
Suggest Treatment For Severe Anxiety In A Hypertensive Person

I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that two consecutive blood pressure values can not determine the presence of high blood pressure.
They could be related to anxiety or caffeine intake.
Coming to this point, I would recommend to closely monitor your blood pressure values frequently in the next week (in sitting position after 10 minutes of total relax) and refer them to your doctor.
If your blood pressure values are above 140/90 mm Hg most of the time, further tests are needed to investigate for secondary causes of high blood pressure:
- a resting ECG
- a chest X ray study
- complete blood count for anemia
- thyroid hormone levels for thyroid dysfunction
- liver and kidney function tests
- PCR, ESR for inflammation
- fasting glucose for diabetes.
Meanwhile, I would recommend some lifestyle changes to help maintain a normal blood pressure:
- avoid salt and caffeine intake
- perform a lot of physical activity ( walking, running, aerobics, etc.)
- try to lose some pounds if you are overweight.
Hope to have been helpful!
Kind regards,
Dr.Iliri


Thank you so much. I'm a bundle of nerves. My biggest fear is developing high blood pressure. I just recently had my blood work and physical and the only issue that i had was my tryglicerides were 289. All other levels in my system were great.
So I calm down now? I appreciate you so much.
XXXXXXX
There is nothing to worry about!
Detailed Answer:
Dear XXXXXXX
Considering your performed normal tests, the situation doesn't seem concerning.
So try to calm down because being anxious is not going to help ( in contrary it causes spikes in blood pressure).
Nevertheless, I recommend you to closely monitor your blood pressure values during the next week as above mentioned.
Hope you will find this answer helpful!
Best wishes,
Dr.Iliri

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