Symptoms are less suggestive of primary neurological disease or true hypertension. Episodic tingling, numbness, generalized weakness, breathlessness, presyncope, and transient BP elevation precipitated by hunger/stress are more suggestive of anxiety–hyperventilation syndrome with reactive sympathetic BP rise, though metabolic causes such as hypoglycemia, electrolyte imbalance, and
thyroid dysfunction should be excluded.
BP 130/80 mmHg is within normal range, and symptomatic improvement after amlodipine is likely coincidental rather than due to acute antihypertensive effect. Current history does not strongly support chronic hypertension requiring regular antihypertensive therapy unless persistently elevated BP is documented.
Suggested evaluation:
BP charting
Blood glucose during symptoms
CBC,
electrolytes (Na/K/Ca/Mg), thyroid profile,
B12
ECG ± Holter if palpitations/syncope
Next Steps
Kindly consult for more information in detail