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BP fluctuating high
Since 2-3 days i have been recording bp at home/ since i am getting headaches, ( at back of head n neck) palpitations and general uneasiness-
Bp stays 136/140: 85-95 most of the times-
Only in morning it would be 120/80
I am already on telma 40 mg n i am scared with the numbers now- Does this require checkup at clinic or i can manage it by rest, hydration and less sodium ( my daily intake goes 7-8k)
Answers (15)
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DASH diet (dietery approach to stop HTN)
Ask chat gpt or any open ai ...it will give what to eat and what not to eat !!
Don't too much worry about numbers ...Bp recordings should be taken in relax mode not panic mode
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Take proper diet , stay stress free, do yoga and exercise I ll settle without any extra medication.
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U can manage by change life style n diet plan drastically. Rest yoga, pranayam meditation low salt diet, avoid papaya Bhujbal, Namkeen
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You can manage by rest, relaxation and pranayam. No need of extra medicine.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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It's reassuring because of most of your bp reading take in anxiety. Next time you take your bp reading, control your anxiety, proper relax and then do .it will be normal.
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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Your readings:
• Morning: 120/80 (excellent)
• Rest of day: 136–140 / 85–95
• On Telma (Telmisartan) 40 mg
These values fall into:
• High-normal to Stage 1 hypertension range
• Not an emergency
• Not dangerous in the short term
Important observations:
✔ Morning BP normal → medication is working
✔ Mild daytime elevation → likely due to:
• Stress
• Headache itself
• Anxiety
• Heat/dehydration
• Excess sodium intake (7–8g/day is high)
• PMS phase (you mentioned earlier)
Your symptoms (occipital headache + neck pain + palpitations + uneasiness) are very typical of anxiety-driven sympathetic overactivity, especially when someone keeps checking BP frequently.
BP of 140/90 does NOT usually cause headache unless it is >160–170 systolic.
Right now, this does not sound like a hypertensive emergency.
⸻
Do You Need Clinic Visit?
You can monitor at home IF:
• BP stays below 150/100
• No chest pain
• No breathlessness
• No visual disturbance
• No neurological symptoms
Visit clinic if:
• BP persistently >150/95 despite rest
• Headache severe and not responding
• Palpitations sustained >110 bpm at rest
• Anxiety becoming overwhelming
For now, I would advise:
• Do NOT check BP more than twice daily
• Sit calmly 5 minutes before measuring
• Avoid measuring during headache or stress episode
Overchecking increases adrenaline → raises BP → increases anxiety → vicious cycle.
Next Steps
Immediate plan (next 5–7 days):
✔ Reduce sodium to
Health Tips
BP naturally fluctuates 20–30 mmHg throughout the day.
A reading of 138/90 in a stressed person is not dangerous.
Your morning normal BP is the most reassuring sign.
⸻
If after 1 week of lifestyle correction your average BP remains >135/85, then we can consider:
• Dose timing adjustment
• Adding low-dose second agent
Since you are already on treatment, I would suggest a structured review rather than panic-driven changes. If you’d like, share your 7-day BP log and we can analyze trends properly and decide whether medication adjustment is truly needed.
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Your BP readings are mildly elevated but not emergency levels. Stress, anxiety, and headache can temporarily increase BP. Morning readings being normal is reassuring.
Next Steps
Reduce salt, rest well, stay hydrated, and monitor BP twice daily for a few days. If readings stay high or symptoms persist, please consult me for proper diagnosis and treatment.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Continue telma 40 mg and regularly check bp morning and evening for consecutive 5 days then if still the bp records > 150/100 then consult for making telma twice a day
If < 150/100 with what u r taking medicine
You require some rest hydration and good ventilation
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
It's hypertension
Get Telma 20 once a day
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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. 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. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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