 [ Symptoms ] please help sitting blood pressure 185109 and standing bp is 11793 my husband is on several bp meds incl clonodine his bp runs 210115 to 175100 he excercises regularly and his bp goes down for a while after recently we noticed that his bp is lower when taken standing vs sitting it spikes during the night always he had a 5 way bypass at 50 years old because his bp was never controlled what can we do please help we need a dr house to figure out what is wrong with him and why medication is not working thank you [ Disease ] your husband clearly has uncontrolled hypertension that needs hands on medical intervention blood pressure can be successfully treated but it may take a different medication it is imperative that you consult an internistcardiologist so that he can be properly managed there are some identifiable causes for high blood pressures but most are considered idiopathic or essential hypertension which means there is no specific one cause but rather a plethora of medical issues that may be contributory