontinence. Stress incontinence comes from weak pelvic floor muscles – when you sneeze or run or laugh, you suddenly can’t hold your urine. Overflow incontinence is a constant dribbling of urine – as if the faucet can’t be shut off. All three forms are common in people of a certain age – therefore the hilarious TV ads for adult diapers. But according to my patients, incontinence is no laughing matter. People thus afflicted (women are in the majority here, probably because of what childbirth can do to one’s organs) are on the constant lookout for the nearest restroom.
The interesting part of Wikipedia’s definition of urge incontinence is “for no apparent reason.” Urge incontinence has been linked to stroke, Alzheimer’s, spina bifida, multiple sclerosis (MS), Parkinson’s – they all can lead to urge incontinence. All are neurogenic causes (stemming from the brain and the nerves) – we lump them in one group, but still they are poorly understood. And then there is “idiopathic” urge incontinence. Idiopathic means: Doctors have no clue at all. But they think it has to do with local inflammation around the bladder.
Years ago a patient with urge incontinence told me that she could make the urge disappear (at least long enough to make it to the bathroom), if she stretched her neck. For a while I was not sure if any sudden distraction – like clapping your hands or hopping up and down – would do the same. But lately I returned to my first hypothesis, namely that the stretching of the neck works best. Because I have observed that the condition occurs more often in people with less than stellar posture, especially the ones whose head is slightly bent most of the time. Standing tall and erect, at least for a moment, seems to release the urge.
As for the mechanism – are certain spinal nerve fibers pinched when the head is bent? We need more research on that.
Poor posture is more common in people with gluten intolerance and food allergies – it seems as if they don’t have the muscular strength to keep their heads straight on their shoulders – perhaps on the basis of poorly functioning mitochondria (this is all speculation on my part; I would be happily disproved).
If urge incontinence is your problem, try this out – nod a bit, stretch your neck - and write me if it works for you! Perhaps one day a peer-reviewed study will be done. Read More