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Should I Increase BP Medication When BP Readings Are Almost Consistently On The Higher Side?

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Posted on Thu, 10 Mar 2022
Question: Hi,
I am taking telma20 once daily.
I am over weight.
Currently I am taking spin free for bppv.
Last few weeks stopped gym or walking becz of bppv.
Yesterday when I checked my bp at home it was 157/98, 143/94, 123/87, 125/83, 130/86.
I am very panic when I start checking bp.
Today same time reading started with 143/113, 141/117, 141/93,141/91,130/88/135/85, 127/88,123/88, 125/84. And in almost 10 readings it was never above 130/90.
How to understand these readings.?
Do I neeD to increase bp medicine? Is my bp increasing?
doctor
Answered by Dr. Bhanu Partap (25 minutes later)
Brief Answer:
Don’t be stressed

Detailed Answer:

Hello,

First and the most important thing I want to tell is not to take stress or get panicked as that’s the most important cause of sudden and irregular pattern in bp increase.

Most of the blood pressure readings which you have mentioned are around acceptable ranges except for few which most likely are due to your high anxiety levels. Also stop checking your blood pressure multiple times and every day as lot of things affect our blood pressure.

The only advise for you is to maintain healthy lifestyle by exercising daily eating healthy sleeping on time cutting on dietary salt intake. Also if possible start practising yoga or meditation as that will really help you.

There is no need to increase the the dose of bp medicine as of now.

Follow the instructions which I have told and try to stay stress free and you will be all fine.

Hope to have been helpful.
Kind Regards,
Dr. Bhanu Partap
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Bhanu Partap (2 hours later)
Hi sir, thanks for the response.
I don't understand why the first two readings are very high. After few mins they were never above 130/90.
My concern is if first two are true then it may cause heart problem or brain stroke.
That is why I keep on checking.
My father had pkd and that is the reason why I am more panic about high no readings. In April I got checked usg scan and creatinine levels are normal.no cysts. I am 34 years old. My doubt is if in these 4 months old started And bo starting going high. I have never seen 145/113 reading before. Anxiety really shoots no to that level?
Even yesterday the readings were not more than 140/90in the evening.
doctor
Answered by Dr. Bhanu Partap (12 hours later)
Brief Answer:
Hello again

Detailed Answer:
Yes too much of stress and anxiety can raise the blood pressure to even higher levels. So just follow the things what I have instructed you.

Check your blood pressure once in a week that too after 15 mins of relaxment I’m sitting position. Also avoid taking caffeine containing drinks like coffee and soft drinks as that also adds up in blood pressure.

I hope this information will answer your query.

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Bhanu Partap (1 hour later)
Hi sir,
Thank you.
Can I consider first two readings as stress related and or can I take the average of four readings? Will it cause any heart problem? Walking reduces bp? Can I go to gym?
doctor
Answered by Dr. Bhanu Partap (9 hours later)
Brief Answer:
Hello again

Detailed Answer:
Yes you can take average of 4 readings. Yes daily morning walks for at least 40 mins 5 times a week keeps heart healthy.

Yes you can go to gym and do regular cardio and light weights.

Hope to have been helpful

Kind Regards
Dr Bhanu Partap
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 4759 Questions

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Should I Increase BP Medication When BP Readings Are Almost Consistently On The Higher Side?

Brief Answer: Don’t be stressed Detailed Answer: Hello, First and the most important thing I want to tell is not to take stress or get panicked as that’s the most important cause of sudden and irregular pattern in bp increase. Most of the blood pressure readings which you have mentioned are around acceptable ranges except for few which most likely are due to your high anxiety levels. Also stop checking your blood pressure multiple times and every day as lot of things affect our blood pressure. The only advise for you is to maintain healthy lifestyle by exercising daily eating healthy sleeping on time cutting on dietary salt intake. Also if possible start practising yoga or meditation as that will really help you. There is no need to increase the the dose of bp medicine as of now. Follow the instructions which I have told and try to stay stress free and you will be all fine. Hope to have been helpful. Kind Regards, Dr. Bhanu Partap