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I am a 51 years old male. Whenever I have had my BP checked, it has always come out normal i.e. Very close to 120/80. I went for a 7 day trek more than a month back. It was strenuous but I was able to complete it. We climbed several mountains with an average of 10 Kms per day. When I came back I had visited a General Physician for a cold. At that time he checked my BP and it was 160/90. That got me worried. Subsequently, I have been checking my BP at home and it comes around 140/92 on average. Many times, the systolic BP is even as low as 128-133 but the diastolic is always around 90. I visited a cardiologist - who took my ECG, Echo and had me do a Stress Treadmill test. The reports all came out normal. I then visited another cardiologist and when I was at his place my BP was again around 160/90 and he has prescribed some angiotensin BP medications. I also had a blood test done. Results are as follows: Thyroid - normal, Sugar levels - Normal, HBA1C - borderline, Electrolytes - normal, Kidney function test - normal, Total Cholesterol - High. Around 218 mg/dL, HDL - 32.6 mg/dL, LDL - 160 mg/dL, VLDL - 26 mg/dL, Vitamin D - 27.7 ng/mL, Vit B12 - 470 pg/mL. I am reasonably fit. I smoke around 2-4 cigarettes per day and had started vaping cigarettes liquids from about 1.5 months back to cut down on cigarettes. I am on depression medication - Escitalopram 10 mg per day. I am high strung and anxious person and have had anxiety issues and such events traumatize me (i.e. Detection of high BP). I am not sure if the high BP is (a) genuine (b) a cause for worry (c) what the long term prognosis is (d) should I take medication (e) is the high BP causing me anxiety or my anxiety which has surfaced since the detection of high BP causing a sustained higher than normal BP I am stressed due to this and do not know what to do. Please advise.

1 Doctor Answered
Avoid measuring BP frequently. Measure your BP only once every 2 months on fixed dates after resting for ten minutes. You will require medicines if all values are above 140. Follow the systolic BP, diastolic is LESS important for deciding treatment. Avoid pain killer tablets and modern restricted diet. A traditional diet, with traditional health foods like butter nuts etc, with less sugar jaggery and alcohol will keep you healthy.
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