High Blood Pressure: When to Seek Medical Attention

Hypertension issues

Doctor, today I felt a warm sensation in the back of my head.
Although I've experienced this a few times before, many people in my family have issues with high blood pressure.
So, I've started monitoring my blood pressure recently, and it usually falls between 138 and 144.
However, I tend to feel a bit anxious when I take my readings.
At what level should I seek medical attention? If I start taking antihypertensive medication at the age of 26, will it harm my kidneys or liver? I'm quite worried about this.

Xiao Fu, 20~29 year old female. Ask Date: 2021/08/16

Dr. Wu Xueming reply Cardiology

For early-stage hypertension, it is recommended to first manage it through lifestyle modifications, including a low-sodium diet, regular sleep patterns, and exercise.
If blood pressure remains above 140/90, it is advised to begin pharmacological treatment.

Reply Date: 2021/08/16

More Info

High blood pressure, or hypertension, is a common condition that can lead to serious health issues if not managed properly. It is essential to understand when to seek medical attention and how to approach treatment, especially given your family history of hypertension and your recent experiences with elevated blood pressure readings.

Understanding Blood Pressure Readings
Blood pressure is measured in millimeters of mercury (mmHg) and is expressed as two numbers: systolic (the top number) and diastolic (the bottom number). According to the American Heart Association, normal blood pressure is considered to be below 120/80 mmHg. Elevated blood pressure is defined as systolic readings between 120-129 mmHg and diastolic readings below 80 mmHg. Hypertension is categorized as follows:
- Stage 1 Hypertension: Systolic 130-139 mmHg or diastolic 80-89 mmHg
- Stage 2 Hypertension: Systolic 140 mmHg or higher or diastolic 90 mmHg or higher
Given your readings of 138 to 144 mmHg, you are in the Stage 1 to Stage 2 hypertension range. It is important to note that anxiety can temporarily elevate blood pressure, so it is advisable to measure your blood pressure when you are calm and relaxed.

When to Seek Medical Attention
You should seek medical attention if you experience any of the following:
1. Consistently High Readings: If your blood pressure readings consistently exceed 140/90 mmHg, it is time to consult a healthcare professional.

2. Symptoms: If you experience symptoms such as severe headaches, shortness of breath, chest pain, or visual changes, you should seek immediate medical attention.

3. Family History: Given your family history of hypertension, it is prudent to discuss your readings with a doctor, even if you do not have symptoms.

Concerns About Medication
Starting blood pressure medication at a young age can be concerning, especially regarding potential side effects on the kidneys and liver. However, the decision to start medication should be based on a comprehensive evaluation by a healthcare provider. Here are some points to consider:
- Benefits vs. Risks: The benefits of controlling high blood pressure often outweigh the risks of medication. Uncontrolled hypertension can lead to serious complications, including heart disease, stroke, and kidney damage.

- Regular Monitoring: If you are prescribed medication, your doctor will likely monitor your kidney function and liver enzymes regularly to ensure that the medication is not causing harm.

- Lifestyle Changes: In addition to medication, lifestyle changes such as a balanced diet, regular exercise, and stress management can significantly impact blood pressure control and overall health.

Conclusion
In summary, given your current blood pressure readings and family history, it is advisable to consult a healthcare professional for a thorough evaluation. They can provide personalized recommendations based on your health status and help you understand the best approach to managing your blood pressure. Remember, early intervention can prevent complications and improve your quality of life. Don't hesitate to reach out to a healthcare provider for guidance and support.

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