What causes blood pressure fluctuations in the elderly?

May 13, 2024 Source: Cainiu Health
Dr. Wang Xin
Introduction
In general, sudden fluctuations in blood pressure among elderly individuals may be caused by improper diet, psychological factors, medication effects, autonomic nervous system dysfunction, or hyperthyroidism. It is recommended to seek medical attention promptly and receive appropriate treatment after identifying the underlying cause. If elderly people frequently consume excessively greasy or spicy, irritating foods such as chili peppers and ginger, it may lead to elevated levels of fats and sodium in the body, thereby affecting blood pressure.

In general, fluctuating blood pressure in the elderly may be caused by improper diet, psychological factors, medication effects, autonomic nervous dysfunction, or hyperthyroidism. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment. Specific analyses are as follows:

1. Improper Diet

If elderly individuals frequently consume greasy, spicy, or irritating foods such as chili peppers and ginger, it may lead to elevated levels of fats and sodium in the body, thereby affecting blood pressure and causing fluctuations. This may also result in abnormal lipid levels and weight gain. It is advisable to adjust the diet by avoiding these foods and instead consuming lean meat, fish, eggs, milk, carrots, and similar nutritious options.

2. Psychological Factors

Long-term mental stress or anxiety may cause blood vessel dilation and accelerated circulation, leading to unstable blood pressure. Symptoms such as insomnia, anxiety, and irritability may also occur. It is recommended to maintain emotional stability and relieve stress through deep breathing, meditation, listening to music, and other relaxation techniques.

3. Medication Effects

Irregular use of antihypertensive medications—such as self-adjusting dosages or stopping medication without guidance—may lead to blood pressure fluctuations. It is important to follow a doctor’s instructions and take prescribed medications consistently and at the correct dosage.

4. Autonomic Nervous Dysfunction

This condition is usually caused by irregular daily routines and can disrupt bodily metabolism, indirectly affecting blood pressure and causing fluctuations. Additional symptoms may include chest tightness and insomnia. Under medical supervision, medications such as vitamin B1 tablets, oryzanol tablets, or paroxetine hydrochloride tablets may be used for treatment.

5. Hyperthyroidism

This is typically caused by excessive secretion of thyroid hormones, which increases metabolic rate and heart rate, resulting in sudden rises or drops in blood pressure. Other symptoms may include palpitations and excessive sweating. Treatment may include medications such as propylthiouracil tablets, methimazole tablets, or carbimazole tablets, taken as directed by a physician.

Regular physical exercise, such as jogging, tai chi, or skipping rope, is recommended to improve physical function and enhance immunity.

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