Patient's Query
Hi doctor,
I am a 23-year-old man with obesity. I have been suffering from high blood pressure for the past five to six months. Initially, my blood pressure was 140/90 mmHg, then it increased to 150/90 mmHg, and now it is 160/90 mmHg. I am exercising to control weight gain and am also following a diet. I want to reduce my blood pressure.
Please help.
Hi,
Welcome to icliniq.com.
We are here to help you.
At the age of 23 to 24 years, if you have high blood pressure, we need to evaluate you for secondary hypertension. I strongly recommend undergoing the following tests: kidney function tests, renal artery color Doppler, ECG (electrocardiogram), echocardiogram, thyroid profile, and lipid profile.
Normalizing blood pressure with medication is not difficult, but we must ensure that there are no underlying causes contributing to the high blood pressure. Therefore, please get these investigations done and write back to me with the reports.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I have undergone an echocardiogram, TMT (treadmill test), ECG three times, lipid profile, liver function tests, ultrasound, and tests for sodium, potassium, and calcium, and all results were normal. Additionally, my thyroid levels are normal.
Hi,
Welcome back to icliniq.com.
In that case, you should proceed with a renal Doppler, as I believe that has not been performed yet. My recommendations for your situation would be a combination of Amlodipine, Telmisartan, and Hydrochlorothiazide to be taken once daily in the morning. I suggest discussing my opinion with your doctor so they can prescribe the same medication for you.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I am trying to schedule a Doppler test here in my city, but it is not available. I have no issues like swelling, and my urination is normal. If you still want me to have the test done, I can search in a nearby town.
Hi,
Welcome back to icliniq.com.
There is a condition known as renal artery stenosis, which could be a cause of high blood pressure at your age. In this condition, urination and kidney function tests may appear normal in the early stages. While I do not strongly suspect it in your case, it should still be evaluated. You can have the test done at a reputable center in a nearby city that offers MRI (magnetic resonance imaging), CT (computed tomography) scans, and other related services.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I underwent the renal artery Doppler test, liver function tests (LFT), and kidney function tests (KFT). My blood pressure last month fell within the normal range. Prior to that, I was on a trip and consumed whisky and beer almost daily for the entire month. Now, I am not drinking at all. I am following a healthy lifestyle and exercising regularly.
Hi,
Welcome back to icliniq.com.
I recommend that you avoid alcohol and smoking as well. Please continue taking your medications and make the necessary lifestyle modifications.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
I have attached the report of the renal Doppler test. Thank you so much for your indirect assistance with all my health concerns. Additionally, I do not smoke.
Hi,
Welcome back to icliniq.com.
Your renal artery Doppler results (attachments removed to protect the patient’s identity) are normal, indicating that you have essential hypertension, also known as systemic hypertension. You do not need any further testing. I appreciate that you do not smoke. I recommend that you continue taking your medications and keep in touch with me.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
Since I learned that I have high blood pressure, I have been going for a jog in the morning. I am taking Telmisartan and Chlorthalidone, but I am experiencing some dizziness. Additionally, my uric acid and SGPT (serum glutamic pyruvic transaminase) levels are high. Should I be concerned? Is it safe to exercise in the morning without taking my medication?
Hi,
Welcome back to icliniq.com.
I believe that at a blood pressure of 160/90 mmHg, you should be taking medication. In my opinion, the most suitable medication for you would be Nebivolol. I would recommend starting it at a dose of 5 mg once daily at night. You may share my recommendation with your doctor to get it prescribed.
I hope this helps.
Thank you.
Was this conversation helpful?
Answered byDr. Anshul Varshney
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
Hypertension and Skipping Anti-Hypertensive Pills - A Small Step Towards a Big Mistake
Is it advisable to take Toprol 25 for tachycardia?
Hypertension - How Aware Are You?
High Blood Pressure: Things You Need To Know!!
My blood pressure is up to 197/100. My doctor keeps giving me Bystolic. Is that safe?
My blood pressure is erratic. Please help.
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.