Brief Answer: You should see an internist. Detailed Answer: Hello, Thank you for using HCM. I understand your concern. Your age is too young and your blood pressure levels are to high , to have an essential (primary) hypertension. You should be screened for all the secondary possible causes of hypertension such as renal stenosis , renal parenchymal disease , Cushing syndrome , Pheocromocitoma, Hyperaldosteronism, Hyperthyroidism, Sleep apnea, Acromegaly, Coartation of aorta. For excluding each of them , you need to do a series of laboratory and imaging exams . The internist is the adequate doctor which may lead you in detecting the causing factor of your hypertension. I seems a little bit long way to do , but i encourage you to go under it , cause treating the causing factor once is better than treating hypertension for all of your life. There are even cases in which eventhough you do all tests for secondary causes , it doesn t get out nothing. At this case we are in front of an idiopathic hypertension , which we have to deal with. Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Kind Regards, Dr. Juarda