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Why is my blood pressure higher in the morning?

Answered by the AskDoc Medical Team · Medically reviewed under our Medical Director, MBBS

Blood pressure naturally rises in the early morning as the body wakes: stress hormones climb before you even open your eyes. A modest morning bump is normal biology.

A large morning surge can also come from poor sleep, alcohol the night before, sleep apnea, or a medicine dose that wears off overnight. Measuring before your morning pills, seated and rested, shows the true picture.

Bring a week of morning and evening readings to your doctor. The pattern between them matters more than any one number.

If you are buying a monitor

Get an upper-arm cuff, not a wrist one, from a validated brand like Omron. Expect $30 to $60. Check the cuff size fits your arm; a too-small cuff reads high.

See validated upper-arm monitors

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Is this your situation right now?

General answers only go so far. A doctor can look at your numbers and history and give you a written answer about you.

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