Download FREE Practo app
Get ₹200 HealthCash
Bp lying down and sitting
I have been taking telvas 40 since 4 years and bp is under control.
Ever since last week i had a fever for 2-3 days. Post that my bp is 150/100 and heart beat is higher to 110 when sitting up.
But when i am lying down its 125/90 and heart beat is 80. What could be thus sudden issue?
Answers (29)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+160
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
TSH
CRP
Electrolytes
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Get a ecg and echo 2d done
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
May be your fever history impacted this... But first correcting your fever can rule out further possibilities...
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hello,
Let the fever and infection subside and then recheck and monitor bp
If still it remains high , consult a gp for dosage adjustment.
Next Steps
take ample rest
Health Tips
start lifestyle modifications
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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.
Next Steps
meanwhile I suggest get a CBC done.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
consult me on practo
you need to be investigated using holter ecg
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Need more details
Contact on 932801007seven
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Please share detailed history, then I can help you.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Do connect and consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hello,
For consultation
1. Pay ( ₹ 500 only, 50 % off ) and consult by practo.
2. Or pay ( ₹ 500 only, 50 % off ) and send message by GPay. My mobile number is +91959508739nine.
3. If required call to +91959508739nine.
Take a glass of milk daily.
Time 08 : 00 to 14 : 00 .
Thanks.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Sonal Mishra
General Physician
4 yrs exp
Delhi
Good question
Tell me symptoms like yu feel dizzy or not
May be due to fever.
Next Steps
maintain proper hydration
Health Tips
yu can consult me on procto app
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Electrolyte imbalance
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Laxmi Koppishetty
General Practitioner
8 yrs exp
Rajahmundry
Could be dehydration
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Aditya Sharma
General Physician
Chandigarh
There is a chance of postural hypotension. Kindly consult for further investigation and treatment.
Next Steps
BP monitoring
Health Tips
Avoid sudden change in positions.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Davra Kaushalkumar Dilipbhai
General Physician
6 yrs exp
Ahmedabad
Heart rate will change according to posture so better check with holter monitor
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
6 yrs exp
Rajahmundry
May be due to positional hypotension... kindly consult for further information
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
It is still fine
Pls don’t worry
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.