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Mental Health > Anxiety and Stress Forum > White coat hypertension, general anxiety and hyperhidrosis
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Q: White coat hypertension, general anxiety and hyperhidrosis
asked by: DoctorQuestion on November 12th, 2006
Hi,

I went for a checkup as I had some chest pains (which turned out to be indigestion/GERD). While I was there, I had my blood pressure checked and it was 154 over 99 which got me a bit worried.

3 days later, I got an Omron arm bp monitor and it has consistently showed normal bp around 115 over 70.

I know it might be white coat hypertension due to the stress of being checked up for a possible heart problem - could it really have jumped that much? (Assuming my home readings are correct, of course).

Could there be a link between white coat hypertension, general anxiety and hyperhidrosis? If so, is there a good (and preferably non-pharmaceutical) remedy?

Thanks


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Dr. Nikola Gjuzelov , MD
replied on December 4th, 2006
Anxiety & Stress Answer A1863
If the blood pressure monitoring tests indicated normal blood pressure the entire time and your blood pressure was high only in the doctor’s office, it seems very likely that you were experiencing “white coat hypertension”. White coat hypertension and general anxiety are due to anxiety disorder.
Hyperhidrosis can be diagnosed as either a primary condition (with an unknown etiology) or the condition could be a symptom of some other condition such as acromegaly, hyperthyroidism, glucose control disorders, pheochromocytoma, characinoid syndrome, cancer, tuberculosis or other infections, menopause, spinal cord injury, stroke, Parkinson’s disease, heart or lung disease, certain medications and substances of abuse and anxiety conditions.
In your case, hyperhidrosis could be due to the anxiety disorder. You can consult your primary health care provider for further diagnostics and follow up.



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