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Suffering from high BP, tension headache due to stress - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   hello sir, i am 43 yrs male, suffering from high bp for last 7-8 yrs. on medicine of losar 25 and amlodac05 and restyl.25/2. i am experiencing a pressure/tension inside my head often, mostly after getting up. is it due to bp. last time i have checked my bp to be 128/84. and mostly this accompanies dreams...nightmare??
User :   hello sir good evening
Doctor :   Hi This is Dr.
How may I help you today?
Doctor :   OK
Doctor :   Since how long have you had this problem?
Doctor :   And can you describe me the headache, where it is located?
User :   since 2001
Doctor :   you mean to say you are having headache since 2001?
User :   it is just below the scalp, like a stressed feeling
Doctor :   Do u check your BP daily ? OR at hospital once a week Or so?
User :   monthly
Doctor :   Do you feel any giddiness ?
Doctor :   how long does this tightness last once you wake up in the morning ? and does it subside after some time on its own ?
User :   yes sometimes i will have nausea or a blurred vision and sometimes my left leg also pain
Doctor :   May I please know your age, weight & height?
Can you please mention if you have any prior medical conditions like diabetes, thyroid diseases, etc?
Doctor :   how long does this tightness last once you wake up in the morning ? and does it subside after some time on its own ?
User :   someetimes if i really relax, and donot have office to go and i try to distract my attention from the nagging feeeling it goes off by afternoon or if it is office then it lasts for the whole day
Doctor :   Does the pain, restart once you take your medication?
User :   no it stays. sometimes back i had taken onemore amlodac in the night and it helped it seemed.
Doctor :   OK, from what i have got from your details, it seems to me that u may be having stress related tension headache .
User :   but i do not get good sleep at night
User :   unless i take the restyl .25/2
Doctor :   Are you physically active ? what kind of work do you do ? ALSO do u take any pain killers?
Doctor :   do you have stress at work or at home ?
User :   no pain killers, normally do not like tobe outside,
User :   yes at home i feel stressed due to incompatibility with wife, anyway i want to move on in life...
Doctor :   this pain, is appears to be due to tension and stress.
Doctor :   when was the last time you had a physical examination?
Doctor :   have you had any tests done , eg any CT or MRI of the brain for the headache , since you have been having it since 9 yrs?
User :   lipid profile in jan was ok that time i was taking zivast
User :   no, i knew it was due to tension so i was more focussed on alternaative med, pranayam or EFT etc.
Doctor :   i would advise, you to note your BP when you wake up (please get your self a BP monitor , a digital monitor may be available for around 2000INR)
User :   ok
Doctor :   THIS would help you to monitor your Hypertension
Doctor :   its good that you do pranayama, yoga & meditation (its better to counter stress)
User :   whom can i consult in mumbai for my ailments
Doctor :   We have a extensive database of doctors on our homepage, which you may find to be useful.
Doctor :   at WWW.WWWW.WW
User :   how can i stop the sleeping med? it seems i do not get any sleep if i do not take it even the small quantity
Doctor :   you can try medications like iodex , if it helps
Doctor :   for your headache
Doctor :   if not, try dolo 650 (paracetamol) OR disprin to be used sparingly for severe pain
Doctor :   it may be hard to stop restyl since u have been taking it for a long time (probably u may have got used to that - i mean dependance)
Doctor :   but you can definitely try
Doctor :   i will email you a few tips for better sleep, and that will definitely help you.
Doctor :   please confirm your email id
Doctor :   is it YYYY@YYYY
User :   when i sleep i get so many dreams and in the morning i get this headache
User :   yes it is YYYY@YYYY
Doctor :   do u snore at night ?
User :   no
Doctor :   have your famiy members complained about u snoring ?
User :   no
Doctor :   lack of proper sleep can also cause this type of headache
Doctor :   i would advise you to get sleep study done that will help to rule out such conditions
Doctor :   have i answered your query ?
User :   if i do not sleep and remain conscious it is mostly ok i mean the headache other than the drowsiness
Doctor :   ok
Doctor :   as i said, carbon narcosis ( accumulation of carbon dioxide) can cause such headache
User :   yes sir.
Doctor :   i will give u tips to have a good sleep,
Doctor :   on your mail id
User :   Thank you sir, can u sum up pl
Doctor :   Are you following me ?
Do you have any other questions?
Doctor :   1. try disprin for pain (occasionally)
User :   no sir thank you.
Doctor :   continue medications for BP REFGULARLY, monitor BP with a home monitor
User :   ok sir
Doctor :   stop smoking or alcohol intake if you do
User :   no nothing i do
Doctor :   GOOD
Doctor :   continue yoga, pranayama as well
User :   OK thank you.
Doctor :   You are most welcome, bye for now
Thanks for consulting me here
Bye for now
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