Hypertension/Creatinine Concerns

Hey all — I’m a 26 year old male. I am obese at 270lbs 5’9”. I also have SEVERE health anxiety. In late-2020, my health anxiety developed due to full body fasciculations and as time has progressed I’ve come to live with them/ignore them and they are no longer problematic. That caused a bout of serious medical anxiety and about 6 months later I randomly tested my blood pressure and it was high— and since then any time in a medical setting or performing a diagnostic test I go into total fight or flight mode. That first reading in July 2022 was like 183/110 or something to that effect (it’s been awhile). Looking back at my old BP readings, (and I’ve always been nervous at the doctor) they were 120/80 to maybe 140/90 at the highest from ages 9-18. So now I had a new thing to obsess over after the fasiculations fiasco. I would test my blood pressure occasionally(usually every 2-4 months at a grocery store) and it would always been the same story for the next 3-4 years. It would be 170-180/100-110 on the first reading and then as I calmed down a bit and tested it more over the course of 15-20 minutes it would usually come down to 13X/9X or 13X/100-ish. I chalked that up as obesity raising my baseline and a serious spike due to anxiety. Shortly after that July 2021 BP debacle, I noticed my urine was foamy/bubbly (or maybe I never noticed it before and it was always there, this all happened in a short period of time). I went to the doctor and over the course of the next few years had numerous normal urinalysis’s and one ACR in Jan 23’ that was normal. I always had like high ALT/AST which was chalked up to fatty liver. Ironically, in 2024 I did a 4 month calorie deficit and lost 41lbs and my lowest BP reading was 124/88 am the spike (initial reading) was lower at like 160/95 too. Fast forward to March 2025, I started a new, highly stressful job and was slamming engery drinks (daily, one or two a day) the first two weeks. I woke up and noticed a strange blob and went to the eye doctor and was told I had a small retinal hemorrhage. I went for a follow up with my doctor who ordered some labs and agreed it was probably stress/BP. I cut out the energy drinks entirely and went back to the eye doctor for a follow up one mother later — the hemorrhage had healed and was completely gone. Throughout all of this, I never took BP medicine(2021-2025), because I wasn’t really sure what my baseline is/was because I can/could never test it and not feel myself go into fight or flight, high heart rate, etc. Now, fast forward to Oct 2025, I hadn’t tested my BP in a few months but it was sort of on my mind because I felt as if I was getting more red lately — specifically when bending over, etc in my face. I went to a Walmart to test my BP and I was all amped up and my first reading was the typical high reading I’ve had for years but the subsequent readings over the next 10-15 minutes wouldn’t come down much (160/100s ish) and I was totally panicked and there was also a ton of watchful eyes around me so that made me WAY more anxious. I decided I’d bite the bullet and buy an “at home” blood pressure cuff. I went home, tried to relax (impossible when I get in this head space) and tested it. I got my first reading of 200/100+ (maybe like 215/115 or something) which, of course, made the panic 100 times worse when I was already extremely anxious. So I tested it a few more times and got some similar readings and decided to go to the ER. I went to the ER, they tested it and got 205/105 and then re-tested it about 30 seconds later and got 173/98 or something. They did some labs, per my request (to be safe) and everything was normal except a mildly elevated WBC and he told me he’d give me a lower dose BP medicine to be safe, if I wanted it, but wasn’t even sure it was completely necessary due to this pattern we discussed. I told him sure, as I’d never really seen it spike like that but this was also a uniquely anxious moment for me. Ultimately, he prescribed me 5mg of amoldopine and I’ve been taking that the past 3-4 months one a day at night time. I had an acute follow up with a random doctor a week later and my BP numbers were already better, although, nothing remarkable. At first he mentioned an ultra-sound to rule out renal artery stenosis but sitting with me for 45 minutes and letting me explain how intense my anxiety is in medical settings and him seeing it first hand — start higher and go down while sitting and talking and getting comfortable — agreed that it’s a manifestion of anxiety (and obvi, weight) I had a follow up with new PCP last week and was TWEAKING before the appointment, typical high heart rate, shakiness, etc(also my first time meeting a new doctor) as there was a ton of build up to whether or not I’d see improved BP numbers. I had delayed/reschedule the appointment like 3 times just to work up the courage to go, lmao. He too, mentioned the ultrasound, but also by the end of the appointment agreed with the acute visit doctor I’d seen the week after starting amlodipine. My new PCP tested my BP after 3/4 months on amlodipine and the first reading was 157/97 — I was legit terrified before he took it and felt the fight or flight response inside me kick in. As the appointment went on and he listened to me(i told him more tests actually stress me more) I was feeling better.. the appointment came to a close and I asked him to retest it a finally time and the result was 132/92 — lowest reading I’ve seen in awhile. I’m also on day-41 of a calorie deficit, at the time, it was day-30 ish. My health anxiety has taken numerous forms over the years — I’ve been worried about a million symptoms from things ranging from Sjogrens to Thyroid and NEVER had abnormal test or anything come about it from it. Even as I type this I’m moving around everywhere and can’t type fast enough because I’m scared of the responses, lol. Anyway, I’ve been obsessing over kidney disease/foamy urine for YEARS. As I’ve had foamy urine 2021 and that was shortly after my first BP spike (at least from what I’ve noticed) but after like 8 urinalysis’s over the years and 1 ACR, I’ve never had anything abnormal. I aslo obsess over every lab result and am worried about my creatinine fluctuations though. The doctor at my most appointment told me is a nothing-burger (showed him urine pics and creatinine tests) and agreed lots of this seems to stem from anxiety and we should start on an anxiety med (which I am terrified to do and don’t want too because I’m not anxious when discussing medical shit or in medical settings). He prescribed me buspar to try for a month and a beta-blocker because my HR was like 100+ the entire time I was in the doctors office. This was a highly recommended doctor and he seems very thorough and reassuring but I did want to run this by a few more sets of eyes. I do feel as my urine has gotten more foamy over the past year (might be in my head) and I haven’t had a urinalysis in 15 months but I had two in Nov 24’ and they were both normal. I had 3 RBC/HPF and rested two days later and it was 1 RBC/HPF, hence the two tests. Here is my creatinine tests by year: 10/28/2020: 0.95 — 21 years old (very start of health anxiety and before any BP shit) 07/21/2021: 0.92 — 21 years old (same week as first BP spike, why I went to the doc) 11/11/2022: 0.84 — 23 years old 01/06/2024: 0.8? — 24 years old 11/17/2024: 0.86 — 25 years old 10/24/2025: 0.9? — 26 years old EFGR at 21: 117 EFGR at 22: 121 EFGR at 23: 126 EFGR at 24: 127 EFGR at 25: 123 EFGR at 26: 121 ? = indicates the lab I was at didn’t report the hundredths digit. Essentially, I’m worried that it going from 0.95 to 0.84 was a bad sign and then going from 0.84 back to 0.9? signals worsening kidney function or an affect from the blood pressure. That last reading on 10/24/25 was the day my BP spiked and when I went to the ER. I had never taken a BP med in my life and since that day I’ve been on 5mg of amlodpine. Is that fluctuation year over year concerning? I’ve asked two separate doctors (ER guy and new PCP) and they seemed to suggest it was totally normal. One other weird symptom I do have is I wake up once a night to pee pretty religiously but it did stop for a few months and had since restarted, but there is some weird thing where when I lay down/flat/horizontal I have to get up to pee shortly after — even if I peed before laying down and its often clear but again this is not always and ebbs and flows.. just a strange association I have noticed. I will say, I do confirm with my girlfriends, who goes to the doctor far less than I do and her’s has always been more stable (0.76, 0.77, 0.76) over the course of three years. I obsess over this stuff and will spend hours a day putting it through ChatGPT or Grok with slight wording tweaks to explore like every outcome and it’s become.. very stressful. I will go months without those happening though, it just flairs up REALLY bad any time I go to the doctor like I did last week.. which is why I was apprehensive to go in the first place. I was admist a “high moment” for health anxiety and wasn’t currently obsessed on anything and knew just any visit to the doctor — even if good like I think this appointment was — would spike my HA right back up and now it’s been a week of fucking tweaking using AIs to try to get direct answers to this shit. So to put a bowtie on this absolute anxiety riddled text, is that fluctuations normal, or does that suggest the blood pressure may have been higher than I thought as I wasn’t frequently testing it due to the negative impact it had on me (panic, high readings) and that signals worsening kidney function? TIA.