Blood Pressures do fluctuate from time to time, from group of beats to other group of beats and a simple mathematics tells us that our heart beats for about 96,000 times a day. Higher BP in more than normal in two fifth that is 40% of beats would qualify for high BP
and would need treatment.
However, association of anxiety
, stomach pain and flushes is not the usual phenomenon. The most common condition (rare if we take all the patients of high BP) associated with is Pheochromocytoma
which secretes sympathomimetic molecules. Measurement of 24 hour urinary VMA (Vinyl Mandelic Acid) is a diagnostic test for this. Thereafter, by radio nuclide scanning the tumor
can be localized and removed. Usually it is located within suprarenal glands which are located above each kidney
Dr Anil Grover