Suggest treatment for 'white coat hypertension'
Patient: Hi doc.  im 45, 5'6", 135 lbs, and had a slight over the average for normal blood sugar result for about 5 yrs. now.  My mother is with genetic diabetis.  My father died at 72 with an aquired diabetis. My problem does not regard my being partially diabetic, because as far as I know eversince I was a child I easily get nervous on just anything.  When I was in my primary years they usually asked me in school to sing a song everyday and during school programs.  i feel nervous of those times.  when I get older and needs to get my lab tests done, I feel a strong heart throb and the worst during getting my blood pressure result.  I dont believe it is the usual "white coat syndrome" doc.  I need help.  I am embarrassed to our company medical team whenever I undergo blood pressure tests.  Is there treatment for this doc?  please please help.  thank you Doctor: Hello!Welcome on HCM!I carefully passed through your question and would explain that your symptoms seem to be related to anxiety. White Coat syndrome causes a raise in blood pressure with the same mechanism (the anxiety and fear when consulting with the doctor). Anyway, you should know that those episodes of high blood pressure are not harmful to your body and do not need to be treated. I would only recommend you to closely monitor your blood pressure frequently during the day (sitting position after 10minutes of total relax) and write those values down. If your blood pressure values are persistently high during the day (above 140/90mmHg), you should consult with your doctor and perform further tests to investigate for the possible causes. Meanwhile, I would recommend some lifestyle modifications to help maintain a normal blood pressure: - avoid salt and caffeine intake- perform a lot of physical activity (walking, aerobics, yoga, etc.)- try to lose some pounds if you are overweight. Hope you will find this answer helpful!Wishing all the best, Dr. Iliri