I've noticed my blood pressure has been fluctuating between 130 to 170 recently, but from yesterday, it's been around 140 to 156. What's really been worrying me is that my diastolic pressure stays pretty high, always between 90 and 110. I had an ECG done yesterday and it came back normal, and my TMT from last month was also fine. I do have a history of anxiety and I'm on medication for it, but my blood pressure usually stays normal even when I'm anxious. It's just been high for the past 4-5 days and I'm not sure what's causing it. What do you think I should do? Oh, and why is my diastolic pressure always high? I've had some mild chest pain sometimes too. Can you help me figure this out?

Dr Dr Khaleel Ur Rahim

General Practitioner

• MBBS
• 1+ Yrs

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Your fluctuating blood pressure readings and consistently high diastolic pressure could be due to a combination of factors, including anxiety and other underlying health conditions. Since your ECG and TMT reports are normal, it's a good sign that there may not be any significant heart-related issues causing your symptoms. Given your history of anxiety and the recent increase in blood pressure, it's important to manage your stress levels and continue taking your anxiety medication as prescribed. Additionally, lifestyle modifications such as regular exercise, a healthy diet low in sodium, and stress-reducing activities may help in controlling your blood pressure. To address your high diastolic pressure, your doctor may consider prescribing medications such as Amlodipine (5-10mg) or Lisinopril (10-40mg) to help lower your blood pressure and reduce the strain on your heart. It's essential to follow your doctor's recommendations closely and monitor your blood pressure regularly. If you experience chest pain or any concerning symptoms, seek immediate medical attention. It's crucial to stay in touch with your healthcare provider for further evaluation and personalized management of your blood pressure and anxiety.

Answered 04/07/2025