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Age 24 anxiety and stress
Hello Doctor, I am 23 years old. I am reaching out to consult regarding my recent blood pressure readings. For the past 1 to 1.5 months, I have been going through high stress and health anxiety. When I measure my BP at home using a digital monitor, readings come around 140/95 to 145/90 mmHg. However, a year ago, my BP was normal at 120/80 mmHg with a mercury machine, and all my ECG and echo tests were completely normal at that time. Could these high readings be temporary spikes due to stress and anxiety? Do I need medication immediately, or can this be managed first with lifestyle changes? Please guide me on next steps. Thank you.
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Your normal readings after resting are reassuring, and anxiety or repeated checking can temporarily raise BP.
Use a validated upper-arm monitor, sit quietly for 5 minutes, then take two readings morning and evening for 7 days.
Avoid checking every few minutes; limit caffeine, sleep well, exercise regularly, and practise slow breathing.
Seek urgent care for BP above 180/120 with chest pain, breathlessness, weakness, severe headache, or vision change.
Please book a consultation with your BP log so we can review the pattern and anxiety symptoms properly.
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Stress raises Bp
But 140 is normal
Avoid stress and take proper sleep for 7 8 hours and take lots of fluids and proper diet
Do yoga and walking
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You can consult me with your BP log and reports so I can assess whether this is anxiety-related elevation, sustained hypertension, or needs further evaluation
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Anxiety and stress can temporarily raise BP, but repeated readings in this range should not automatically be attributed to anxiety. Measure BP correctly after 5 minutes of rest, preferably twice daily for 5–7 days, and maintain a record.
At age 23, medication is not necessarily required immediately; the decision depends on confirmed BP readings, examination and other risk factors. Lifestyle measures and evaluation for secondary causes may be appropriate if hypertension is confirmed.
You may consult me on Practo to review your BP readings and guide you regarding the next steps.
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Try life style changes for 4 weeks, b.p. should be o.k after that, if not, then start medicine.
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Please book a consultation so we can review your BP readings, assess other risk factors and decide whether lifestyle measures alone or treatment is appropriate
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Its due to anxiety
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Already answered more times.
Its anxiety
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Stress and anxiety can temporarily increase BP.
At this age, if there are no concerning symptoms or other risk factors, medication may not necessarily be required immediately
It’s Acute stress disorder so don’t worry
Next Steps
Work on stress/anxiety, sleep, regular exercise, healthy diet and limiting excess salt/caffeine.
Health Tips
A single high reading is not an emergency.
Seek urgent medical care if BP reaches around 180/120 mmHg or higher, particularly with chest pain, severe headache, breathlessness, neurological symptoms or visual disturbance.
If you want to discuss your symptoms in detail, you can connect with me on Practo or WA business- 77 two 60 four six 121….I’ll take your complete history and guide you about the appropriate next step.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Due to stress and anxiety, yes its manageable well by lifestyle measures.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help u
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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