<human>: Hello Doctor, I am 34 years old, and have had a high BP since having my first child in 2000. It has been controlled with medication and once i am exercising regularly, i come off the medication. Recently it has been different, remaining high at 140/90 even with medication and daily aerobics exercise for 25 mins. what can be the probem
<bot>: Hello, Regarding your concern, I would explain that high blood pressure is really uncommon at your age.  For this reason, I would recommend performing some tests in order to investigate secondary causes underlying high blood pressure values: - complete blood count, PCR, ESR for inflammation- thyroid hormone levels for possible thyroid gland dysfunction- blood electrolytes for possible imbalance-kidney and liver function tests- a Doppler ultrasound of the renal arteries in order to investigate for possible narrowing-cortisol and aldosterone plasma levels for possible a Chat Doctor.  If all the above tests result normal, you should consider increasing the dose of the antihypertensive 