HI, I am 64 years old gents. My blood pressure fluctuate heavily. In the morning it was 145/90, at the noon 150/85, at evening 120/75 and at night it is 165/90. Beside this at morning before rising from bed I feel severe lack of energy and depression. What should I do?

Dr. Saranya DevanathanPsychiatrist47yrs exp

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Dear lybrate-user, Don't worry too much about blood pressure. It fluctuates according to position and exercise and other tensions. Are you on any tablets for BP? If so consult your physician about it. Please answer the following questionnaire to know whether you need to be screened for depression and other medical conditions causing depression. Brief Patient Health Questionnaire (BPHQ) Over the last 2 weeks, how often have you been bothered by any of the following problems? Please mark as 0.Not at all 1.Less than 7 days 2.More than 7 days3. Nearly every day a. Little interest or pleasure in doing things b. Feeling down, depressed, or hopeless c. Trouble falling or staying asleep or sleeping too much d. Feeling tired or having little energy e. Poor appetite or overeating f. Feeling bad about yourself ? or that you are a failure or have let yourself or your family down g. Trouble concentrating on things, such as reading the newspaper or watching television h. Moving or speaking so slowly that other people could have noticed. Or the opposite ? being so fidgety or restless that you have been moving around a lot more than usual i. Thoughts that you would be better off dead or of hurting yourself in some way.  

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