Recently I have gone through lot of stress due to health anxiety . I have to undergo surgery for my gallstones ,whenever I think of surgery my anxiety and heartbeat increases . I have hospital anxiety too in hospital my bp goes 130-140/ 90 and pulse also increases to 115-120bpm. I started checking in house when iam little relaxed my bp comes 108-118/75-88 . Previously when I check at home my diastolic is below 80 but now don't do to anxiety or lack of sleep it increased.Iam unable to sleep due to anxiety.seeing little high diastolic value makes me even more anxiety while bp checking .What should I do for this doctor please tell me.should I consult doctor for my anxiety or use bp medicine for 75-88 diastolic pressure
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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.
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Dr. Harichandana,
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U shud consult a psychiatrist for the same.need full body examination and tests to rule out heart disease or thyroid or any hormonal issues.physician consultation will help you clear it and will send you to psychiatrist for further psychotherapy and medicines.
Looks like you have "White coat hypertension"
Stress management can be done by drugs
But breathing exercises and yoga/meditation techniques/light exercises are brilliant as they increase good neurotransmitters like dopamine which RELAXES
Consult superspecialist like psychiatrist for anxiety.
Who advise u to monitor bp by self?
If at all it must be biweekly. If u r in hospital than they measure three times. Ok
Get thyroid function tests, Haemoglobin done and share results.
Learn relaxation techniques.
Take tab propranolol 10mg one daily for 2 weeks. It will help in anxiety, as well as slightly raised b.p
Need few more details for proper understanding of your issue.
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Your blood pressure and pulse changes are due to anxiety and fear related to surgery and hospitals, not due to true BP disease.
This is called anxiety-related / white-coat hypertension. Your home readings (108–118 / 75–88) are normal, and a diastolic up to 88 during stress or poor sleep is not dangerous.
You do NOT need BP medicine. Treating anxiety is the correct approach.
Next Steps
• Consult a doctor for anxiety, not for BP medication
• Work on sleep improvement (very important before surgery)
• Reduce BP checking to once daily or every 2–3 days
• Ignore BP readings taken during panic or hospital visits
• Inform your surgeon/anesthetist about anxiety — this is very common and manageable
Health Tips
• Sit quietly for 5 minutes before BP checking
• Take only one reading, do not repeat
• Practice slow breathing when anxiety starts
• Avoid caffeine and late-night screen use
• Remind yourself: anxiety raises numbers, not damage the heart
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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