I delivered my daughter by c-section in late septemer 2017 and had an acute placental abruption as the procedure began. Two days later I had severe interal bleeding leading to a 5 hemoglobin and a transfusion. My hemoglobin was back to 12 within 6 weeks. During this as well as before and during my pregnancy, my blood pressure was a regular 110/70 or sometimes a little less. This has been the case for the many years I've been seeing my blood pressure. My son is 3.5 years as well and my records with over 20 readings have similar pressure readings. I continued breastfeeding after my daughter was born till 5/5/2018 (7.5 months). I had a bad sinus infection in february and saw an ENT and they took my blood pressure and it was ranging between 155 to 165 systolic and 90-100 on dystolic, so I was alarmed. I'm 5'7" and 138 - was back to this pre-pregnancy weight in about 6 weeks +/- 5 pounds. My obgyn thought it was the illness and I should wait to recheck when i'm well. Afer I was well and some time passed, I checked at home and it was around 140/90 so still high for me but not as bad as before. I went to the dr and they gave me hctz 12.5 mg and it has brought it back to baseline 115/70 or sometimes even as low as 96/69. It reduced it even within 3 hours of taking the first dose. I used to run a lot before my two children and never had a health issue so this is all a surprise. I'm wondering if it was some delayed postpartum given the february figures? I only checked my post-partum at 4 wks and it was 118/72 one month after the baby. The next reading I had was in February so I dont know what it was in-between. My mom became hypertensive after 65 which is supposedly due to hormones and my dad has sleep apnea which is why they think he has it. my brother and sister do not have hypertension but i'm originally from west africa for your reference. I took myself off of the hctz for one week and 3-4 days in my blood pressure was still low and one week after it went back up to 140/90 so i went back to internist and have been using hctz for about 1.5 weeks after restarting. I looked at labs for Feb, May and June - ALT was 44 and May was 40 and June last week it was 36 vs historical baseline when I look at prior records of about 19-22. SO something may be going on but maybe it was my breastfeeding diet which was heavier. Do you think this is simply a change in my body and this is my new scenario, or does it seem like it spiked after postpartum and is gradually going down? Or is it related to the liver enzyme elevations? What do you recommend in terms of what you have seen and your evaluation? Thanks! FYI - September 27 labs are pre-transfusion but after my c-section/hemorrhage and so may not be relevant.