How to reduce stress and hypertension?
Patient: Hi, I would as Cardiologist. I am 44 years old, weight 106 kg, and my father died last year on heart operation, due to angina pectoris (heart veins blockage). I start getting hypertension from 3 years ago (then was overweight 130kg), then get medicine attacand 4 mg. From then, my BP was under control (about 135 /85). Five months ago, I start getting problems with sudden dizziness and BP increase, and my medicine is changed to Concor 5mg. I am busy on my work, it was happening again during the stress and long meetings my condition went wrong: dizziness, weakness and slight body shaking, pale face, mouth get dry, heart start running, complete loss of concentration, then need to leave, have a walk, take some food, and condition improves. Due to this, my concor daily dosage is reduced 3 months ago, on concor cor 2.5mg (BP under-pressure was suspected). I am having normal life, walk in evening near the beach about 3km, no problems, but it is happening during the work after stress, after tough and exhausting discussions, in physical peace /sitting, I start feel week, dizzy, my heart start running, jumping, body weakness, almost shaking, dry mouth, complete loss of concentration, generally very unpleasant feel. When come home, and measure my BP it is about 135 /85. Sometimes, when I expect stress day on work, I am taking 1.5mg Bromazepan, rarely 3mg Bromazepan. Maybe I should try to fully quit Bromazepan. I am wondering also is any difference between Concor and Concor COR? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Blood pressure and stress or anxiety are always related. Sometimes measuring BP may become obsessive for an anxiety patient. Whenever the measurement is taken, BP shows higher readings, otherwise normal. Physicians know this and read the measurements accordingly and in that case, you need to understand your obsession and stop worrying.Many researches and researchers confirm that medicines alone cannot cure mental disorders. Life style changes, change in thinking pattern, relaxation etc are as essential as medicines. Psychotherapy can help you changing your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.