Q. How to manage high blood pressure?

Answered by Dr. Vivek S Narayan Pillai and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 09, 2024

Hello,

I am a 26-year-old unmarried woman who has been dealing with hypertension. There are no underlying causes identified for my condition. I have undergone all the basic tests like ECG, Eco, and Doppler, and all the tests are normal. However, my BP used to be high all the time, I came to know when I was put on ABPM, that I believe it was stress-induced. I consulted many doctors like psychiatrists, physicians, and cardiologists, now I have been taking medicine for almost a year. However, my BP is not stable now even if I take the medicines my BP goes down and I feel palpitations and fatigue, what should I do?

I believe the stressors in my previous environment, which I have since left by moving to a different country, may have contributed to my hypertension. Unfortunately, I am currently unable to reach my cardiologist as he has mentioned that he can only see me in person. Please advise me on what steps I should take.

Thank you.

DM CARDIOLOGY., MD., MBBS
Cardiology

Hello,

Welcome to icliniq.com.

I can understand your concern.

If the BP (blood pressure) medications were started after the ABPM (ambulatory blood pressure monitoring) readings, there is a reason to believe that the physicians were justified in that. If the BP is now consistently low there may be a change in your heart rhythm, heart pumping function, or hormonal status. If the systolic BP is below or equal to 100 mm Hg consistently, and you get dizzy on taking the BP medication then the medicines can be stopped and BP should be observed over the next three days. But if the BP (systolic) is in the 130 /140 mm Hg range, I would advise you to continue your medications.

I hope this helps you.

Thank you.

Regards.


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