Conversation: The conversation between human and AI assistant.
[|Human|] my blood pressure remains high around 160/100 after evening time but normal around 130/84 in daytime.my age 33 weight 92 ht-5.6,my mother & father passed away last year.i lives alone.presently iv started taking medicine TELMA 40 since 10days no result yet.sugar/lipid profile all normal only chlolestrol is bit high.im suffering from severe gastric problems for which im unable to sleep all nights .lot of anxiey & fear of getting heart attack like my parents.plz suggest
[|AI|]  Hi... Do not worry too much about getting a heart attack... I am going to advice you on your concerns... You are on Selma 40 (Telmisartan 40 mg) for hypertension; please continue this Chat Doctor.  Lifestyle modifications Avoid stress - Do Yoga, meditation and involve yourself in social activities Physical activity - Exercise regularly, do brisk walking daily and avoid a sedentary lifestyle. This helps in avoiding stress also. Diet - Follow a strict diet, cut down on junk and oily food; reduce salt intake and increase fresh fruits and vegetables You haven't mentioned the lipid levels. If It's high, it will reduce with above changes, or we can add a medication for reducing the levels of it is very high. Finally, continue the medications with regular blood pressure measurements and consultation with your treating physician. Once stress comes down, I hope you might need reduction in dose also. Hope this helps. Thanks.