Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that your symptoms seem to be related to anxiety and high blood pressure. Have you measured your blood pressure during these episodes? I recommend you to closely monitor your blood pressure, several times during the day (usually in sitting position, after 10minutes of total relax) and refer these values to your doctor. Meanwhile, i would also recommend performing some blood lab tests: -thyroid hormone levels -cortisol and aldosteron plasma levels (adrenal gland function). -PCR, sedimentation rate (inflammation) -coagulation tests (possibly related to bleeding nose) If all your tests result normal, the main cause to be considered would be just pure anxiety. In such case you should discuss with a specialist of this field, to help you manage anxiety. Hope to have been helpful! Best regards! Dr. Iliri