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What causes high blood pressure in teenagers?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My blood pressure is 150/90 mmHg, and I am 18 years old. There is pain in the neck and at the top of the head.

Currently, I am taking Arbitel 250.

Kindly help.
Answered by Dr. Idowu Olalekan

Education:

MBBS

Professional Bio:

Dr. Idowu Olalekan is a skilled Family Physician dedicated to providing comprehensive healthcare across all age groups. He focuses on preventive care, accurate diagnosis, and effective treatment, ensuring holistic well-being for his patients. With a patient-centered approach, he emphasizes trust, compassion, and continuity of care.His areas of expertise include chronic disease management, preventive health screenings, and lifestyle counseling.

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Hi,

Welcome to icliniq.com.

I noticed that you have grade 1 obesity (attachment removed to protect patient identity). You will need to give more history, for example, do you have a family history of hypertension. The neck swelling needs to be evaluated to rule out a thyrotoxicosis.

The following investigations are recommended: urinalysis, serum electrolyte urea and creatinine, fasting lipid profile, fasting blood glucose, chest radiograph, urine VMA (vanillylmandelic acid), and a neck scan.

It is important to rule out substance use disorder as a differential diagnosis. The probable diagnosis appears to be an endocrine cause of hypertension.

You should see a doctor to prescribe appropriate antihypertensive medication. Preventive measures include reducing salt intake and adopting lifestyle modifications such as weight loss, regular exercise, reducing alcohol consumption, and quitting smoking.

Take care.

Medically reviewed by Dr. K. Shobana
Published At July 28, 2018
Reviewed At November 5, 2025

Education:

MBBS

Professional Bio:

Dr. Idowu Olalekan is a skilled Family Physician dedicated to providing comprehensive healthcare across all age groups. He focuses on preventive care, accurate diagnosis, and effective treatment, ensuring holistic well-being for his patients. With a patient-centered approach, he emphasizes trust, compassion, and continuity of care.His areas of expertise include chronic disease management, preventive health screenings, and lifestyle counseling.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Idowu Olalekan
Dr. Idowu Olalekan

Family Physician

Education:

MBBS

Professional Bio:

Dr. Idowu Olalekan is a skilled Family Physician dedicated to providing comprehensive healthcare across all age groups. He focuses on preventive care, accurate diagnosis, and effective treatment, ensuring holistic well-being for his patients. With a patient-centered approach, he emphasizes trust, compassion, and continuity of care.His areas of expertise include chronic disease management, preventive health screenings, and lifestyle counseling.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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