What Causes Anxiety And Fatigue When Suffering From Hypertension?

Posted on Mon, 18 Aug 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 18 Aug 2014 Answered on

Thu, 4 Sep 2014 Last reviewed on

Question : I have hypertension and I get these anxiety feelings all the time mainly after a meal or a drink at night.
I also feel fatigue all the time.

Answered by Dr. Sukhvinder Singh (1 hour later)

Brief Answer:
please see details.

Detailed Answer:
Dear sir
Please detail your symtops which you feel after meals. Is it chest discomfort, palpitation or shortness of breath? If it is feasible send your cholesterol levels/ report. Once your details are available I would be able to discuss in details.
Sincerely
Sukhvinder

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sukhvinder Singh (34 minutes later)

Dear Sir
Thanks for the revert. Actually sometimes it is palpitations as well but not every time. Mostly it is anxiety only and fatigue all the time.
I have also attached my latest test reports for your reference.

Warm Regards
XXXX

Answered by Dr. Sukhvinder Singh (2 hours later)

Brief Answer:
PLEASE SEE DETAILS

Detailed Answer:
Dear Sir
1. I have gone through your reports. Your cholesterol level is higher than normal. however for further interpretation I would like to know few more details like If you are a diabetic too ? Do you smoke? Do you ever had stroke, heart attack or any other vascular disorder? What is your usual blood pressure level? All these will help to determine your risk and optimal therapy.
2. Your vitamin D & Vitamin B12 levels are low and need supplementation. This can be in oral form or injections. Do take a prescription from your physician.
3. if you go for a walk or daily exercise ? Do you get any symptoms at that time? If yes you need to see your internal medicine specialist or cardiologist.
4. Do continue with your blood pressure tablet.
Sincerely
Sukhvinder

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sukhvinder Singh (43 minutes later)

Dear Sir

1 I am not diabetic and I don't smoke. Never had heart attack but on 2-3 occasions had situation like anxiety, very acute headache and sweating. My usual blood pressure levels without medication is 140/95.
2 No medication for vitamins as of now.
3 I don't go for exercise or walk as I have disc problem and as already told you always fatigue like situation.
4 Is this medicine alright?

Warm Regards
XXXX

Answered by Dr. Sukhvinder Singh (10 hours later)

Brief Answer:
please see details.

Detailed Answer:
Dear Sir
1. I calculated your 10 year risk for heart attack. 2 patients out of 100 will develop heart attack in next 10 years with a profile similar to yours. You are not a candidate for cholesterol lowering drugs (statins) as of now. However you must keep an optimal weight (body mass index of 23), exercise regularly (under supervision and after orthopedics consultation), avoid fried food and sweets.
2. Do consult your doctors for vitamin supplementation and for your disc problem. You should be able to exercise for a healthy heart.
3. Hipres (atenolol) 25 mg is a low dose beta-blocker. It is one of the recommended medicines for high BP, however I do not use it as first line drug now. I prefer ACE inhibitors or ARBs because they have better long term side effect profile than this drug. There is no urgency to change it; you can discuss with your physician at ease.
4. For your palpitation and anxiety feelings, it is difficult to access a correlation with heart disease if you do not exercise. the gold standard test to evaluate such symptoms is an exercise stress test. Do discuss with your cardiologist and orthopedician about it.
Hope this helps.
Feel free to discuss further.
Sincerely

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar