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Feeling light headed, high blood pressure. Is it depression or anxiety?

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Psychiatrist
Practicing since : 2004
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Feel light head and some time blood pressure also high. Very fit person do lot of running, squash and excercise. Don't feel any body deficiency while doing extreme excercise. Totally disease free. Think it is depression or anexity!
Posted Fri, 20 Jul 2012 in Mental Health
 
 
Answered by Dr. Ashish Mittal 17 minutes later
Hello,
Thanks for your query.

Important aspects of your query are:
•     56 year old physically healthy male
•     Complaints of: Feeling of light head and some time high blood pressure.
•     Concern related to presence of anxiety or depression


Although your complaints are very common in anxiety and depression but other symptoms need to exist to diagnose it.

I need following information to help you better:
-Please tell me about your mood or other problems in routine life with duration of suffering.
-Do you have some of following symptoms: anxiety, low mood, nervousness, restlessness, mild irritability, excessive worry regarding own health/family, tremor, muscle spasm, heaviness in body, easy fatigability, headache, sleep disturbance, palpitation and dry mouth.
-Presence of alcohol or other substance use.

Waiting for your reply.
.
Wish you good health.
Regards,
Above answer was peer-reviewed by
 
Follow-up: Feeling light headed, high blood pressure. Is it depression or anxiety? 1 hour later

1) Mood is OK - I do the work efficiently but with drag!
2) Yes, I have worries of health of myself and family members, no financial worries though. Usually have heaviness in body, tremor, spasm due to excessive excercise/running/playing. no headache or sleeping problems.
3) never use alcohol or any toxication substance.
4) Just work and excercise hard - I am professor and do lot of reserach work, consultancies and publications.
 
 
Answered by Dr. Ashish Mittal 32 minutes later
Hello again,

Thanks for follow up,

From presence of multiple anxiety symptoms, it appear that you are having anxiety disorder. Severity of anxiety may vary time to time, in your case it is associated with worries of health of self and family members, heaviness in body, tremor, muscle spasm, heaviness of head and feeling of high BP. If anxiety is not treated for long it lead to poor quality of life and depression.

Anxiety occur due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter. You may need treatment with psychiatrist to treat your anxiety. It is not clear if you received any treatment in past, but believe me people life changes after treatment.

In drug treatment two types of medicine used. For immediate relief of anxiety benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect.

Apart from above advice following simple measures will help you:
-Decrease worrying about symptoms as they will cure after treatment.
-Healthy diet: Milk and fruits in diet (for vitamins).
-Daily morning walk and breathing exercise (continue aerobic exercises).
-Monitor your blood pressure (BP) and get it treated in presence of high BP. It may be related or unrelated to anxiety. But it will improve after treatment of anxiety if it is because of anxiety.
-Meditation, yoga or breathing exercises.

Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.

Wish you good health.
Regards.

Above answer was peer-reviewed by
 
Follow-up: Feeling light headed, high blood pressure. Is it depression or anxiety? 6 hours later

OK! Thanks for the answer. Yes I am treating anexity with excercise and eating fresh fruits and will use milk as well. Also some friends told me to use herbal medicine such as St. XXXXXXX Wort.

Last - You think I should also see ENT - for dizziness as some time I feel blocked ears or that is due to high blood pressure 145/90? Or get my blood checked as well?


Regards
 
 
Answered by Dr. Ashish Mittal 5 hours later
Hello again,

It is good that you are already on already on healthy diet.

Dizziness can be due to:
-Anxiety
-High blood pressure
-Ear problem

It is better to seek treatment for hypertension if BP is persistently high. Same time get ENT opinion to rule out ear pathology.

Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.

Wish you good health.
Regards.
Above answer was peer-reviewed by
 
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