Anybody have health anxiety, particularly around blood pressure?
I had very high blood pressure during pregnancy, to the point I was hospitalized for 8 days while they tried to get it under control. It wasn't preeclampsia, just diagnosed as gestational hypertension. I have been on medication for BP ever since, and my daughter will be 4 in March. I've suffered from anxiety ever since and have anti-anxiety medication... I stressed about every small pain that I felt! My blood pressure is good when I take it at home, but if I have to have my it taken at the Dr's it goes through the roof! Does anybody else have this type of problem and if so, do you have any solutions for getting a good reading at the Dr?
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I have the same problem, but I find that it helps if I avoid coffee the day of the appointment, avoid rushing, arrive early, pick a secluded seat in an area out the lobby area if possible….sit and relax, do relaxation techniques, close my eyes, slow down my movements, don’t let the staff hurry me, slowly get weighed, ask them to retake BP if it’s higher than what I expect. I told my doctor about it once and he retook himself and adjusted the chart with my lower reading.
In my case my doctor is relentless. I can’t imagine if I tried saying I did not want my blood pressure checked. I showed her readings and I brought in my machine more than once. I would gladly find a new dr were it not for the state of healthcare in this country where hospitals and clinics are hiring NP’s and PA’s and no actual MD’s. And if you really want to be scared, look into their credentials and “fast track” schools.
Instead, my Dr weighs me first and sends my bp to the moon
Great info here. I have WCS also...eveey time I go in, Im at 170 or 160/100. At home Im 117-135/80-85. Starting to think this will never change. I am on Propranolol for BP, 100 MG a day. Been walking for 30 mins every day trying to get off these meds.
White coat syndrome is not high blood pressure if your readings at home are normal. This doesn't sound like a cardiologist to me. I suggest you find one. You can wear a 24 hour blood pressure monitor and a determination will be made based on those results, it's the best way to determine blood pressure issues when anxiety spikes occur. I have had some fairly alarming anxiety spikes and two separate cardiologists told me the occasional spike doesn't warrant increasing my blood pressure medication since it is normal when I take it twice daily at home (upon waking and at night). Overmedication can have serious results, like passing out for instance. My recently acquired primary care physician (actually a nurse practitioner, this is a very busy practice unfortunately) told me several times she was afraid I was going to have a stroke because in office BP was elevated. Elevated BP doesn't cause strokes, they can be a symptom of one, but she scared me so badly I harrassed by cardiologist with my health anxiety over this and actually acquired OCD about it. I found a very good cardiologist closer to where I live and he said the exact same thing the one at the teaching hospital (an hour away) told me. Occasional high spikes are "largely benign", it's walking around with sky high BP all the time that requires more medication. Neither one of these doctors see any reason to require any further heart testing based on my in office elevated pressure (that isn't constant, sometimes it's ok there), no 24 hour BP monitor, etc. You need to find another doctor who understands the mechanism of hypertension. You don't want to take medication you don't need. You won't drop dead suddenly from elevated blood pressure so it's worth finding a cardiologist for a specialist's opinion.
Thank you for that. No she is a primary care physician. I don’t have a cardiologist, but I did find out from an ultrasound on my neck for a different issue that I have mild atherosclerosis but my blood flow is fine. So I don’t know if she’s going to send me to a cardiologist for that. I also do not want to take statins if I have clear blood flow. At 66 years old, I figure most of us must have a little plaque in our arteries. As for the blood pressure I do have anxiety and I don’t know how many times a day my blood pressure does go up because well we don’t always have a monitor on. I’m afraid that if I did have the 24 hour blood pressure monitor That I would get high readings because once I heard it going off and I wasn’t doing it myself at home once a week, I would probably get nervous and it would go higher. I really don’t know but yes, this is something to discuss with the cardiologist. If anything I probably Really need to get my anxiety down, but it’s been an impossible task over the decades.
@sandrajane There are good and wish-they-were-better medical practitioners everywhere you look. In my experience, where they graduated from doesn't change who they are.
It is my opinion only here: if you feel your BP readings at home are accurate, but your doctor wants you to take BP meds, get a second opinion! Advocate for yourself. @user_ch783e933 had some very useful information in their post.
Ginger
I've been having carotid scans every few years for a very long time. They always find some plaque if you're over a certain age, and I'll bet young people have it too they just don't get the test. My new cardiologist says he wants to "watch" the right carotid because he has access to the actual scan, it was done in the hospital where his practice is. This means he's going to make sure it never gets to a place where it's going to cause a problem. This is easily fixed, they put a stent in. I don't want to live forever, I'm not really in a position in life to go into my 80s totally alone, I just don't want to have a stroke and need an overdose because I won't, ever, go into a nursing home. It's that simple. If you wear a BP monitor, yes you'll be aware it's there and that will spike your anxiety, this is true, I've thought of that too. Statins are bad news. I've never taken it, I never will. I have reactions to every single medication. My former cardiologist put me on Losarton for a short time, my hands started hurting, that's a very rare side effect. My cholesterol has been in the low 200s for the past 30 years and I had stress tests (nuclear one too) and doppler echos and you name it, heart is fine. This is what my body does. Meanwhile, the truth about blood pressure is as you age, the measurements we read all the time no longer apply. In my age category, anything under 150/90 is considered normal. That's because most people in my age category have worsened heart conditions not having exercised as I have my entire life. Mind you, they keep an eye on if it's 150/90 all the time but if it comes up that high, especially in office, no one goes nuts over it. You don't hear this, though, no one tells you this. We hear that we need 120/80, or even more ridiculous, 110/70. No mature adult has a BP of 110/70 unless they're at complete rest and taking medication. So alot of this is hype and I'm really sick and tired of these rich pharmaceutical companies trying to scare everyone into taking their poison. They're now associating statins with things no one wants to have and they're STILL lying about it. My new cardiologist told me a couple of days ago that 180/100 is a problem if they see it often, like not just when I'm having a panic attack, but when I'm taking my resting BP and it constantly appears. The other one said the same thing. I also think I'm getting a tad OCD with this blood pressure stuff. You might be also. I did a lot of homework before leaving the first cardiologist, since he's at a large teaching hospital but he's become a very big deal since I met him 10 years ago and just isn't paying as close attention to me as I would like. This one is extremely well educated, best US medical schools, residency, fellowship and has a lot of experience with people over 65, that's his primary practice and I had to wait months to see him and be accepted as a patient. He's also in a hospital and has interns, etc. but it's only about 20 minutes away, the other one is over an hour. I like him a lot. It's worth it if you look around, google education and background, look at reviews (although most people leave them because they're angry and dissatisfied), and then call to see when he's available. Both of these I mentioned are approachable and have real conversations with you, that's rare but it's something I require from my physicians and I don't accept being treated like a stuffed animal. Meanwhile, anxiety is a bad thing but there's not much we can do about it without taking medication. I take half a mg of xanax at bedtime. I don't take my BP during the day usually, I take it first thing in the morning before I get out of bed and in the evening when I'm sitting in bed watching TV or reading. Those are real resting results. Try that. You might find it's not as bad as you think. And don't let anyone scare you. Doctors aren't supposed to do that.
Let’s flip the discussion to get some other concerns about blood pressure and risk of adverse outcomes.
Many seniors also suffer from orthostatic hypotension. Medications
are frequently involved if it is episodic. Hoping mine is related to
autoimmune autonomic complications. Falling and stroke are known vascular risks. We learn by experience what activities we may
anticipate causing problems.
Home BP monitoring is essential.
Self awareness of our health history
and good rapport with a caring physician are sometimes the only
available options for our chronic conditions.
Thank you for all that. That information is exactly what I was feeling is true and doctors and the pharmaceutical companies are trying to treat those of us over 65 as if we are 20 and I don’t even want to think about the harmful medications they want to give us. If my doctor does talk to me about this ultrasound and want to put me on medication I am definitely asking for a cardiologist referral.. unfortunately where I live, we don’t have Access to very many specialists to choose from. I will see what she says, and if I don’t like it. I will have to hunt for another one. I suppose I will have to travel a bit, hopefully not… I have done so much reading in the last 10 years of legitimate websites studies, etc. that I am confident in feeling that we are so overmedicated and that of these numbers they want us to have blood pressure, cholesterol, etc. are inflated and impossible to reach in most cases and it’s killing us. not to mention how often women are left out of these studies and all these Numbers and recommendations are geared towards men