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Stress

What is stress?

Stress is when life's demands seem too heavy. You feel anxious and tense and may be aware that your heart is beating faster.

A certain amount of stress in our lives is unavoidable and a little may even be good for us. For example, some people claim they get more done if they have a work deadline. Too much stress, however, is harmful. Your body responds to stressful situations by raising your blood pressure and making your heart work harder. This is particularly dangerous if you already have heart or artery disease or high blood pressure. Stress is more likely to be harmful if you feel that you have no control over the problem or situation.

Your body reacts to stress in other ways, too. Symptoms like back pain, trouble sleeping, headaches, muscle aches, heartburn, upset stomach, shortness of breath, high blood pressure, and weight gain or weight loss are often caused in part by stress. Many office visits to healthcare providers are for conditions related to stress.

What is the cause?

Anything you see as a problem can cause stress for you. Different things may cause stress for other people. Stress can be caused by everyday matters as well as by major problems.

Many people may not think about stress as part of being older. Older adults are supposed to be able to "take it easy and relax." But stress may result from:

  • "red-tape" problems from dealing with government agencies
  • family problems
  • financial problems
  • grief or loss
  • health and disability problems
  • housing problems
  • retirement and boredom

Older adults often feel less and less in control of their environment. This also leads to feelings of stress. It is important to realize that even good, positive changes can lead to feeling stressed. Many people do not know what to do once they have reached a goal and they do not have another goal to pursue. This can be especially true of retirement.

What are the symptoms?

Symptoms may include:

  • trouble sleeping, tiredness, aches, pains, heartburn, and indigestion
  • change in bowel and bladder habits
  • anxiety and depression
  • increased use of cigarettes, alcohol, or drugs

How is it diagnosed?

Your healthcare provider may recognize that stress is a problem from your medical history and symptoms. For example, your blood pressure may be high. However, stress can cause common symptoms, such as headaches or digestive problems, that have many possible causes. For this reason your provider may ask whether your symptoms could be related to stress.

Your provider may give you a questionnaire to screen for anxiety and stress.

How is it treated?

Deep breathing, meditation, stretching your muscles, improving your diet, increasing your exercise, and learning to relax can help you deal with stress. Your healthcare provider or a mental health professional may also be able to help. They may teach you ways to reduce stress in your life and to cope with stress that you cannot avoid.

Therapy (individual, group, or family) may offer support and may help reduce fears and worries.

Medicine may be prescribed to help reduce symptoms of depression or anxiety and help you cope with stress. Medicine is often used for a short time to help until the stress resolves.

Exercise

Exercise relieves pent-up energy. It also increases fitness, which helps your body cope with stress. Take up a sport, join an exercise group, or walk at least a mile a day. Try to exercise with other people because social contact helps relieve stress, too.

Relaxation

Relaxation releases muscle tension and calms the mind. Sit comfortably and tighten each muscle in turn for a few seconds, then relax it. Either start with your head and work downward or start at your feet and work upward. Do this every day. Massages, hot baths, listening to music or relaxation tapes are also good ways to relax.

Other coping strategies

  • Have a health checkup. The healthier your body, the better you can deal with stress.
  • Follow your provider's advice for reducing and coping with stress in your life.
  • Follow your provider's advice for treatment of any stress-related symptoms you have.
  • Take care of your physical health. Try to get at least 7 to 9 hours of sleep each night. Eat a healthy diet. Limit caffeine. If you smoke, quit. Avoid alcohol and drugs, because they can make your symptoms worse. Exercise according to your healthcare provider's instructions.
  • Get support. Talk with family and friends. Consider joining an interest group centered on a hobby, sport, or social activity.
  • Try to be prepared. Don't put things off and then have to struggle to catch up.
  • Simplify your life. Don't try to do too much. Set goals you can achieve. Learn to say "no."
  • Try to resolve conflict. Don't hold onto anger.
  • Share your burdens. Just talking problems through will often resolve them.
  • Don't worry about things you can't control.
  • Break down problems into the smallest parts, and then work on the easiest part first. Build on success.

Developed by Ann Carter, MD, for RelayHealth.
Adult Advisor 2012.1 published by RelayHealth.
Last modified: 2011-10-17
Last reviewed: 2011-05-18
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
© 2012 RelayHealth and/or its affiliates. All rights reserved.
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