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disorders) or a narrowing of part of the aorta or arteries leading to the kidneys. This is called secondary hypertension. What Is White coat Hypertension? Blood pressure can fluctuate throughout the day. White coat hypertension occurs when the blood pressure readings at the doctor's office are higher than other settings, such as your home. This is because of being anxious. In order to confirm that you actually have high blood pressure, several readings are needed. A standard way to measure high blood pressure is with an electronic machine after five quiet minutes in the examination room. Alternatively, you may have your blood pressure measured over a period of 24 hours with a specialized home monitor or keep logs of your blood pressure readings taken at home. Important Lifestyle Interventions for Hypertension Blood pressure often increases as weight increases. Weight loss is one of the most effective lifestyle changes for controlling blood pressure. Losing even a small amount of weight if you're overweight or obese helps reduce your blood pressure. Adopt a healthy diet consisting of fruits, vegetables, low-fat dairy products, whole grains, poultry and fish. Limit the amount of alcohol you drink. Drinking more than moderate amounts of alcohol can actually raise blood pressure by several points. It can also reduce the effectiveness of blood pressure medications. Quit smoking. Each cigarette you smoke increases your blood pressure for many minutes after you finish. Quitting smoking can reduce your risk of heart disease and improve your overall health. If you have elevated blood pressure, exercise can help you avoid developing hypertension. If you already have hypertension, regular physical activity can bring your blood pressure down to safer levels. Some examples of aerobic exercise you may try to lower blood pressure include walking, jogging, cycling, swimming or dancing. Chronic stress may contribute to high blood pressure. Take some time to think about what causes you to feel stressed, such as work, family, finances or illness. Emergencies Related to Hypertension! Heart attacks and strokes are common emergencies related to high blood pressure and can be life threatening. If you have high blood pressure, it’s critical that you and those around you recognize the signs of a heart attack or stroke. Signs of an impending stroke include slurred speech and blurry vision. If you begin to experience these symptoms or someone with you notices you acting strangely, contact emergency services immediately. Kepha Nyanumba is a Consultant Nutritionist working with Crystal Health Consultants Limited. You can commune with him on this or related matters vide email at: Ke p h a n y a nu m b a @ g m a i l . c o m , follow him on twitter: @knyanumba or Blog: kephanyanumba.blogspot. com.