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Suggest Treatment For High Blood Pressure And Pulse Rate

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Posted on Tue, 10 Jan 2017
Question: DEAR DOCTOR I NEED YOUR ADVICE..I REALLY LIKE YOUR ANSWERS! THE DOCTOR CHECKED MY EYES THIS WEEK AND FOUND SOME NARROWING OF THE BLOOD VESSELS..ATTENTUATION OF VESSELS..HE DID NOT SEEM TOO CONCERNED..AND TOLD ME IT WAS PROBABLY CAUSED BY THE VESSELS BEING STRECHED IN MY LONG NEARSIGHTED EYE. IS THIS TRUE?MOST OF THE PEOPLE I TALK TO SAY IT IS FROM HIGH BLOOD PRESSURE BEING TOO HIGH FOR TOO LONG..I DO HAVE HIGH BLOOD PRESSURE WHEN I AM STRESSED BUT IT USUALLY RETURN S TO NORMAL ..MY PULSE RATE DOES STAY HIGH IN THE 80S TO 90S..MY BLOOD PRESSURE GOES HIGH IT GOES UP TO 165/100 BUT WHEN I RELAX IT COMES DOWN. SHOULD I TAKE BLOOD PRESSURE MEDS ECAUSE OF THE NARROWING? IT IS REVERSIBLE? I TRIED TAKING BP MEDS BUT THEN MY PRESSURE RELAXES AND THEN I END UP WITH REAL LOW BP..WITH THE LOWER NUMBER SOMETIMES IN THE 50S. THANKS SO MUCH I RESPECT YOU SOO MUCH!!!
doctor
Answered by Dr. N K Mishra (2 hours later)
Brief Answer:
Lifestyle management needed.

Detailed Answer:
My Dear XXXXXXX
Thanks for sending your query to me.
I have gone through your query in detail and feel that your vessel narrowing is a body response to rise in BP,while the arteries are maintaining elasticity.This narrowing is unlikely to be due to shortsightedness that you are having.
The main issue which is to be tackled is transient BP rise which you occasionally have.This will need what we call as life style management.. Proper diet,exercise ,rest and yoga will bring things under control.Walking,diet with fruits,vegetables and multi vitamins and yoga will do the trick for you .
Though narrowing of vessels,per se is of no consequence but we should utilize this as a opportunity to improve health.
Do get back to me in case any point needs further elaboration.
wish you good health.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. N K Mishra (19 minutes later)
You are the best ! Thanks for explaining things so well! Since I have a little anxiety some time that increases my blood pressure should I take blood pressure medicine to calm things down a bit. I hate to take any medicine if I do not have to but I do not want the condition to get any worse..my blood pressure is 120/72 right now but earlier today it jumped to 160/100 worrying over this new diagnosis! Is it fairly safe to take a small dosage of atenenol? I appreciate you sooo much!

Is this condition reversible if I can get it under control?
doctor
Answered by Dr. N K Mishra (5 hours later)
Brief Answer:
Lifestyle management.

Detailed Answer:
Dear XXXXXXX
Good of you to get back to me.
You do not have a llness.You will at best be labelled as transient hypertension.Anyone can have rise of BP under stress.Another diet change is reduced salt intake.In my practice I advice meditation and yoga to my patients, this gives better results in the long run.You also have the issue of Hypo tension which we would be keen to avoid.
Give these measure a chance for 4 to 6 weeks and once you get proper response,you will be motivated to continue these efforts. All medication has side effects,which are ignored if the necessity is great,in your Case we do not need medication if things are controlled by lifestyle management.
Any further query in this regard please do get back to me.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. N K Mishra (2 hours later)
Thank you so much! I wish you were my doctor.. You are amazing! Have a happy new year!
doctor
Answered by Dr. N K Mishra (2 hours later)
Brief Answer:
Lifestyle modification.

Detailed Answer:
My Dear,
Thanks for appreciating our effort,we as a team like to serve by giving proper guidance.
Thanks again for appreciating .
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. N K Mishra

Ophthalmologist

Practicing since :1977

Answered : 1297 Questions

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Suggest Treatment For High Blood Pressure And Pulse Rate

Brief Answer: Lifestyle management needed. Detailed Answer: My Dear XXXXXXX Thanks for sending your query to me. I have gone through your query in detail and feel that your vessel narrowing is a body response to rise in BP,while the arteries are maintaining elasticity.This narrowing is unlikely to be due to shortsightedness that you are having. The main issue which is to be tackled is transient BP rise which you occasionally have.This will need what we call as life style management.. Proper diet,exercise ,rest and yoga will bring things under control.Walking,diet with fruits,vegetables and multi vitamins and yoga will do the trick for you . Though narrowing of vessels,per se is of no consequence but we should utilize this as a opportunity to improve health. Do get back to me in case any point needs further elaboration. wish you good health.