Hello, Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem. High BP is majr risk factor for multiple major disease like IHD,stroke etc..most of teh time cause is not known called essential hypertension n for 5-10 percent pt haveing underlyng kidney disease,endocrine diseases,metabolic disorders.if patient have some other symptoms that sugestive of underlying disease thn workup is neded to fnd that cause n tx that will normalise bp but if no caue is found than accordng to BP control protocaols pt is put fisrt life tyle modification to dec BP in hic he/she is advised to dec fatty food take fruits ,de salt intake n do exercise for a period of 6 month n still having high bp then pt is put on medication to dec bp n then as to monitor bp chartng so that dose can be adjusted accordngly... I hope this answered your question, if you have more feel free to ask. Regards. Dr.Asad Riaz. General and Family Physician.