Im 30 year old male with a family history of heart disease. For the past two or three weeks Ive been experiencing mild chest/neck/ back pain that comes and goes. Occasionally I will have palpation s along with a warm sensation in  my heart. The left side of my upper neck also has a small knot in it. Ive also been having drenching night sweats, Im always tired and I have a felling of not being well. I also have a couple rotten molars  on the top and bottom of my mouth Im not sure if they could be part of the problem too. My Dr. Thinks its anxiety and and its all in my head. At the er they did blood work an EKG and chest xrays which all came back fine but my bp was 170/90 and she said it that I needed to be on bp meds but my doc said Im fine. I swear Im on the verge of dying. Could it all be in my head or could it be more?
Hello you are young to have hypertension, however with our changed lifestyle and the stress of professional life I am increasing seeing patients in your age to have hypertension. Considering this as newly detected BP, from today itself you should start on lifestyle modifications like cutting salt in your diet to less than 3 gas, bringing regularity in life and exercise, at least 45 mins 5 times a week. Keep on tracking the pressures at different time on different days. See what is the trend. At the same time get yourself evaluated for secondary causes of increased BP and if founded treat the cause. If this doesn't help a single antihypertensive in small dose should do the trick which at later stage we can gradually decrease and wean off if possible. Regards