<human>: help me doctor, 2d, echo, carrotid and several more test were done to me but yielded negative results, my bp rises up, my doctor said io developed nerbyos means im nervuos, she gave me maintenance for the bp, but stlii goes up, help me doctor what is this in exact, and remedy copuld you giv ts been 3 months of suffering, thank u sir may you act on this immidiately, alan de roxas
<bot>: Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. As you explain, you have done all the examinations, and they result normal. According to this, we are dealing with essential hypertension. It is a chronic disease. It has not a definite cure, but it should be treated life long. If you tell that you still have high blood pressure values despite your treatment, it means that you have to rise your medication to better control your blood pressure. So, if I was your treating doctor I will recommend a holder pressure monitoring for 24 h, to know your mean values. After that if they result high I will add another medicament or rise the dosage of your existing ones. Hope I was helpful. Wish you good health. Best regards.