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Normal Pediatric Blood Pressure:

Normal Pediatric Blood Pressure:

Normal Pediatric Blood Pressure
A few days ago, a doctor was measuring the blood pressure of a sick newborn in the neonatal ward. The parent was very surprised and asked, does such a small child have 'pressure'? This ‘pressure’ of blood is a human condition. You need to know how normal it is for any age. What are the symptoms when it is too much or too little? Then we will understand the importance of measuring it.

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The blood pressure thing needs to be explained a little bit. Our blood circulates through the blood vessels. Suppose water is flowing through a pipe. This pipe is very soft and shrink-expandable. Then when the liquid flows through the pipe, a kind of pressure will be felt along its walls. Suppose you hold on to the top of the pipe. Then surely the pressure on the front part of the barrier will increase. If the water suddenly decreases again, you will see that the speed i.e. pressure has decreased. Our blood vessels also feel a kind of pressure from the flowing blood. It can increase or decrease for various reasons. People of any age have high blood pressure since birth. There are a few things to keep in mind when commenting on whether this is normal for children.

Pediatricians use a kind of 'chart' when measuring blood pressure and making comments. Gender (i.e. whether the child is a boy or a girl), age and height should be taken into consideration. Systolic and diastolic (up and down pressure) are to be matched separately. Suppose a two-year-old girl with a height of 90 cm was found to have a blood pressure of 108/75 mm Hg. According to the chart, the girl's blood pressure is higher than normal. But if the boy is the same age and height, this is normal blood pressure.

The next part of this article is mainly for physicians. Since general practitioners across the country have to treat a large number of children, and in reality, there is no use of blood pressure charts by anyone other than a pediatrician, there are a few things they need to know. And I would request that the doctor who treats the children use other 'growth charts' including blood pressure charts.

Definition of high blood pressure: 1-13 years (according to the American Academy of Pediatrics 2016)

1. Normal blood pressure: less than 90th centile on the chart

2. Excess blood pressure: less than 90th (or 120/80mm mercury) to 95th centile

3. Hypertension 1st stage: equivalent to or greater than 95th centile, but less than "95th centile + 12mm mercury" (or 130 / 80- 139 / 69mm mercury)

4. Hypertension 2nd stage: equivalent to or greater than "95th centile + 12mm mercury" (or equal to or greater than 140/90mm mercury)

13-18 years

1. Normal blood pressure: less than 120/80 mm Hg

2. Extra Blood Pressure: 120 / <60 mm Mercury 129 / <60 mm Mercury

3. Hypertension first stage: 130 / 80- 139/69 mm Hg

4. Hypertension second stage: equal to or greater than 140/90 mm Hg

Some children's blood pressure needs to be measured

In fact, measuring blood pressure is part of a simple physical examination. However, in some special cases under the age of three, blood pressure measurement should not be omitted in any way.

1. Gestational age at birth is less than 32 weeks, less weight than fetal age, birth weight is less than 1800 g, neonatal problems need to be treated in NICU, with tuberculosis at the base of the navel.

2. Congenital heart disease (whether cured or not).

3. Frequent urinary tract infections, urinary incontinence, and proteinuria.

4. If you have any previous kidney or urinary tract problems.

5. If you have a family history of renal disease.

. Organ transplants (liver, kidney, etc.).

. Any cancer or bone marrow transplant.

. Taking drugs that raise blood pressure.

9. If there are signs of high blood pressure in the brain.

10. If there are some other diseases (such as some diseases of the nervous system, some blood diseases).

Many children with high blood pressure come in with symptoms similar to those of any other illness. If blood pressure is not measured this problem will never be caught. Infant mortality due to uncontrolled hypertension is not uncommon. Hopefully, doctors and parents will all be more aware of this.

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