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How can hypertension caused by stress be managed?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 35-year-old male and have recently been experiencing a lot of stress in my life, despite following a healthy lifestyle. Sometimes, I do not sleep for eight consecutive days. A few months ago, I was diagnosed with hypertension, and my blood pressure was 160/110 mmHg. My doctor prescribed Propranolol and sleeping pills for 28 days, after which my blood pressure decreased to 120/80 mmHg. For the past two weeks, my blood pressure has been fluctuating; it increases in the morning and decreases in the evening.

Currently, I am taking Zolpidem 5 mg and Escitalopram oxalate 5 mg daily, but I still cannot sleep. If I have hypertension, will I need to take blood pressure medication for my entire life? Will it affect my sexual health? After marriage, should I inform my partner that I am taking medication for hypertension?

Please advise.

Answered by Dr. Manish N. Garg

Education:

MBBS

Professional Bio:

Dr. Manish N. Garg is a Cardiothoracic surgeon with 18 years of clinical experience. He completed his MBBS from Gordhandas Sunderdas Medical College in 2005. He studied MS in General Surgery at B.J Medical College in 2010. He completed his MCh in Cardiovascular and Thoracic Surgery from Topiwala National Medical College in 2013. He studied DNB in Cardiothoracic Surgery from the National Board of Examinations in 2014. He is currently practicing in Mumbai.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Stress is a primary contributor to your hypertension and lack of sleep. This can be managed by taking blood pressure (BP) medications. Incorporating regular exercise into your routine can help reduce both stress and blood pressure. There are typically no effects on your sexual desire when BP medications are taken for a short period. May I ask what is causing your stress? Additionally, what is your profession?

I hope this helps.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

I am working at a company. The reason for my stress is that I am going through a divorce just six days after my marriage. The bride's family concealed her genetic disorder, essential tremor. Currently, I am taking Zolpidem and Escitalopram oxalate. Can you suggest some medication?

Answered by Dr. Manish N. Garg

Education:

MBBS

Professional Bio:

Dr. Manish N. Garg is a Cardiothoracic surgeon with 18 years of clinical experience. He completed his MBBS from Gordhandas Sunderdas Medical College in 2005. He studied MS in General Surgery at B.J Medical College in 2010. He completed his MCh in Cardiovascular and Thoracic Surgery from Topiwala National Medical College in 2013. He studied DNB in Cardiothoracic Surgery from the National Board of Examinations in 2014. He is currently practicing in Mumbai.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

As you are experiencing emotional turmoil, please consult your psychiatrist for a physical evaluation and follow their advice.

I hope this helps.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At September 6, 2016
Reviewed At September 25, 2024

Education:

MBBS

Professional Bio:

Dr. Manish N. Garg is a Cardiothoracic surgeon with 18 years of clinical experience. He completed his MBBS from Gordhandas Sunderdas Medical College in 2005. He studied MS in General Surgery at B.J Medical College in 2010. He completed his MCh in Cardiovascular and Thoracic Surgery from Topiwala National Medical College in 2013. He studied DNB in Cardiothoracic Surgery from the National Board of Examinations in 2014. He is currently practicing in Mumbai.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Is stress affecting your blood pressure?

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Education:

MBBS

Professional Bio:

Dr. Manish N. Garg is a Cardiothoracic surgeon with 18 years of clinical experience. He completed his MBBS from Gordhandas Sunderdas Medical College in 2005. He studied MS in General Surgery at B.J Medical College in 2010. He completed his MCh in Cardiovascular and Thoracic Surgery from Topiwala National Medical College in 2013. He studied DNB in Cardiothoracic Surgery from the National Board of Examinations in 2014. He is currently practicing in Mumbai.

This doctor is not available for online consultations on the platform anymore.

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