Hello,

Thank you for your query at Doctorspring.com.

First of all.. Relax! Your symptoms are not those of heart failure or Coronary artery disease. You have intermittent records of high BP. Here is some advice for you.

Get a 24 hour ambulatory BP recording done. That will clarify if you have high BP all the time or it was just a blip during the exercise. Though I fully agree that your Diastolic BP shouldnt be so high during exercise. So if possible get this test done.

If the test is not available in this area do not worry. Follow the next step
Reduce your weight. How? Reduce the calorie intake. Suppose you have 3 chapatis and rice replace one chapati and some portion of rice with salads, green leafy vegetables, sprouts, legumes. Increase your calorie expenditure. The exercise regime you follow should be aerobic exercise without too much straining. Walking brisk or running cycling swimming should be a good exercise for you. Do not try weight lifting or pulling heavy loads. Eat a lot of fruits citrus one. Replace your salt with low sodium salt. reduce salt intake in food. avoid pickles and packed foods.

These should reduce your BP.
Reassessment after 3 months. Either get a repeat ambulatory BP monitoring or get BP recorded by some doctor.

If your symptoms increase in between (before completing 3 months) get a BP measurement in between when you have symptoms. If it stays high we shall start you on medications and advice you some blood tests and ECHO.

Hope this helps, please feel free to discuss further.

Regards
Dr Vivek Mahajan