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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Best Way To Treat High Blood Pressure?

What is the best way to treat SEVERELY High Blood Pressure in a 21 year old young man (systolic 170)~genetic? My fiance has been diagnosed with HBP, but the doctors are not helping him much stating this is usually a problem for older people . We know there are genetic influences on his condition (his one grandfather passing away from a heart attack in his 30 s?). We have cut out salt, he drinks very rarely, he doesnt use drugs, he exercises, and is not overweight at all...and now, both of us are just scared. A doctor mentioned Beta Inhibitors? and another calcium channel inhibitors... Also, is there a way to find a doctor who will actually care a little instead of throwing him into the category of HBP with 60 year old men and telling him to watch what he eats (not that he can watch it anymore).
Fri, 18 Dec 2009
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Familial inheritance is definitely an important factor for hypertension. However, it is still too EARLY for a young person to develop hypertension in early 20. Therefore, a thorough physical examination and medical investigation should be performed to rule out SECONDARY cause of hypertension (e.g. pheochromocytoma, a adrenal tumor producing excessive adrenalin to cause vasocontriction and hypertension) There are a long list of causes of secondary hypertension, in which many conditions have genetic components. I'll suggest you to have medical consultation to have proper assessment to RULE OUT secondary cause. After treating secondary cause (e.g. surgical removal of pleochromocytoma), hypertension will be cured. After excluding secondary causes, there are several ways to control hypertension. Simply, they can be either non-medical or medical. For non-medical methods, the key is lifestyle modification, e.g. regular exercise, dietary salt restriction, avoid smoking/coffee intake. For medical methods, many different classes of antihypertensive drugs are widely available.

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What Is The Best Way To Treat High Blood Pressure?

Familial inheritance is definitely an important factor for hypertension. However, it is still too EARLY for a young person to develop hypertension in early 20. Therefore, a thorough physical examination and medical investigation should be performed to rule out SECONDARY cause of hypertension (e.g. pheochromocytoma, a adrenal tumor producing excessive adrenalin to cause vasocontriction and hypertension) There are a long list of causes of secondary hypertension, in which many conditions have genetic components. I ll suggest you to have medical consultation to have proper assessment to RULE OUT secondary cause. After treating secondary cause (e.g. surgical removal of pleochromocytoma), hypertension will be cured. After excluding secondary causes, there are several ways to control hypertension. Simply, they can be either non-medical or medical. For non-medical methods, the key is lifestyle modification, e.g. regular exercise, dietary salt restriction, avoid smoking/coffee intake. For medical methods, many different classes of antihypertensive drugs are widely available.