I am 28 years of age and one day found that my bp is 140/100 and heart beat is 138 so I went to a cardio he started a medicine telma and inderal. He said cause is anxiety. Though I do not have any familiar problem of bp. My point is that at this age do I need to take the medicine for lifetime? My height is 170 cm and weight is 88 kg. Please make this doubt clear. I had a echo also but its normal no effect on heart. And can anxiety be measured in echo?

Dr. Col V C GoyalGeneral Physician45yrs exp

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1.no alcohol 2. Reduce body weight 3. No smoking/ tobacco/drugs/ avoid pollution 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water medicine can not be advised for open question ,for medicine and further advise contact on private consults good luck.  

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Dr. Saranya DevanathanPsychiatrist50yrs exp

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Dear lybrate-user, if your cardiologist has said the cause is anxiety, please consult a psychiatrist or clinical psychologist for treatment of anxiety. The medicine for bp may be lifetime if there are other causes. But for anxiety related bp, it need not be lifetime. Anxiety can not be measured by echo. There are other rating scales to measure anxiety like max hamilton anxiety rating scale. But some of the causes like mitral valve prolapse can be diagnosed by echo.  

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Mr. Saul PereiraPsychologist50yrs exp

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If you show such high scores on your BP meter and a not so healthy pulse rate, I certainly think that you have anxiety problem and that has to be addressed. If you reduce your anxiety and learn to live stress-free, you may be able to get off of your BP medication with some lifestyle changes. Meet with a counselor and deal with your emotions particularly fear. You are obviously not handling stress well. You seem to have a nervous disposition, perhaps developed from your past. If you can identify that source you may be able to work it out in therapy. Perhaps the home life was too restrictive or strict, or you were reprimanded at some time rather severely, or you did not develop adequate defense mechanisms to cope with stress, etc. You are reacting with fear and converting this into a psychosomatic reaction instead of dealing with it. Don?t panic though because if you cooperate a counselor can be of much help to resolve this. In the meantime you must do certain things to build your constitution, both physically and mentally. Mental stability can be achieved by learning a few skills in handling emotions in an appropriate manner. Stress management skills, which have a lot to do with expressing emotions, will need to be a major part of your recovery program. Emotionally you need the help of a counselor and that will help you tremendously to move from anxiety to normal fear. Please persevere and cooperate through all the support you need and you will come through successfully. Develop your body?s health by physical fitness through exercise, good rest (sleep), and a proper diet. Any way what you need to focus on is to do vigorous exercise of the aerobic kind for the heart?s fitness (if your doctor approves otherwise you can build up the vigorousness gradually as your fitness improves); meditation for the brain?s fitness; sleep for a well rested mind and body; a sound spiritual well being for good confidence and stability; and a diet with lots of vegetables, fruits, and whole grains. Vigorous exercise, especially of the callisthenic kind, will make your heart, which is a muscle, grow larger; and then your heart will need to beat less often and you will respond to the anxiety with a calmer disposition. If your mind, constitution, and your emotions are in check and fit, you will never be disturbed again. The earlier you tackle this, the easier it is going to be. 

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Dr. Sreepada Kameswara RaoHomeopathy Doctor34yrs exp

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Your bp and pulse rate are high. Bp tablets only 'control' bp at certain level but does not cure permanently. Your bp is a silent and harmful disease which affects all organs. Don't discontinue on our own. Consult your doc again and take his advice.  

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Dr. Prof. Jagadeesan M.S.Psychiatrist17yrs exp

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Cardiologist role is to rule out cardiac problems and refer to a psychiatrist, if it is anxiety, since it is a psychiatric problem, which happens due to altered serotonin in the mind (brain). I am surprised he hasn't referred and given a symptomatic medicine which reduces the heart rate but does not act on the cause of it, which is anxiety. Anxiety disorder is a very common easily treatable disorder found in 15-18% of people. Kindly consult an astute psychiatrist either in person or online and seek proper remedy. Good luck.  

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Dr. P K SukumaranPsychiatrist56yrs exp

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Stress patients worry too much. Stress in today?s day & age where stress is high, feelings of frustration can emerge. It is our perception that can change our current negative situation into a healthy & positive one. Another way of perceiving these feelings of frustration can be by looking at them as an opportunity to push ourselves to go that little extra mile until we achieve our objective. However, there are times when we all can go around in circles; and being in this space can be quite upsetting and lead to feelings of dissatisfaction, frustration and can even cloud our mind and judgment. Exercise one hr daily, oil massage body, hobby, support from friends family, help others, weekly holiday, yoga, meditation.  

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Dr. Karuna ChawlaHomeopathy Doctor25yrs exp

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Follow this 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water.10. Everyday preferably sleep on same time exercise in the form of yoga, cycling, swimming, gym etc. Till lockdown do suryanamaskar every day. or this homeopathy offers good results. Consult online with details.  

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Your bp is related to your weight. You have to start daily walking or jogging for 45 minutes daily. Stop rice sugar and salt and take more vegetables and fruits. Lifestyle modifications can help you.  

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Nope. You need not. Diet and exercise is enough.  

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