What causes high BP?

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Posted on Mon, 30 Jun 2014 in Hypertension and Heart Disease
Question: Hi doctor. am XXXX am 23 years old. am told that my bp is high. I tested with the visiting doctor to our office. it shows 160/90 here in office. when I tested once near my home it was showing around 130/85.
then I had my blood test done, thyroid test done nd scanning of abdominal organs done and it came out saying normal. I need to keep my bp under check . so please do suggest me some way to do so.
doctor
Answered by Dr. Anshul Varshney 51 minutes later
Brief Answer:
Detail follows.

Detailed Answer:
Dear XXXXXXX
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
High BP at this age should be evaluated for Secondary causes of hypertension.
I advice following things in Young Hypertension:
1. Ultrasound Doppler of renal arteries.
2. Kidney Function test.
3. Measurement of blood pressure in both arms.
4. Thryroid profile that has already been done.
5. Fasting blood sugar and lipid profile.

Now concern is that your blood pressure at 2 instances was different.
This is possible if you have been started on medications.
I would advise you to go to a doctor's clinic. Wait and relax for at least 10 minutes before your BP is checked.
In case it is more then 150/80 mmHg you would require pharmacological treatment particularly with Thiazide diuretics group of Anti hypertensives.
If it is on just higher side follow as adviced below:
1. Low salt diet
2. To exercise daily with a target to reduce weight if you are overweight.
3. To avoid nankeen, pickles.

This is my best advice for you. Get your BP checked the way I have advice and also ask your doctor to check your pulse rate.
Review with me with these details.
Stay Healthy
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3072 Questions

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