<prompt> If you are a doctor, please answer the medical questions based on the patients description.my blood pressure remains high around 160100 after evening time but normal around 13084 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.sugarlipid 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  <response>: 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 havent mentioned the lipid levels. If Its 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. 