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Anxiety attacks and high BP - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   I suffer from anxiety. And its quite specific to situation. I am suffering from high blood pressure but it comes high when I am anxious else it remains in 110-130(max 140)/70-80. With little anxiousness, it remains 160 is harmful and mine remains well under limit mostly and even with anxiety its ok. But I want to win over those 3 reasons I mentioned.
Doctor :   hi
Doctor :   Dr XXXhere
User :   hi
User :   I started like this.
Doctor :   Give me moment let me read your query
Doctor :   Ok
Doctor :   Let me breif you
Doctor :   Your condition is most probably anxiety attacks
Doctor :   Its very common for people to have high BP only in the hospitals
User :   I was having positional vertigo. I went to doc and they told me its cervical and went treatment fr 1 mnth. In the meantime, I got my bp checked two times and it was 120/80. then i went to diff doc, and he checked my bp it was 145/98 and pulse was 106 looking like i was anxious. he put me on medication. then i went into the stress of having high bp and i started having pain n chest, i went to hospital and my bp was 160. i was having anxiety at that time. then for next two days i got all the tests done and thngs were normal.
Doctor :   As in your case First let go the habit of measuring BP by self
User :   except i have single kidney which is normal , and doc said no issue with that.
User :   he put me on heavy meds of bp and my bp became 100/60
User :   and even lower than that
User :   i went to diff doc as thats low bp
User :   he changed my meds and put me on lighter dose
Doctor :   Did you meet an cardiologist for the same?
User :   yup
User :   i had ecg, echo done
User :   2 ecg of mine were normal
User :   3rd ecg showed lvh
User :   and then i had echo
Doctor :   What were echo reults
User :   which showed thngs AAAAAAA
Doctor :   Ok
User :   i went to cardiologist
User :   inXXX
User :   and he saw all
Doctor :   Thats good
User :   and said heart is good, u shud enjoy n play
Doctor :   As said do continue your BP meds and do not check Bp by self
User :   with new meds, one day i saw my bp 126/73 which was diff than usual 100/60 and since then my anxiety started
Doctor :   And Frequent checks will increase your anxiety levels
Doctor :   DO you have an electronic BP device?
User :   yup
User :   automatic electronic device
Doctor :   There is always an error differnce of 20 - 30 mmhg in electronic devices
Doctor :   Dont go by those values
Doctor :   They are not accurate
User :   with no anxiety by remains 120-130/80..
User :   since i done i had tested my bp 3 times with doc
User :   and all the time with peak anxiety
User :   and they were 150/70, 142/82, 146/66
Doctor :   Even if your known hypertensive once a month BP check is suuficient
User :   hmm
Doctor :   Plz dont develop anxiety towards Bp
Doctor :   Things will settle down
User :   yeah..
User :   thats why i want to win over those 3 specific causes
User :   one time i tried to stop measureing
User :   i dint measured fr 4 days
User :   then on 5th day when i went to measure, i had peak anxiety fr 1 day whenever i went to measure
User :   and it was 144/98 usually
User :   then after 1 day it subsided
Doctor :   As said once in a month reading will do
User :   to usual
User :   ok so one thng is to stop frequent measurement
Doctor :   Yes very important
Doctor :   Plz discard your BP machine
Doctor :   Thats always goin to cause more panic
User :   hmm
User :   i had thot that,,
User :   this lead me to think that when i will go to doc fr usual check up after 3-4 weeks
User :   it will come high
Doctor :   Yes
User :   and i will be at more trouble at i dint cared
User :   i know that this thot dsnt make sense
Doctor :   First make your self comfortable wih the doctor before having BP checked'
User :   yeah..
User :   but how to do that?
User :   i tried that 3 times
Doctor :   And Do visit The same hospital
Doctor :   And get friendly with the doctor'
User :   i visit govt hospital
User :   and they dnt have time for a patient or fr friendliness :D
User :   they do thngs fast i mean
Doctor :   There its a bit crowded i guess so
Doctor :   So do visit small clinics near by so that you get friendly treatment
User :   i know if i can befriend a physician doc and go to him i can solve my 2nd prob
User :   anxiety when getting measured at doc
Doctor :   Yes its a common problem
User :   now 2nd prob
Doctor :   'You have to overcome it somehow by befriending the doc
User :   2. If doc will take measurement and it comes high, he will increase my medicine or I may have to go through series of tests that i underwent 3-4 months back again which was stressful.
User :   thats my 2nd worry
User :   as that happened with 1st doc
User :   previous day my bp was 124/84
User :   next day it came 145/98 and he put me on meds
User :   after 1 week even when it was 126/87
Doctor :   always insist for three readings within 1 hour
User :   he increased my med
User :   even thugh 126/87 is perfectly normal
User :   this instilled that fear..
Doctor :   Then callibrate your values, dont check BP as soon as entering the hospital wait for while then proceed
User :   i tried that
User :   till the time i m waiting
User :   anxiety is less
Doctor :   PLZ Visit an senior cardiologist for second opnion
User :   bt when i sit fr measurement, it comes peak suddenly
Doctor :   He might help you
User :   cardiologist ?
Doctor :   You have to overcome anxiety, I guess your condition is purely Anxiety rel;ated
Doctor :   Yes
User :   i went thru 3 ecg, 1 echo went to cardio and he said thngs are normal
User :   he wont help me with anxiety i guess
Doctor :   I am suggesting you to go Second opnion
User :   actually i went to cardio and 2 physicians to have all opinions
User :   and all said thngs are normal
User :   after seeing my ecgs, echo
Doctor :   Plz stick to any one consultant only
Doctor :   Changing doctors will result in irregular treatment
Doctor :   Every doctor has different approach for High BP
User :   ok. bt i m just saying that going to a cardiologist might not help
Doctor :   So you will end up in higher Bp medicines
Doctor :   No
Doctor :   Cardiologist will do
Doctor :   And there is always rebound hypertension with varying doses of antihypertensives
User :   hmm
Doctor :   Did you follow me?
User :   yeah
User :   thngs that i have to do is
User :   1. go to a friendly physician fr bp check up
Doctor :   Yes
User :   2. dont measure frequently or if possible, avoid measuring totally by myself
Doctor :   Yes , absolutely
Doctor :   3, dont change doctors stick to one
User :   now 4. when not measuring, it can be high and i am not measuring it, this leads to frequent measurement of bp at home. usually 5-6 times a day.
User :   that happened coz
User :   initially i knew that measuring bp once a week or even later than that suffice
User :   bt then i came to know abt neighbors, who were hypertensive bt having controlled bp
User :   but suddenly theirs shooted upto 180/190
Doctor :   PLz get friendly and comfortable with the doctor and dont assume conditions
Doctor :   As said there is always a chance for Rebound hypertension
User :   which instilled thots like that i have to be on my guard to avoid such situation
User :   coz someone told me that bp around or above 200 can lead to paralysis
User :   or brain damage
Doctor :   Thats in cases when BP shoots up more than 220/130
User :   bt now i know that even with that high bp it has to be remain that much fr atleast 2-3 hrs
User :   to cause damage
User :   and i have this stupid feeling sumwhr
Doctor :   Dont worry long term Uncontrolled Bp will cause such problems
User :   that if my bp can go to 160 from 120, it can go to 200 from 160 as well
Doctor :   No it occurs only in uncontrolled cases
User :   hmm
User :   uncontrolled means where ppl with persistent bp above 170 dont take meds or are unguarded?
Doctor :   So plz follow the tips given you will do well
Doctor :   Yes
Doctor :   Improper , irregular medications will leasd to such cases
Doctor :   Bye for now
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