I have been working outside for the past 6 hours.  I have been inside for about an hour.  My blood pressure had been running high so I decided to check it.  The numbers were 154/112.  It seems high, but at what point do I need to seek treatment by a medical doctor?
Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your blood pressure values are above the normal ranges and probably related to high blood pressure. I would recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray and some lab blood tests : - complete blood count-fasting glucose-kidney and liver function tests-thyroid hormone levels-cortisol plasma levels-blood electrolytes, etc., to exclude other possible secondary causes of high blood pressure. You should closely monitor your blood pressure different times during the day (in sitting position after 10 min of total relax) and report these values to your doctor. You should discuss with him, the possibility of starting an antihypertensive therapy (a diuretic, an ACE inhibitor or ARB class). Meanwhile, I would recommend making some modifications to your lifestyle: - lose weight-have a balanced diet and avoid salt and caffeine intake-perform a lot of physical activity (walking, aerobics, etc.) . Hope to have been of help! Feel free to ask any other questions, whenever you need! Best wishes,