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Blood Pressure
Suffering Anxiety/poor sleep. ECG Normal, My AMBP Test 24/hr Avg 131/83, Day 133/87 and Night 128/75. Doc suggested me come after 1 month.. Meanwhile less salt, diet and exercise 1hr he suggested me .. after 3 days i check my BP in digital meter showing same 131/100. Still wait for 1 month? Not getting sleep racing thoughts
Answers (16)
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Your 24-hour ambulatory BP (ABPM) shows an average of 131/83, which falls in the borderline or pre-hypertensive range, not severe hypertension. ABPM is more reliable than a single digital reading at home.
The 131/100 reading on a digital machine could be due to anxiety, poor sleep, wrong cuff size, posture, or timing.
Your main issue seems to be anxiety with racing thoughts and poor sleep, which itself can temporarily raise BP readings. Lack of sleep activates the sympathetic system, causing higher diastolic (lower number) readings.
Next Steps
You can follow your doctor’s advice and wait for the 1-month review, but take these steps now:
For BP monitoring
• Check BP twice daily (morning and evening)
• Sit quietly for 5 minutes before measuring
• Take 2 readings and note the average
• Avoid caffeine, stress, or exercise 30 minutes before checking
If diastolic BP stays above 95–100 consistently for 5–7 days, consult earlier.
For anxiety and sleep
You may consider short-term help:
• Melatonin 3 mg at night for sleep (safe, non-habit forming)
• OR mild anti-anxiety options like:
• Magnesium glycinate at night
• Ashwagandha extract once daily
If sleep remains very poor, your doctor may prescribe a short course of anti-anxiety or sleep medication.
Health Tips
• Fixed sleep time: go to bed and wake up at the same time daily
• Avoid screens 1 hour before bed
• Warm shower or light stretching before sleep
• Reduce caffeine after 2 PM
• Practice 4-7-8 breathing or guided relaxation before sleeping
• Regular 30–45 minutes of walking helps both BP and anxiety
⸻
Your BP numbers are not in the dangerous range right now, but your sleep and anxiety need attention. If you’d like, you can book a quick online consultation so we can stabilize your sleep and BP together before your follow-up visit.
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Your poor sleeping problem is not due to your blood pressure,
Kindly take low salt diet , and walk for at least 30 minutes in a day
Avoid electronic devices before sleeping
Next Steps
Low salt diet and exercise
Health Tips
consult on practo, if further persists your problems
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Its becoz of stress or bipolar disorder consult a psychiatrist.t anxit 0.25mg hs for 3 days or t zolpidem 5 mg hs for 3 days..
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Your AMBP is fine and you have a ‘dipper pattern in your night time blood pressure’.
No medications are indicated.
All the best.
J G S R clinic
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You BP is borderline,no need to worry about the condition.
Intake less salt diet,do daily excercise and eat healthy.
You may wait and check BP again after 1 month.
In between,ig u have signs of headache, dizziness or any related symptoms, consult a doctor.
Next Steps
You BP is borderline,no need to worry about the condition.
Health Tips
Intake less salt diet,do daily excercise and eat healthy.
You may wait and check BP again after 1 month.
In between,ig u have signs of headache, dizziness or any related symptoms, consult a doctor.
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You need to change your dietary habits and improve lifestyle modifications. Consult me on practo for proper management and guidance.
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Anxiety
Contact physician
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as per cutoff your bp is slightly high considering average and night time value
also diastolic bp 100 is considered high.
it would be better if you could consult since we need to also see other risk factors and then start you on medication
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Dr. Navajit Hatibaruah
General Physician
30 yrs exp
Guwahati
U need to control anxiety and have good sleep first
That will reduce your blood pressure
Take
Alprazolam
0.25 mg in morning ---
0.25mg in afternoon ---
0.5 mg at bedtime. ---- for 2weeks
Next Steps
report after 2 weeks
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Start tab ciplar 10 consult online will guide you further , Salt restrictions,avoid stress
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Yes
Do regular walk and exercises and wait for sometime
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