Suggest Treatment For Persistent Anxiety And IBS

Brief Answer:
investigation is required

Detailed Answer:
Hello,

a sudden increase in blood pressure in a man at his 50s may mean secondary hypertension that is hypertension with a cause that can be identified. But first things first...

The first thing to do is to make sure that your blood pressure is really elevated. The device you use to measure it, has to be working properly and be a validated device. You can check the internet if this particular model is validated or ask your doctor. Then you have to make sure you do the measurement right, that is when you're calm and sitting for at least 5 minutes without any pain, psychological stress or anything else that may cause the blood pressure to rise. Finally you have to take at least 2 readings (if the first two readings are different, a third reading has to be taken) and record only the lowest values. That is if the 1st measurement is 170/105, the 2nd 160/100 and the 3rd 150/90, then your real blood pressure is closer to 150/90mmHg.

If the high readings are confirmed for a few consecutive days then investigation would be required to identify potential causes. Renal artery stenosis and endocrinological problems are the most commonly involved in secondary hypertension.

Clinical examination, biochemical tests and radiological tests may confirm or exclude them.

The renal stones and diverticula are not related to your hypertension. Anxiety may be involved though. Anxiety is a common cause of unexpected rises in blood pressure. When the cause of anxiety is managed, the blood pressure usually returns to normal. That's why most doctors won't prescribe drugs for they blood pressure to patients with anxiety unless anxiety cannot be contained and causes a constantly high blood pressure. 24hour measurements of blood pressure (Holter) help to determine the blood pressure throughout the day and night and can be used to take decisions regarding treatment.

A general advice to patients with high blood pressure is to avoid excessive salt intake as some patients may be salt-sensitive and have high blood pressures when eating salt. A healthy lifestyle with adequate physical activity, a healthy diet and normal body weight.

So in conclusion, the high readings have to be confirmed. Then investigation would have be initiated in an effort to identify secondary causes.

I hope it helps!
Kind Regards!

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Brief Answer:
You're welcome

Detailed Answer:
you're welcome, glad to help!

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