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Doctor insights on: My Bloods Pressure Is Under Control But Why Do I I Stll Feel Panicky

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Dr. Alan Ali
1,191 doctors shared insights

Panic Attack (Definition)

Panic disorder is a type of anxiety disorder in which someone has repeated attacks of intense fear that something bad will occur when not expected. The person lives in fear that ...Read more


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Chest pressure ...heart attack? I had anxiety before but now is different coz pressure all day im 22 no pain just pressure what do u suggest please?

Chest pressure ...heart attack? I had anxiety before but now is different coz pressure all day im 22 no pain just pressure what do u suggest please?

Evaluation: It is very unlikely that you're having a heart attack, but it's worth an exam to rule it out. Just be sure you are convinced so that you can drop that worry. If it is anxiety, please consider a CBT therapist to learn skills to avoid, reduce and manage anxiety. If meds are needed, they'll refer you for them. I hope it goes well. ...Read more

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I am taking thyroid pills everyday. But sometimes i feel pressure on my chest & feel nervous. What could be the reason?

I am taking thyroid pills everyday. But sometimes i feel pressure on my chest & feel nervous. What could be the reason?

Need lab test : Recommend having your thyroid levels (t3, t4, total, free, reverse, uptake, ...) checked to be sure your body is not getting more than it needs. If all levels are normal sometime taking the medication at bedtime instead of 1st thing in am or changing the brand can help. Generic is less favored. Talk with your dr as there are other conditions which can cause you to feel nervous & chest pressure. ...Read more

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Sometimes my pain gets extremely high and my pain meds don't work. I usually end up in ER and my blood pressure is sky high. Last time 186/119. Once my pain is under control my blood pressure is normal again. I worry about whether my BP being that high wi

Sometimes my pain gets extremely high and my pain meds don't work. I usually end up in ER and my blood pressure is sky high. Last time 186/119. Once my pain is under control my blood pressure is normal again. I worry about whether my BP being that high wi

Pain: Elevated BP is a reflection of the pain that you are in. Why don't you ask your pain doctor for a longer acting pain medication like the fentanyl patch, Oxycontin or mscontin. You may have better pain control and therefore less hypertension issues. I would also obtain a 24 hour BP monitor and see what your blood pressure is doing over a 24 hour period of time. ...Read more

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I'm been on antriptaline 50g a while now now my sugar levels keep goin dwn under 3/4 even lower sometime how can I stop it it makin me feel very weak?

I'm been on antriptaline 50g  a while now now my sugar levels keep goin dwn under 3/4 even lower sometime how can I stop it it makin me feel very weak?

Go see your doctor: Unfortunately, not all drugs sold in uk & elsewhere are available here in the states (where this website is based & where most if not all mds are located). Worse, some drugs go by different generic & brand names in different countries. To make matters worse, when i searched for "antriptaline", google kept giving me "amitriptyline" which is an antidepressant that shouldn't impact sugar. ...Read more

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Resting not stressed my bp is 120-110/80 when stressed bp is 130/90. I keep repeating my bp today now its 130/100. I have anxiety. Do i need meds?help

Resting not stressed my bp is 120-110/80 when stressed bp is 130/90. I keep repeating my bp today now its 130/100. I have anxiety. Do i need meds?help

Those BP numbers: are not particularly alarming and are usually NOT clinically significant blood pressure readings especially if you have a history anxiety. If you do really have kidney (or heart) problems your Doctor may recommend some BP treatment depending on cause. Get checked out! ...Read more

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I keep focusing on my heartbeat and my breathing. I don't know why but it makes me panicky and nervous as if i need to control my breathing. Causes? :/

I keep focusing on my heartbeat and my breathing. I don't know why but it makes me panicky and nervous as if i need to control my breathing. Causes? :/

Anxiety: Can cause increased concern about breathing and heartbeat. It can also cause increased ability to sense the heartbeat. Treating the anxiety will help you to relax and not to worry so much about heart rate or breathing rate. ...Read more

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On bystolic (nebivolol) 10 mg&i noticed when i take it i feel very weird & don't feel like myself. Blood pressure is always normal though. What do I do?

On bystolic (nebivolol) 10 mg&i noticed when i take it i feel very weird & don't feel like myself. Blood pressure is always normal though. What do I do?

Not right for you?: Bystolic (nebivolol) may not be the right blood pressure medication for you. Any side effect is theoretically possible for any medication given the variability of human physiology. Beta blockers, of which bystolic (nebivolol) is an example, sometimes have "odd" side effects in some patients. Sometimes the effects resolve by themselves with continued use, but sometimes they don't. Talk to your doctor for options. ...Read more

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I am 26 male using istamet 50/500mg tabs and my blood sugar levels are normal. But i feel uneasy for breathing n some slight pain near heart.

I am 26 male using istamet 50/500mg tabs and my blood sugar levels are normal. But i feel uneasy for breathing n some slight pain near heart.

See a doctor: Istamet is a combination of metformin and sitigliptin, used for treating type 2 diabetes. You should not be having trouble breathing or chest pain from this medication. Those symptoms may be a sign of a more serious heart or lung problem, despite your young age. You need to see a doctor for evaluation. ...Read more

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I have normal heart rate but the beats are very strong so i feel my heart is hitting my chest and back.. What does that mean.. Im taking pristiq (desvenlafaxine) 50 mg?

I have normal heart rate but the beats are very strong so i feel my heart is hitting my chest and back.. What does that mean.. Im taking pristiq (desvenlafaxine) 50 mg?

Evaluation: It is possible that the Pristiq (desvenlafaxine) is contributing to your symptoms. Certain conditions cause abnormally storng heart beat. The classic one is aortic regurgitation (leaking of the aortic valve) so you should have an echo. Excess thyroid hormone can also do it so you need blood work. Often a change in position will help -lying left side down usually make strong heartbeat worse so avoid this. ...Read more

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I have high BP but controlled by medicine so it's always normal. I noticed that my BP goes high during PMS, ovulation & anxiety. Why is that?

I have high BP but controlled by medicine so it's always normal. I noticed that my BP goes high during PMS, ovulation & anxiety. Why is that?

Hormones: Your body produces hormones in response to physiologic and emotional changes, and these hormones regulate functions throughout your body including blood pressure. Practicing relaxation techniques can help you cope and keep your BP moderated. ...Read more

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Why is my blood pressure going up even though I'm taking my meds?

Why is my blood pressure going up even though I'm taking my meds?

Blood pressure: If you are in fact taking your meds, the commonest problem would be inadequate dosage of the medication(s) and/or need for additional medications to be added. If you are on very good doses of three medication groups including diuretic and pressure is going up there could be hormonal or renovascular problems complicating your status. You need to discuss with your doc ...Read more

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I've been monitoring blood pressure. When it drops below 90s/50s i feel confused, shaky, anxious, so I eat salt and it normalizes. What is happening?

I've been monitoring blood pressure. When it drops below 90s/50s i feel confused, shaky, anxious, so I eat salt and it normalizes. What is happening?

Abnormal BP: that BP is low and is abnormal especially if you're feeling lousy with it. You definitely should discuss with your provider - they may find it worthwhile to perform blood pressures in different positions (lying down, seated, standing) or they may clarify how often and when to check your BP at home. Bring your cuff with you to the visit so they can make sure it's accurate. ...Read more

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When I have a panic attack my blood pressure goes up to 170/100. This lasts for about 30 min then goes dien to normal . Could this be dangerous ?

When I have a panic attack my blood pressure goes up to 170/100. This lasts for about 30 min then goes dien to normal . Could this be dangerous ?

Yes: Please talk to your family doctor about this. This is not that common in panic disorder and makes me wonder what your baseline BP is. If you were my patient i would consult with an internist or cardiologist to try to find out why this was happening and to see what could be done to prevent high blood pressure spikes in the future.Makes me wonder about whether you could have a pheochromocytoma. ...Read more

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Can panic attack cause flashing zig zag vision and sudden spike in blood pressure?

Can panic attack cause flashing zig zag vision and sudden spike in blood pressure?

Ocular migraines!: Ocular migraines are a form of migraines that take place in the occipital cortex (part of the brain that interprets/controls vision). They lack the severe headache as common migraines. The symptoms are usually all or mostly visual and are typically described as flashing of light or ziz-zag lights in the vision. They usually last less than 30 minutes and affect the vision out of both eyes. ...Read more

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Dr. Alan Ali Dr. Ali
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Do you think I should be concerned about my blood pressure being high during panic attack?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
Do you think I should be concerned about my blood pressure being high during panic attack?

BP: How high?. Is the elevation in the systolic (top) reading or the bottom (diastolic). Any other symptoms?. If the bottom reading is high & persists after the attack subsides, consult your pcp. ...Read more

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I suffer from terrible anxiety. During a mild panic attack I took my own blood pressure at home and the result was 149/87. Can panic cause a spike?

I suffer from terrible anxiety. During a mild panic attack I took my own blood pressure at home and the result was 149/87. Can panic cause a spike?

Yes, it can: Anxiety can cause increases in the systolic and diastolic blood pressures although as long as this is not sustained it is important to realize that you are not going to probably sustain any permanent damage from this single event. You may want to practice deep breathing and progressive muscle relaxation, a representative resource is here: http://www.mtsu.edu/healthpro/documents/meditation.pdf ...Read more

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Its dangerous to spike in blood pressure up to 215/99 during panic attack or anxiety ?

Its dangerous to spike in blood pressure up to 215/99 during panic attack or anxiety ?

It can be: As if you have a susceptible area in a blood vessel, it could cause a rupture(like an ruptured aneurysm) and it can place significant strain on the heart and brain, less so in the case of younger persons as yourself. Nonetheless you'd like to avoid spikes like this if possible. ...Read more

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Will having even a small anxiety or panic attack cause your blood pressure to go up for the rest of the day?

Will having even a small anxiety or panic attack cause your blood pressure to go up for the rest of the day?

Not by itself: Anxiety does cause BP to rise, of course. But hypertension as a condition needing treatment typically begins as "labile" hypertension--high blood pressure than comes and goes. If an anxietry attack triggers persisting high bp, it should be reviewed by a physician for possible treatment. ...Read more

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Can low blood pressure make you feel panicky?

Can low blood pressure make you feel panicky?

Low Blood Pressure: When low blood pressure results in fainting or chest pain, one can feel panicky. If the blood pressure is already low, standing can make the low pressure worse, to the point of causing symptoms- lightheadedness, dizziness, or fainting which then can cause panic. ...Read more

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Is it normal for my blood pressure to spike every time I have severe anxiety/panic attack? Took 1.50 Xanax (alprazolam) and my BP was still 138 at the drs.

Is it normal for my blood pressure to spike every time I have severe anxiety/panic attack? Took 1.50 Xanax (alprazolam) and my BP was still 138 at the drs.

138 Systolic?: Hoping you mean your blood pressure was 138 systolic (the top number)? Yes, your blood pressure increases with sympathetic discharge like you have during a severe anxiety or panic attack. It should come back down within a short while. The good news is that your heart is resilient and can deal with BP changes. Hoping you're working in therapy for anxiety also, and not relying on meds alone. ...Read more

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Could having an anxiety or panic attack prior to going to the doctor/having your blood pressure checked cause your blood pressure to elevate even hours later?

Could having an anxiety or panic attack prior to going to the doctor/having your blood pressure checked cause your blood pressure to elevate even hours later?

Anxiety response: It is a common phenomenon that one's blood pressure may rise significantly prior to, during, and remain elevated for a period of time after a visit to the primary care physician or other doctor visits. The likely cause is anticipatory anxiety: the messages we may give ourselves plus or minus re what we may share &/or learn from the pcp. ...Read more

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Endopat test: blood pressure cuff inflated i got anxious w/panic waves. Score=145. Test not done by cardiologist but had clean bill of health with him 3 weeks ago. Bad score from panic attack?

Endopat test:  blood pressure cuff inflated i got anxious w/panic waves.  Score=145. Test not done by cardiologist but had clean bill of health with him 3 weeks ago.  Bad score from panic attack?

What?: An endopat score of >2.1 is normal. Your score of 145 seems to indicate that you come from another planet? Let's be clear: the endopat score is not a crystal ball. It has a 70-80% correlation with endothelial function which is only one factor in vascular health. How much did they charge you for this esoteric, non-mainstream, test that was a fad about 10 years ago? ...Read more

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I went to the doctor and was having a bad panic attack. They did my blood pressure and asked if I had hypertension and checked it twice. Is that bad?

I went to the doctor and was having a bad panic attack. They did my blood pressure and asked if I had hypertension and checked it twice. Is that bad?

Panic attacks: can make your blood pressure high temporarily. It is not surprising that your blood pressure would be a little high in this situation. In order to be sure your blood pressure is OK, you need to go see your doctor when you are feeling fine, and have your blood pressure taken, to see if it has normalized. Hope this helps! ...Read more

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Can you get shock during panic attack anxiety attack anixety racing heart high blood pressure ?

Unlikely: Panic attacks will not cause going into shock by themselves. They cause most people to go to ERs. Where a. Adria. Work up usuLly shows no problem. Learn relaxation exercises, meditation and similar tech iques ...Read more

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I have health anxiety and OCD. I feel I need to check my blood pressure and heart rate anytime something bad is on my mind. 120/80 unless panic attack?

I have health anxiety and OCD. I feel I need to check my blood pressure and heart rate anytime something bad is on my mind. 120/80 unless panic attack?

Alone is hard: dealing with this alone isn't working. A psychiatrist should be able to help. Toughingg it out doesn't get you points - only pain. You've been trying. time to bring in an ally. ...Read more

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My blood pressure is under control with medication can I take creatine supplement ?

My blood pressure is under control with medication can I take creatine supplement ?

Why would you: Waste your money on something useless? As long as you have a blood pressure device at home and measure once daily you can take whatever you like. You will if there is any change. ...Read more