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Based on your description, there are a few likely reasons for this sudden rise in BP and heart rate after your fever: ✅ 1. Post-viral autonomic imbalance After any fever/viral infection (flu, dengue, viral fever, COVID-like illnesses), the autonomic nervous system becomes unstable temporarily. This causes: Higher heart rate when sitting/standing (called post-infectious tachycardia or POTS-like symptoms) BP higher when upright, normal when lying Fatigue, anxiety, dehydration This usually settles over 2–4 weeks. ✅ 2. Dehydration after fever Even mild dehydration can: Increase heart rate Increase BP Cause dizziness when sitting up Check: If urine is dark yellow → you are dehydrated. ✅ 3. Fever-related inflammation After fever, the body remains in a “stress response,” increasing: Adrenaline Heart rate Blood pressure This also settles gradually. ✅ 4. Anxiety after illness Very common after a fever or prolonged symptoms. Anxiety increases pulse + BP, especially when sitting/standing. ❗ When to worry Seek medical help soon if you have: Continuous BP >160/100 Heart rate >120 at rest Chest pain, breathlessness Severe headache or dizziness Swelling in legs Fever returning again 📌 What you should do now 1. Increase hydration Drink 2.5–3 liters/day Coconut water OR ORS once daily for 2–3 days Avoid coffee/tea for a few days 2. Continue Telvas 40 Do not stop your regular Telmisartan. 3. Add short-term control if needed If BP remains >145/95: You can discuss with your doctor about adding one of the following temporarily for 5–7 days: Telmisartan + Hydrochlorothiazide (Telvas-H 40) or Amlodipine 2.5 mg once daily (Only after consultation) 4. Check BP the right way Sit for 5 minutes Feet on floor Avoid coffee/smoking 1 hour before Check twice, 2 minutes apart 5. Check thyroid and CBC later Sometimes thyroid issues or post-infection anemia raise heart rate. You may get these tests if symptoms persist for >7–10 days: CBC TSHCRPElectrolytes

Good question Tell me symptoms like yu feel dizzy or not May be due to fever.

Likely post-viral effect + mild dehydration after your fever. This can temporarily raise BP and heart rate when you sit or stand. Continue your bp medications, drink more fluids, rest well. It usually settles in 3–7 days. Consult if BP stays >150/100 or HR >110 continuously.

Get a ecg and echo 2d done

May be your fever history impacted this... But first correcting your fever can rule out further possibilities...

Hello, Let the fever and infection subside and then recheck and monitor bp If still it remains high , consult a gp for dosage adjustment.

since you have fever and ongoing illness right now these measurements cant be taken into account. let that fever settle then take a proper measurement and consult a doctor.

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

Please share detailed history,  then I can help you.

Medication differs from patient to patient. To avoid giving the wrong treatment, I’ll need your symptoms, duration, and any past history. You can message or consult me directly so I can guide you safely.

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Usually the variation of BP in the supine and lying down position is common.However if the variation is more than 10 mm hg , it's significant. Your recent fever may have triggered the BP raise

Good day to you sir I understand your concern and reading your detailed account of the fall in bp episode I can see that you are quite meticulous and it also helps us as physicians to better diagnose the case so thank you.I am sure this must be distressing causing a hindrance in your day to day activities. I shall try to the best of my abilities to consult you Telmisartan is an ARB drug for control of BP via the RAAS feedback system. As there have been no episodes since 4 years there seems to be no correlation with the drug under normal circumstances However since you are describing that you had a fever, it maybe perhaps associated to that but fever is often a sign of underlying infection which can also be the root cause Since it is not possible to rule out all the causes via this platform It will require extensive workup (history, investigations) followed by corresponding changes to the treatment plan If you feel I can be of better service to you Feel free to book a one to one consultation via practo app Note: I am sorry for not providing WhatsApp contact henceforth due to issues pertaining to Medico legal protection of both client and the doctor One time consultation fee = Rs 200 Follow up consultation= Rs 100 Hope this advice provides you the much needed insight Wishing you a speedy recovery

Already  in detail.  Always  there  is variation in sitting.  Standing n lie down.  Difference  is usually  of 10. In a non hospital  patient  sitting  bp is  standard. In hospitalized lie down. U can add met xl 25 at 3.00 pm BETTER YOU GO N CONSULT SUPERSPECIALIST LIKE MD PHYSICIAN.

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

There will be variation in blood pressure in sitting and standing position. Look for any symptoms such as headache, blurring of vision, unconscious etc . If such symptoms seen only necessary treatment is needed

Need few more details Kindly consult

Electrolyte imbalance

Please consult

Could be dehydration

There is a chance of postural hypotension. Kindly consult for further investigation and treatment.

consult me on practo you need to be investigated using holter ecg

Heart rate will change according to posture so better check with holter monitor

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

May be due to positional hypotension... kindly consult for further information

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It is still fine Pls don’t worry