Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
127 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest remedy for anxiety related hypertension.

Hello sir, I have white coat and anxiety related hypertension. My blood pressure fluctuates.At my GP s clinic my blood pressure is 120-140/85-95.all my tests are OK including VMA urine analysis. Last year I had AVNRT ablation. Heart rate OK.from last six months, I was not taking any medicine. Recently I went for a follow IP to cardiologist and my BP was 180-194/100-116 on two visits respectively. I asked for 24 hour ABP monitoring. On second visit I was put on ABPM , time was 6:00 pm.bp was 180-100.In result white coat symptoms and nocturnal dip seen.I slept between 11:00pm to 4:00am.in this period bp was 124-136-140/80-85-90. Rest of the readings are from start at 6:00pm - 198/122,180/108,178/90,150/99,154/100,198/92,179/106,178/98,150/90,171/93,156/100,night- 136/81,139/88,124/80,136/90,140/92,woke up at 4:00 am.160/109,163/108,179/110,191/100,154/102,169/91,162/93,140/99,158/97,179/97,170/109,200/98,162/104,185/105,139/90,179/97,163/93,194/92,158/90,147/91,206/94,152/91,147/97,156/98.now from last two days i am taking ciplar l a 20 mg. What is cause of fluctuations. I get nervous. It normal for the bp to fluctuate this much.I have far eye sight +1. 5 and near eyesight +3.5. I when I put specks ,I feel uncomfortable. My vision changes with anxiety. What other test should I go for.plz advise.
Mon, 19 Jan 2015
Report Abuse
Psychologist 's  Response
Dear
Welcome to HCM
We understand your concerns

I went through your details. From the description it is clear that you do have white coat hypertension. Your doctor vouches for it and all the tests vouch for it. Then you should not worry about that. You can try exercises, balanced potassium rich-anxiety curbing diet, psychotherapy and meditation. You need to calm yourself when you are in front of people with white coat. Meditation and psychotherapy will definitely help.

If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible.

Hope this answers your query. Available for further clarifications.
Good luck.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Ambulatory blood pressure


Suggest remedy for anxiety related hypertension.

Dear Welcome to HCM We understand your concerns I went through your details. From the description it is clear that you do have white coat hypertension. Your doctor vouches for it and all the tests vouch for it. Then you should not worry about that. You can try exercises, balanced potassium rich-anxiety curbing diet, psychotherapy and meditation. You need to calm yourself when you are in front of people with white coat. Meditation and psychotherapy will definitely help. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck.