Question #23357
41 days ago
150
BP ९२/१५४, how to maintain hypertension? - #23357
Amar
My recent BP showed ९२/१५४. My age is ४८, male. Is it ok or do I need to follow any precautionary steps. Do I need to follow any lifestyle changes? Please guide me. As of now I don't have any other health issues except fissure-in-ano.
Bp
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Doctors’ responses
Hello,
Along with low salt diet, some lifestyle corrections are also very much needed.
Get yourself enrolled with a good yoga teacher and get training to do one hour of yogasana, 15 minutes-20 minutes of pranayama, 10 minutes of meditation.
Be regular to the practice.
Take care.
Kind regards.
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Take prasham 1-0-1
Tablet sarpagandha 0-0-1
Lessen intake of salt in your diet
Avoid processed foods, salty snacks
Do pranamyam daily 5-10mins bhastrika lom -vilom bhramri
Practice yogasan like shavasan daily
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Blood pressure readings such as ९२/१५४ mmHg suggest a hypertensive state, where the bottom number (diastolic) is particularly high. In Ayurveda, hypertension can relate to imbalances in the Vata and Pitta doshas, possibly influencing your Rakta Dhatu (blood tissue). Addressing these can bring balance and help manage the condition effectively.
**Diet**, plays a critical role. Emphasize sattvic foods which are calming for the mind and body. Include plenty of fresh vegetables, whole grains, and fruits like pomegranate and apples. Reduce intake of spicy, salty, and processed foods which tend to aggravate Pitta. Leafy greens like spinach can help, but take care to balance them with cooling foods if you're high on Pitta.
**Lifestyle** adjustments are key. Prioritizing stress reduction is crucial; practicing gentle yoga and Pranayama (breathing exercises) like Anulom Vilom can calm the mind and balance Vata and Pitta. Ensuring adequate 7-8 hours of sleep each night is non-negotiable, as rest restores harmony. Aim to sleep by 10pm, aligning with natural circadian rhythms.
**Herbal**, support can be useful. Formulations such as Ashwagandha and Brahmi may reduce stress and enhance the body's adaptability, although these should be consumed under guidance from a healthcare professional knowledgeable in Ayurveda. Consider Guduchi or Arjuna for their cardio-protective benefits.
Don't overlook your fissure-in-ano. Maintaining proper hydration and fiber intake will help manage both BP and fissure naturally. Warm water soaks might offer relief. It's essential to regularly follow up with a healthcare provider to monitor your condition, especially if you experience symptoms like headaches or dizziness.
Of utmost importance, consider regular monitoring of blood pressure and consulting with a physician to align Ayurvedic recommendations with allopathic care when necessary, as consistent elevated BP might demand medical intervention.
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Yes you should follow below mentioned changes.
Avoid salty, packed food and processed food.
Regular exercise and meditation.
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Avoid salt in your diet, packed food, fried food,more intake of cold beverages
Do pranayama regularly atleast 15 mins daily
Do walking regularly atleast after every meal
Do foot massage with mahanarayana taila daily
If possible visit the nearby panchakarma centre and take one course of shirodhara or shirobasti or talum
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Don't worry 😊
💠 Avoid pickles, egg, canned foods, non vegetarian items and food with preservatives.
💠 Avoid smoking and alcohol
💠 Reduce salt and oil, fat rich food.
💠 Avoid stress and anxiety , fatty, oily foods
🌱 FOLLOW
🌸 Cereals, fruits, fibre rich green, vegetables.
🌸 Regular exercise with suitable guidance
Do Pranayama, meditation, yoga
Regular exercise atleast 30 minutes.
🌸 Drink more water
🌸 Healthy diet with more fibre
🌸 Moringa leaves curry and drumstick, pumpkin, pomegranate is beneficial.
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For this first of all avoid excessive intake of salt,cheese,fast food etc..
Avoid mahish dugdha (Buffalo milk)
And also do some lifestyle changes like include yoga,pranayam in your dincharya...
Don't take any kind of stress because this is ok if we consider your age and because lifestyle aaj kl kaafi badal chuka hai....
Just start taking 1. DIVYA MUKTA vati 2-0-2 empty stomach.. for 1 month ...
Follow up after 1 month...
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Thank you for reaching out and trusting this platform with your health journey, Amar
Based on the reading you have shared 154/92 mmhg this fall in the high blood pressure range
Even though you do not have any other health issues, apart from fissure in ano, this BP level is a sign that your body is under stress. It is important to address it early with gentle and consistent lifestyle and dietary changes, especially to avoid future complications.
According to Ayurveda, high BP is associated with disturbances in circulatory strength, stress, digestive toxins, and improper daily routine long-standing fissure in ano may also cause chronic discomfort and tension in the pelvic area indirectly contributing to stress levels, which can elevate BP
Lifestyle —
Reduce salt in tech use rock salt in small amount and avoid processed salty or packet food
Early dinner
Regular sleep
Eat before 8 PM
And sleep before 10 PM, it regulates hormonal and blood pressure rhythms
Daily 30 minutes walking
Morning, walk in fresh air will help balance your nervous system and support vascular health
Practice Pranayam meditation at least 10 to 15 minutes daily, do yoga Sanana
Avoid stimulants like strong tea, coffee, smoking, or spicy food
You can start on
Tab mukta vati -one tablet twice daily after food with warm water
Triphala churna/1 teaspoon with warm water at night
Jatyadi tailam -external application using cotton
Drink plenty of fluids
Include beetroot, moong dal, pomegranate, coconut water, garlic
Avoid red chilli, pickles, fried food, bakery products, cheese
This is a great time to take action since your BP is not dangerously high and with natural care, you can avoid long-term medication. Please monitor BP every 2 to 3 days at the same time of day and follow up after one week. After following the above.
Take care of your heart and digestion. Both are deeply connected in Ayurveda.
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Hypertension is a lifestyle disorder which can be corrected with change in lifestyle.
We can make all possible changes in our lifestyle but some things like insecticides and pesticides in the food we eat cannot be avoided so even after lifestyle changes if you experience the same issue of risen b.p donot hesitate to shift to allopathy.
Would also insist you to do a 2D-Echo and a Cholesterol and Liver Profile done. Starting allopathy medication is not a rush but diagnosing any major change in the early stage is always safe.
Do's:
- Daily exercise till you get sweat on for forehead (ardhashaktya vyayam)
- Yogasan
- Pranayam : ANULOM VILOM, BHRAMARI, KAPALBHATI, TRATAK
- Staying happy and stress free.
Dont's:
- Non Veg specially dried fish and Mutton. (if you can avoid all the non veg it will be great for your fissure)
- Packet Food
- Oily and Fried food
- Ready to eat items
- Street food
- Chat Masala and salt on Salads
- Alcohol and Tobacco
- Curd
- NO SCREEN TIME 1 hour before sleeping. You can use audio fomat but not video format.
Medication:
Tab. Sarpagandha Vati
2 tabs in the morning after breakfast.
Syp. Prasham
3 tsp at bed time with warm water.
Keep a watch on your BP. Continue these medications for 3 months and also visit a CARDIOLOGIST and get the test done.
After 3 months if you notice your BP is in control donot quit the healthy lifestyle. You can stop the medicines and monitor your BP. If B.P is staying in control only with lifestyle well and good else you can keep SARPAGANDHA VATI on for lifetime.
If with all this your BP is not in control donot overlook the call of your body and get checkups done immediately.
I would also suggest to do CHOLESTEROL and LIVER Profile done immediately. You can wait for 3 more months to do 2D-Echo if you can follow the changed lifestyle strictly
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HELLO AMAR,
A blood pressure reading 72/154 mmHg is within the range of Stage 1 hypertension
-Systolic- 154->elevated
-Diastolic- 72->normal
This is not a medical emergency, but it's still above the normal range.
-the systolic bp 154 is elevated and needs to be managed to prevent long-term complications like heart disease or stroke.
-No need for panic, but definitely a call to action
1)LIFESTYLE MODIFICATIONS
these are the foundation of long-term BP control
DIET- low sat<1500mg sodium/day
INCREASE- leafy greens, fruits, whole grains, low-fat dairy
-Potassium rich foods= banana, coconut water
AVOID
-fried, spicy, and processed foods
-pickles, papads, red meat, and caffeine excess
DAILY PLAN
FOR 6-12 WEEKS
MORNING ROUTINE(6:00-8:00 AM)
WAKE UP EARLY- before 6:30 Am. calm environment
BOWEL MOVEMENT- drink 1 glass of warm water with lemon and 1 tsp of triphala churna the night before to help
OIL PULLING+ORAL HYGIENE- use coconut oil or sesame oil for 5 min swishing. brush gently
SELF-OIL MASSAGE- use warm sesame oil , massage for 10-15 min . then take a warm shower. helps reduce vata
YOGA AND PRANAYAM- given below
HERBAL BP TEA- 1 cup warm water infused with Arjuna bark(1 tsp) or tulsi+ginger+lemongrass
YOGA AND PRANAYAM FOR HYPERTENSION
DAILY 20-30 MIN
ASANAS(EACH 1-2 MINS,3 CYCLES)
1)TADASANA- improves posture, circulation
2)VRIKSHASANA- balances mind and body
3)BALASANA(childs pose)- calms nervous system
4)PASCHIMOTTANASANA- stretches spine and soothes abdomen
5)SUPTA BADDHA KONASANA-great for blood pressure and digestion.
PRANAYAM(15mins daily)
-ANULOM VILOM- 5 min(alternate nose breathing)
-BHRAMARI- 3 min(humming bee sound)
-CHANDRA BHEDANA- 3 min(left nostril inhale, right exhale only-cooling)
AVOID KAPALBHATI or forceful pranayam
DIET PLAN(SATTVIK, LOW-SODIUM, HIGH-FIBER)
BREAKFAST- 8-9am= steamed oats with flax seeds+ 1/2 banana or moon chills with mint chutney + herbal tea
LUNCH- 12:30-1:30 pm= brown/red rice or chapati(2) + moong dal+ sautéed spinach + beetroot salad+ 1 tsp ghee
SNACK- 4-5 pm= roasted chana or fresh fruit(apple, guava)+ herbal tea
DINNER- 7-8 pm= khichdi or vegetable soup + boiled bottle gourd or ridge gourd
BEFORE BED- 9-10pm= warm water + 1/2 tsp triphala churna to prevent constipation
AVOID
-salted snacks, pickles, papads, bakery items
-fried food, red meat, spicy curries
-excess coffee , alcohol, tobacco
-constipation triggers(white bread, cheese, tight schedule)
AYURVEDIC TREATMENT
1)ARJUNA BARK POWDER- 2gms with warm water, morning and evening= natural cardiac tonic
2)ASHWAGANDHA CHURNA- 1 tsp with warm milk at bedtime= stress control, vata balance
3)SARPAGANDHA VATI- 1 tab at night= very potent, monitor bp
4)BRAHMI VATI- 1 tab in morning= calms mind, good for anxiety-linked BP
FOR FISSURE-IN-ANO
DO
-drink 2.5-3L water/day
-add triphala churna-1/2-1 tsp at bedtime with warm water=natural laxatives
-use jatyadi taila for external application twice daily
-eat fiber rich foods-vegetables, oats,flaxseeds
AVOID
-strainig during stool
-sitting long on hard surfaces
-dry, spicy or fried food
SITTING BATH
-take warm sitz bath with triphala powder or rock salt= 10-15 min twice a day
-Practice mindful breathing during day- 2 min breaks every 3-4 hours
-sleep- at least 7 hours. avoid screens 1 hour before bed
-monitor bp daily, same time, relaxed posture. keep record
-Recheck full bo profile with doctor in 4-6 weeks
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
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Hello Amar
" NO NEED TO WORRY "
" IT COMMON AT UR AGE TO GET BP FLUCTUATIONS "
" I WILL HELP YOU UNDERSTAND RECOVER WITH BP FLUCTUATIONS SAFE EFFECTIVELY"
UR ISSUES
Recent Hypertension
- Accelerated BP - 154 /92
- Systolic 154 - Raised
- Diastolic - 92 mm Raised
PREVIOUS MEDICAL HISTORY
- Anal Fissure
MY INTERPRETATION & PROBABLE CAUSES
BP Fluctuations is Sign of Underlined Imbalance in
* Cardiac Health ( Heart Pumping Cardiac Output etc )
* Blood Circulation ( Vascular Resistance )
* Essentials Organs Health ( Liver Thyroid Adrenal Glands Kidneys Lungs etc
* Blood Viscosity ( High Cholesterol)
* Stress Related Neuro cardiac Changes Stress Anxiety Overthinking Nervousness ( Stress Related BP )
* Improper Diet Related ( High Salts Sodium High Oily Fatty Diet)
* Hormones Related ( Cortisol Thyroid Adrenal hormones)
* Water Retention Related ( High Salty Diet Sedentary lifestyles)
* Genetic/Heridity Factors
* Addictions related to High Alcohol Tobacco Smoke etc ( If Any )
GOAL & NORMAL RANGE FOR UR AGE
* Reducing BP & Normalising BP - 130/85 Max
* Improving Heart Blood Vessel Health
* Maintain Blood Cholesterol Salts Sodium Levels Under Normal Ranges
* Proepr Diet Yoga Exercise Lifestyles Modification
* Improving Relative Organ Functions
* Managing Stress
INVESTIGATION REQUIRED TO UNDERSTAND CAUSE FOR BP FLUCTUATIONS
For BP
CBC Urine Routine Microscopy RBS HbA1c TSH Uric Acid Creatinine Total Lipid Profile
For Heart Health
Baseline - ECG Echo
MONITOR BP
Monitor Bp Every 4 Days once on Different Times at Record Readings
AYURVEDIC MANAGEMENT
A ) INSTRUCTIONS MUST TO FOLLOW
Salt Restricted Diet -
* Use Saindhav Salt
* Low Sodium Salt
* Restrict Salt to Below 1500 Grams
Potassium Rich Diet
* Banana Citrus Fruits Coconut Water
Oil Fats Restricted Diet
* Avoid Fatty Greasy Oily Fried Fast Junk Food Non Veg Pickles High Fatty Curd Creams Sweets
Stress Management
* "Avoid Hurry Worry Curry "
* Avoid Unnecessary Racing Thoughts Overthinking
Active Lifestyle
* Physical Activities Mobility Flexibility Exercise
* Yoga Dhya Meditation
* Hydration- Plenty of Water Fluids Juices intake Approximately 3 Liters Per Day
2 ) DIET ADVICES
TO TAKE
* Alkaline Diet - All Alkaline Highly Nutritious Healthy Leafy Vegetables Fruits salads sprouts Fibers
* Hydration - Plenty of Water Fluids Juices Fibers Approximately 3 Liters Per Day
* Protein - Multigrain Millet Mixes Soaked Dry Fruits Multigrain Millet Mixes
* Cereals - Wheat Jawar Bajra Ragi Oats
* Pulses - Moong Masoor Dals
* Vegitable - Lauki Turai Ladyfinger Brinjal Karela
* Leafy vegetables - Methi Palak
* Dairy- Milk Buttermilk Cow Ghee Only
* Others Amla Moringa Drumstick Methi Spinach Flaxseed Pumpkin seeds Sunflower
* Fruits - Apple Pomegranate Guava Banana Kiwi etc
* Detox Juices - Amla Aloe Vera Beet Carrot Juice Apple Pomegranate Watermelon Juices
TO AVOID
* Too Acidic Spicy Salty Sour Masala Fast Juck Foods Bakery Non Veg
* Carbonated Beverages Packed Canned Processed Sweets
* Excessive Tea Coffee
* Soda Vinegar Pickles Fermented Foods
* Fatty Oily Non Veg pickles
* Chat Masala
* Curd Malai Creams
* Maida Bakery Foods
* Fermented Foods
ROUTINE NORMAL DIET
( Less Oily, Less Spicy Sour Salty, Well Cooked )
* EARLY MORNING DRINK Morning BP Tea - Green Tea +Arjun+ Ginger + Lemongrass+ Tulasi + 1 Glass of Water Boil on Mild Flame --- Reduced ½ Tsf ---- Filter & Drink
* BREAKFAST - Rava Ragi Bajra Oats Poha Items in Upama Kheer form/ Fruits Salads/ Home made Soups / Turmeric Elayachi Keshar Milk
* LUNCH - Roti Wheat /Jwar/ Bajara/ Ragi + Leafy Vegetable like Palak Methi+ Green Salad Rayta + Any Sabji+ Fresh Butter Milk with Cream + Rice + Dal
* EVENING DRINK - Turmeric Elayachi Keshar Milk + Ashwagandha Churna 1 Tsf + Arjun Churna 1 Tsf
* DINNER - Half of Lunch Quantity/ Fruits Salads/ Light Diet
* NIGHT DRINK - Chamolime Tea
3) SAFE EFFECTIVE RESULT ORIENTED AYURVEDIC MEDICINES
* BP & Cholestrol Tea :-
Arjun Twak Churna 1 Tsf + Ginger 1 Small Pieces + Green Tea ½ Tsf + Tulasi 6 Leaves+ Lemongrass 2 Leaves+ 1 Glass of Water ----Boil on Mild Flame & Reduce to ½ ---- Filter and Drink Like Tea
* For BP control
Tab.Sarpagandha Ghan Vati ( Baidyanth Pharma) 1 -0- 1 After Food
* For Stress & Strengthen Nerves & Blood Vessels
Tab.Ashwagandha ( Dabur Pharma) 1 -0-1 After Food
* For Detoxification & Bowel Movement
Triphala Churna ( Baidyanth Pharma) 1 Tsf Night After Food Preferably with 1 Glass of Luke Warm Water
4 ) LIFESTYLE MODIFICATIONS
* Active Lifestyle
- Good Sleep (8 hrs ) Sleep Early Wake Early Lifestyle
- Physical Activities 30 mins at Least
- Timely Food Intakes
- Avoid Sedentary Lifestyle
- Afternoon Sleep
- Maintain Health Weight
- Limit Screentime
- Overthinking Unnecessary Thoughts Panicness
5 ) PRANAYAMA
* Anulom Vilom Pranayam( 20 Rounds )
* Bhramari Pranayam (10 Rounds) -
* Sheetali Pranayam ( 10 Rounds)
6) YOGA
* Surya Namaskar ( 10 Rounds )
* Sarvangasana (10 Rounds)
* Balasan ( 10 Rounds) Calms Nerves
* Setu Bandhasana ( 10 Rounds) For Heart Lung Health
7 ) EXERCISES
* Walking 6000 Steps Per Day
* Jogging
* Mild Mobility Flexibility Exercise
* Aerobics etc
8 ) ANTISTRESS TREATMENT
* Dhyan
* Meditation
REGARDS
Dr Arun Desai
God Bless You 😊🙏
If you have any questions u can ask me.I will answer to the level of your satisfaction.U have text option here.
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NAMASTE AMAR JI,
A blood pressure of 154/92 mmHg is definitely elevated and qualifies as stage 1 or stage 2 hypertension . while not an emergency, it should not be ignored.
Consistently high readings like this can silently damage the heart, kidneys and blood vessels over time
you are in the mild to moderate hypertension range
AYURVEDIC VIEW PONIT- UCCHA RAKTACHAAP
in ayurveda this is seen as
-vata pitta imbalance
-rakta dushti-impurities or heat in blood
-manasika hetu- stress, worry
-possibly linked with digestive imbalance
AYURVEDIC GOAL IS TO
-pacify vata and pitta doshas
-cool and purify blood
-calm the nervous system
-restore balance through ahara, vihara, and aushadi
AYURVEDIC MEDICINES
1)SARPHAGANDHA GHANVATI- 1 tab at night= lowers bp, relaxes mind
2)MUKTA VATI- 1 tab twice daily after meals
=supports bp control, stress reduction
3)ASHWAGANDHA CAPSULE- 1 cap at night with warm milk= reduces vata, stress
4)ARJUNARISTA- 30 ml with water after meals= tones heart muscles, stabilises bp
5)PUNARNAVA MANDUR- 1 tab twice daily= improves kidney functions and circulation
if constipation or strain, use TRIPHALA CHURNA- 1 tsp at bedtime with warm water
INCLUDE
-warm, freshly cooked, low-oil, low-salt meals
-steamed veggies
-moong dal, oats, barley, red rice
-garlic, coriander, curry leaves
-pomegranate, amla, banana
-coconut water , buttermilk-diluted
AVOID
-fried , processed , salty snacks- chips, pickles
-tea/coffee/alcohol
-spicy, sour foods-tamarind, vinegar etc
-red meat
-overeating or late night meals
LIFESTYLE
SLEEP- regular sleep(10pm-6am), no late night
YOGA- tadasana, vajrasana, shavasana, setu bandhasana
PRANAYAM- anulom vilom-10 min, bhramari- 5 min
walk- 30 minutes morning walk daily
avoid- excess screen time, stress, dat sleeping, constipation
EXERCISE RECOMMENDATIONS
-low to moderate intensity= walking, light yoga
-avoid heavy workouts or strain until BP is under controll
FISSURE IN ANO consideration
this condition must not be worsened by straining. so for smooth bowel movement
-Triphala churna- 1 tsp with warm water at bedtime
-Ghee+warm water in morning on empty stomach
-sitz bath with warm water
-high fibre foods- vegetables, fruits, soaked raisins
You have mild to moderate hypertension , which is not a emergency, but it is serious enough to require consistent management
start monitoring BP regularly
make lifestyle and dietary changes immediately
begin ayurvedic treatment
address constipation/ fissure in ano proactively
if bp stays>140/90 for 3+ weeks, consult doctor for potential low dose medication
HYPERTENSION IS MANAGEABLE - BUT NOT IF IGNORED.
THANK YOU
DR. HEMANSHU MEHTA
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