The myth of symptoms and signs of high blood pressure
There's a common misconception that people with high blood pressure, also called HBP or hypertension, will experience symptoms such as nervousness, sweating, difficulty sleeping or facial flushing. The truth is that HBP is largely a symptomless condition. If you ignore your blood pressure because you think symptoms will alert you to the problem, you are taking a dangerous chance with your life. Everybody needs to know their blood pressure numbers, and everyone needs to prevent high blood pressure from developing.
The myth of symptomatic headaches
The best evidence indicates that high blood pressure does not cause headaches except perhaps in the case of hypertensive crisis (systolic/top number higher than 180 OR diastolic/bottom number higher than 110).
In the early 1900s, it was assumed that headaches were more common among people with high blood pressure. However, research into the subject doesn't support this view. According to one study, people with high blood pressure seem to have significantly fewer headaches than the general population.
In a study published in the journal Neurology, people with higher systolic blood pressure (the top number in blood pressure readings) were up to 40 percent less likely to have headaches compared to those with healthier blood pressure readings. The researchers also looked at another measurement called the pulse pressure, which is the change in blood pressure when the heart contracts. Pulse pressure is calculated by subtracting the bottom number (diastolic reading) from the top number (systolic reading). Those with higher pulse pressure had up to 50 percent fewer headaches. The researchers think that the higher the pulse pressure, the stiffer the blood vessels. The stiffer the blood vessel, the less likely the nerve endings are working properly. If the nerve endings aren't functioning correctly, the less likely a person will feel pain.
Therefore, headaches or the lack of headaches are not reliable indicators of your blood pressure. Instead, work with your doctor and know your numbers.
The myth of symptomatic nosebleeds
Except with hypertensive crisis, nosebleeds are not a reliable indicator for HBP. In one study, 17 percent of people treated for high blood pressure emergencies at the hospital had nosebleeds. However, 83 percent reported no such symptom. Although it's also been noted that some people in the early stages of high blood pressure may have more nosebleeds than usual, there are other possible explanations. If your nosebleeds are frequent (more than once a week) or if they are heavy or hard to stop, you should talk to your healthcare professional.
Keep in mind that nosebleeds can be caused by a variety of factors, with the most common one being dry air. The lining of the nose contains many tiny blood vessels that can bleed easily. In a hot climate like the desert Southwest or with heated indoor air, the nasal membranes can dry out and make the nose more susceptible to bleeding. Other causes include vigorously blowing your nose; medical conditions like allergies, colds, sinusitis or a deviated septum; and side effects from some anticoagulant drugs like warfarin (Coumadin®) or aspirin.
Other inconclusively related symptoms
You should not try to evaluate your symptoms in an attempt to self-diagnose high blood pressure. Diagnosis should only be made by a healthcare professional. A variety of symptoms may be indirectly related to HBP but are not always caused by HBP, such as:
The Symptoms of Hypertensive CrisisAs mentioned above, only when blood pressure readings soar to dangerously high levels (systolic of 180 or higher OR diastolic of 110 or higher) may obvious symptoms occur. Blood pressure this high is known ashypertensive crisis, and emergency medical treatment is needed.
In addition to extreme readings, a person in hypertensive crisis may experience:
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