Anxiety attacks and high BP - Online Doctor Chats
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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
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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