apollo
  • male
  • 50 Years
  • 22/01/2025

I'm worried because my blood pressure has been 14090 for the past 20 days, and I've started having mild chest pain. I've done all the heart-related tests like ECG, echo, and TMT, and they all came back normal. Should I be taking blood pressure medicine? My doctor hasn't prescribed anything for it yet, but I'm thinking maybe I should start at least for a few days. I weigh 110 kg, and my doctor only put me on cholesterol medication since my cholesterol is high. What do you think about starting bp medicine?

Doctor 1

Answered by 1 Apollo Doctors

Your blood pressure reading of 14090 mmHg falls into the category of Stage 1 Hypertension according to most guidelines Since your heart-related tests (ECG, ECHO, TMT) are normal, and your doctor has not prescribed blood pressure (BP) medication, they may believe that your condition can initially be managed with lifestyle changes and monitoring. However, your weight (110 kg) and high cholesterol are additional risk factors for cardiovascular disease, and managing your blood pressure is crucial.

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've noticed my blood pressure has been fluctuating between 130 to 170 recently, but from yesterday, it's been around 140 to 156. What's really been worrying me is that my diastolic pressure stays pretty high, always between 90 and 110. I had an ECG done yesterday and it came back normal, and my TMT from last month was also fine. I do have a history of anxiety and I'm on medication for it, but my blood pressure usually stays normal even when I'm anxious. It's just been high for the past 4-5 days and I'm not sure what's causing it. What do you think I should do? Oh, and why is my diastolic pressure always high? I've had some mild chest pain sometimes too. Can you help me figure this out?

Your fluctuating blood pressure readings and consistently high diastolic pressure could be due to a combination of factors, including anxiety and other underlying health conditions. Since your ECG and TMT reports are normal, it's a good sign that there may not be any significant heart-related issues causing your symptoms. Given your history of anxiety and the recent increase in blood pressure, it's important to manage your stress levels and continue taking your anxiety medication as prescribed. Additionally, lifestyle modifications such as regular exercise, a healthy diet low in sodium, and stress-reducing activities may help in controlling your blood pressure. To address your high diastolic pressure, your doctor may consider prescribing medications such as Amlodipine (5-10mg) or Lisinopril (10-40mg) to help lower your blood pressure and reduce the strain on your heart. It's essential to follow your doctor's recommendations closely and monitor your blood pressure regularly. If you experience chest pain or any concerning symptoms, seek immediate medical attention. It's crucial to stay in touch with your healthcare provider for further evaluation and personalized management of your blood pressure and anxiety.

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