Suggest medication for elevating BP levels
Patient: 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. Doctor: Hello  and thank you for using HCM.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 physical strees so its mandatory to judge on mean values during day and night. There are two types of  hypertension : Essencial hypertension or idiopathic,  meaning that it has not a definite cause and secondary hypertension,  meaning that it's a secondary couse 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 ect.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 all ready 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 chatecolamins and a holter pressure monitoring. All these can give a better view of your mean blood pressure  values and exclude secondary factors.If the pressure holter monitoring finds mean values above 140 / 90 than you shoud treat it with medications. Mean wile avoid excessive salt intake I coffee and energy drinks becouse they rise blood pressure values.Hope I was helpfull. Best regards.