On Stress Control

Obese or heavy people, middle age to elderly people are prone to stroke and heart attack because their arteries have built up a lot of plaque and have narrowed down. This means that the blood vessels cannot dilate(expand or open up) to accommodate blood flow which supplies tissues and takes care of increased metabolic demands in stress. The heart, therefore, has to work extra hard to try and force blood round the body. In doing so it damages blood vessels and this forms clot which limits blood flow to the brain or heart tissue, leading to stroke or heart attack. Oxygen is very important for the vitality of tissue. Without it tissue begins to die.

Sudden distress such as excitement or an unwelcome news or event can easily trigger the above outcomes in susceptible individuals. To avoid being victims of such events, we should try and reduce our vulnerability factors by exercising regularly and keeping down our weight.. A dose of sunshine is good, for vitamin D prevents the hardening of our arteries.

Another measure is stress prevention. The first psychosocial measure to prevent stress is to avoid handling what one cannot take. An old man should not climb steep mountains or a young man should not take tasks he is not trained for. Small constant anxieties and worries in the long term amount to huge amount of stress and are unhelpful. It is better to solve problems if you can, talk them over or put them at the back of your mind if they are beyond your control.

To manage stress physiologically, you can do breathing exercises, which help open up blood vessels and reduce the need for the heart to pump much harder. Psycho-socially:Be yourself. Do not seek approval of others to make you look good in their eyes or feel good about yourself. Do what you know you can do, and do not be apologetic about it, if you cannot. Feel good about yourself--you don't need others to dictate to you how you should feel. Do not feel that you owe anyone anymore than you owe yourself. Give freely and generously, when you can. Avoid making stress worse by unnecessary excitement or anger. Meditation makes you overcome difficulties and gives you better control over events. Additionally, it gives you the leverage to lean on and accept that, after all, this is not the end of life.

Psychosomatically, biofeedback is a very helpful technique. It helps you concentrate on what makes you feel bad or angry and you watch this through a monitor to see how it is being destructive to your body and life. It could be, for example, you watching how your heart is racing as you get angry. Make a commitment to let your brain control your feelings and your response to them.

Medically, you can control your blood pressure with drugs. Medical emergency comes when you have a crisis and its proper management could prove to be a life saver.

Dr Oliver V Birnso

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