<human>: Hello Doctor, I m Hemant. My BP is going high. 6 days back it was 170/120 n now it is going around 150/110 to 130/95. I m preparing for civil services so my routine is to keep sitting on in my study n keep studying. physical activity is normal n m doing workout for 1 hour daily. All the reports regarding my lipid profile, blood serum, urea all r normal. i always hav a headache n not at all able to concentrate on my study. Plz help.
<bot>: Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. We talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values during day and night. There are two types of hypertension : Essential hypertension or idiopathic, meaning that it has not a definite cause and secondary hypertension, meaning that it's a secondary house of it. This is found in younger ages and the cause might be renal, endocrine or any cardiovascular anomaly. Essential hypertension is a chronic disease, and it should be treated all live. High blood pressure values can give you headache, blurred vision, dizziness etc. You don't mention your age but as I explained above it is essential to exclude secondary causes if you are young. As you explain you have already done blood analyze, and they are normal. This is a very good thing. If I was your treating doctor I will recommend even a cardiac echo, an abdominal echo to evaluate renal structure, your urinary catecholamine and a holder pressure monitoring. All these can give a better view of your mean blood pressure values and exclude secondary factors. If the pressure holder monitoring finds mean values above 140 / 90 than you should treat it with medications. Mean wile avoid excessive salt intake I coffee and energy Chat Doctor. Hope I was helpful. Best regards.