Am I Experiencing High Blood Pressure Symptoms?

Q: Am I Experiencing High Blood Pressure Symptoms?

Hello： Hypertension is typically defined as a systolic blood pressure greater than 138 mmHg or a diastolic blood pressure greater than 88 mmHg. <br>However, there are always exceptions. <br>Given your family history, but without knowing your height and weight, if your statement i

Is this considered high blood pressure?

Hello Doctor: Two years ago, my grandmother had a stroke, and I started measuring blood pressure regularly with her.
At that time, her systolic pressure was around 60.
Six months later, my grandmother no longer lived with us, so I stopped measuring blood pressure.
Until last year, my mother also saw a doctor for hypertension, and I began measuring my blood pressure again, which ranged from 103 to 120, appearing to be within the normal range.
However, I often experience headaches, and just two days ago, I visited an ophthalmologist due to eye pain and pressure.
The doctor mentioned that my intraocular pressure was too high, and the fundus examination was unusual.
I would like to ask the doctor if I have hypertension.
Thank you.

mimi, 20~29 year old female. Ask Date: 2008/01/15

Dr. Cai Jueren reply Family Medicine

Hello: Hypertension is typically defined as a systolic blood pressure greater than 138 mmHg or a diastolic blood pressure greater than 88 mmHg.
However, there are always exceptions.
Given your family history, but without knowing your height and weight, if your statement is accurate—specifically that your systolic blood pressure has suddenly increased significantly causing discomfort—you should monitor your blood pressure every morning and evening.
Please bring at least two weeks of records to your primary care physician.
At that point, a diagnosis of hypertension may be made, and further examinations will likely be necessary, particularly of the kidneys, adrenal glands, and heart.
I recommend adopting a low-sodium diet, reducing oil intake, and increasing vegetable consumption.
If possible, please engage in daily exercise.
Thank you for your correspondence, and I hope the above information addresses your concerns.
Hualien Hospital, Dr.
Tsai Jue-Ren.

Reply Date: 2008/01/15

More Info

It sounds like you're experiencing a range of symptoms that are concerning, especially given your family history of hypertension and stroke. While your blood pressure readings of 103-120 mmHg for systolic pressure fall within the normal range, it's important to consider the context of your symptoms, particularly your frequent headaches and elevated eye pressure.

Firstly, let's clarify what constitutes high blood pressure (hypertension). According to the American Heart Association, normal blood pressure is defined as less than 120/80 mmHg. Elevated blood pressure is between 120-129 systolic and less than 80 diastolic. Hypertension is classified as stage 1 when systolic is between 130-139 or diastolic is between 80-89, and stage 2 hypertension is when systolic is 140 or higher or diastolic is 90 or higher. Based on your readings, you are not currently classified as having high blood pressure, but it is essential to monitor your blood pressure regularly, especially given your family history.

Your symptoms, particularly the headaches and eye pressure, warrant further investigation. Headaches can be caused by a variety of factors, including tension, migraines, or even elevated intracranial pressure. The fact that you have experienced eye pain and high eye pressure (ocular hypertension) is also significant. Ocular hypertension can lead to glaucoma, which can damage the optic nerve and lead to vision loss if left untreated. It is crucial to follow up with your eye doctor regarding this issue.

In addition to monitoring your blood pressure, consider the following factors that could contribute to your symptoms:
1. Stress and Anxiety: Emotional stress can lead to physical symptoms, including headaches. If you are feeling anxious about your family history of hypertension and stroke, this could contribute to your symptoms.

2. Lifestyle Factors: Diet, exercise, and sleep play significant roles in overall health. A diet high in sodium, lack of physical activity, and poor sleep can all contribute to headaches and other health issues.

3. Hydration: Dehydration can lead to headaches. Ensure you are drinking enough water throughout the day.

4. Caffeine and Alcohol: Both substances can affect blood pressure and may contribute to headaches in some individuals.

5. Medication Side Effects: If you are taking any medications, consider discussing with your doctor whether they could be contributing to your symptoms.

Given your symptoms and family history, it would be wise to consult with a healthcare professional who can conduct a thorough evaluation. This may include blood tests, imaging studies, or referrals to specialists such as a neurologist or an ophthalmologist. Keeping a symptom diary, noting when your headaches occur, their intensity, and any associated symptoms, can provide valuable information for your healthcare provider.

In summary, while your blood pressure readings are currently within normal limits, your symptoms of headaches and elevated eye pressure should not be overlooked. Regular monitoring and a comprehensive evaluation by a healthcare professional are essential to ensure your overall health and to address any underlying issues that may be contributing to your symptoms.

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