Suggest treatment for high BP
Patient: i have had high blood presure for 7 years, sometimes spiking 230 over 115. Sometimes under control. Previiously bilateral strokes found in cerebellum. Yesterday am about 6a Bp 168 / 98 p,76. I couldn use my fingers hardly rt hand and went to er. dr said it was axiety and tetany, gave me a referral and ativan. Today I cant type this without typing i over and over, and i cant pay the piano. dr took cat scan said was no stroke plus old strokes didnt show up, can this still be tetany? Will it go away? Doctor: Hello ,Whenever you are anxious , you tend to hyperventilate causing transient decrease in calcium resulting in tetany like symptoms.  During such spells just relax and try taking deep and normal breathes or else rebreathe in a socks . This would help you control the spell . However the blood pressure range you have mentioned is surely on the higher side and treatment for the same is required,  on consultation with your doctor you may titrate the dose of your blood pressure medicine or consider starting one .Lastly always remember that anxiety per say will push your blood pressure up and calming techniques are best in such situations.  Hoping i could help . Regards Dr Priyank Mody