
Dear Doctor, I Am 36 Year Old Male , Weight

I am 36 year old male , Weight 94 kg
height 5ft.5in. Obese
G6PD deficient.
I am having high blood pressure problem and I am having anxiety issues in the past. I have had discussion with you in past and have benefited.
For Anxiety I was taking Pexcep cr 12.5 and loanzep 0.25 and later after 3 years I stopped as it felt better.
Currently I am taking telmikind 40 in morning at around 11:00 a.m. and nebicard 5 in the evening at around 6:00 p.m.
My problem is that I I get very tensed and my pulse increases when it comes to my health and maybe I have white coat hypertension issue that is my blood pressure comes High when I visit doctors office or when I am tensed about my health.
It was all fine and I had no problem until Recently when I check my mother in law blood pressure and then suddenly I got tensed thinking about my pressure. I check my own pressure at home. Since then I feel head heavy and my Currently my pressure is showing 175 /100.
My doctor advice me to take telmikind 40 twice a day with 12 hour gap along with nebicard 5 in evening.
He told me to relax and stop worrying about high BP and anxiety.
He also told me that if reduced by 10 to 15 kg is my blood pressure will be reduced significantly.
When I said that may be due to stress or anxiety my blood pressure must be increasing he told me that white coat hypertension will increase the systolic blood pressure and not the diastolic pressure.
Since my diastolic pressure is close to 100 you have to take blood pressure medicines..
So can this be because of anxiety? Or should I again start anxiety medication.
I think I am thinking about it too much and hence have a fore head heaviness and pain.
What should I do doctor to get relief from stress,so tht my BP comes to control.
Thanks
Regards
Zubin
Diastolic blood pressure is not linked to anxiety.
Detailed Answer:
Hello thanks for using ask a doctor service
I am sorry for replying late as it was a busy schedule in last couple of weeks.
Your physician is right, if there is increase in diastolic blood pressure then most likely this is due to idiopathic causes and not related to anxiety. Diastolic blood pressure of 100 mg Hg can't be ignored. In most cases increase in systolic blood pressure is seen with stress or anxiety along with increase in heart rate.
You should continue to take antihypertensives as advised. If overall your anxiety is controlled then no need to take any anti anxiety medicines as of now.
Yes life style modifications shall help to normalise the blood pressure. You should try to loose weight if that is in obese range and you should see improvement in your blood pressure.
Thanks
Please let me know if you have more doubts.

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