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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Blood Pressure During Evenings?

my blood pressure remains high around 160/100 after evening time but normal around 130/84 in daytime.my age 33 weight 92 ht-5.6,my mother & father passed away last year.i lives alone.presently iv started taking medicine TELMA 40 since 10days no result yet.sugar/lipid profile all normal only chlolestrol is bit high.im suffering from severe gastric problems for which im unable to sleep all nights .lot of anxiey & fear of getting heart attack like my parents.plz suggest
Tue, 27 Sep 2016
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Diabetologist 's  Response
Hi... Do not worry too much about getting a heart attack... I am going to advice you on your concerns...
You are on Telma 40 ( Telmisartan 40mg) for hypertension; please continue this drug along with some lifestyle modifications that I suggest.
Lifestyle modifications
Avoid stress - Do Yoga, meditation and involve yourself in social activities
Physical activity - Exercise regularly, do brisk walking daily and avoid a sedentary lifestyle. This helps in avoiding stress also.
Diet - Follow a strict diet, cut down on junk and oily food; reduce salt intake and increase fresh fruits and vegetables
You haven't mentioned about the lipid levels. If it's high, it will reduce with above changes or we can add a medication for reducing the levels of it is very high.
Finally continue the medications with regular blood pressure measurements and consultation with your treating physician. Once stress comes down, I hope you might need reduction in dose also. Hope this helps. Thanks.
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What Causes High Blood Pressure During Evenings?

Hi... Do not worry too much about getting a heart attack... I am going to advice you on your concerns... You are on Telma 40 ( Telmisartan 40mg) for hypertension; please continue this drug along with some lifestyle modifications that I suggest. Lifestyle modifications Avoid stress - Do Yoga, meditation and involve yourself in social activities Physical activity - Exercise regularly, do brisk walking daily and avoid a sedentary lifestyle. This helps in avoiding stress also. Diet - Follow a strict diet, cut down on junk and oily food; reduce salt intake and increase fresh fruits and vegetables You haven t mentioned about the lipid levels. If it s high, it will reduce with above changes or we can add a medication for reducing the levels of it is very high. Finally continue the medications with regular blood pressure measurements and consultation with your treating physician. Once stress comes down, I hope you might need reduction in dose also. Hope this helps. Thanks.