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Last Updated: Sep 09, 2021
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Hypertension: Symptom, Causes, Treatment, Prevention And Diet

About Types Symptoms Causes Stages Diagnosis Risk factors Treatment Medicine Natural remedies Complications Prevention Diet
Hypertension: Symptom, Causes, Treatment, Prevention And Diet

What is Hypertension?

Hypertension also known as high blood pressure is a condition where the force of the blood hitting against your artery wall is excessively high that it causes health problems like heart diseases. Blood pressure is usually determined by the level of blood which your heart pumps.

If your arteries are narrow and your heart pumps excessive amount of blood, your pressure tends to get higher. Hypertension can develop for many years without any apparent symptom, high blood pressure can give rise to complications such as stroke and heart attack which might result to death if not treated on time. High blood pressure eventually affects everyone at one time or the other.

Is Hypertension a disease or condition?

High blood pressure or Hypertension is a serious medical condition. It can cause serious damage to the heart, can lead to heart failure, chest pain. It can also burst or block the arteries that supply blood & oxygen to the brain, which can cause a stroke. It can even damage the kidney and can cause kidney failure.

What are the types of hypertension?

Hypertension have been classified into two types depending upon the causes. They are:

  • Primary hypertension: There is no cause for primary hypertension but studies suggest that it tends to develop over the years.
  • Secondary hypertension: Secondary hypertension can occur due to obstructive sleeping patterns, kidney problems, adrenal gland tumors, thyroid problems, congenital defects in the blood vessels, medications like over the counter pain killers, cold remedies, decongestants & birth control pills, illegal drugs like amphetamines & cocaine and excessive alcohol use. Secondary Hypertension can be an underlying cause of a much fatal disorder.

What are the symptoms of hypertension?

The symptoms of hypertension are as follows:

  • Severe headache
  • Fatigue or confusion
  • Palpitation
  • Chest pain
  • Blood in the urine
  • Blur Vision
  • Difficulty breathing

Can Hypertension be normal?

Basically, the normal blood pressure is under 120/80, and before normal under 140/90. The guidelines for blood pressure measurement is:

  • Stage 1: Hypertension or high blood pressure is diagnosed between 130 and 139 systolic or 80 and 89 diastolic.
  • Stage 2: High bp is now over 140 systolic and 90 diastolic.

What causes hypertension?

Hypertension is otherwise called High Blood Pressure. It is the force that exerts against the walls of the human blood vessels. This BP depends on the resistance of the blood vessels and how tough the heart has to perform. Most of us have this problem but unknowingly we are running our lives. But, untreated hypertension might lead to stroke, heart ailments and sometimes death.

The main cause of hypertension depends on the underlying medical and mental conditions. Blood plasma volume, hormone activity, stress, and lack of activities, chronic kidney disease, diabetes, obesity, sleep apnea, pregnancy, and Cushing syndrome are considered as the main causes of hypertension.

What are the 4 stages of hypertension?

The four stages of hypertension namely:

  • Normal: When the systolic is below 120 mm Hg and the diastolic is below 80 mm Hg then, the range is considered to be normal. No need for drugs whereas you need to monitor your BP always.
  • Pre-hypertension: If the systolic lies between 120 and 139 mm Hg and the diastolic lies between 80 and 89 mm Hg, you are in the border of hypertension. No medicine is needed for this condition whereas lifestyle changes have to be considered.
  • Stage-1: When your systolic falls between 140-159 mm Hg and the diastolic is between 90-99 mm Hg, you are at the border risk of hypertension. You should go for anti-hypertension medications such as beta-blockers, calcium channel blockers, diuretics, etc along with lifestyle modifications.
  • Stage-2: If the systolic goes beyond 160 mm Hg and the diastolic crosses 100 mm Hg, it is considered very seriously. The doctor will recommend two-drug therapy and you will be advised for lifestyle modifications along with a strict diet in order to rule off cardiac and stroke issues.

How hypertension is diagnosed?

Hypertension is usually diagnosed during a routine body checkup. It is advisable to visit a general physician on the off chance that you develop high blood pressure. People who are between the age group of 18 to 39 and 40 years or older are at a higher risk of developing high blood pressure. An appropriate sized arm cuff is used to diagnose Hypertension. There are some machines available which can analyze your blood pressure levels for free.

What are the risk factors that increase the chances of having hypertension?

Risk factors that can increase your chances of developing hypertension:

  • Alcohol- Excessive alcohol consumption can not only affect your blood pressure but also damage your heart and liver.
  • Family history- If one or more of your family members have hypertension, chances are that you are at a higher risk for developing high blood pressure.
  • Obesity- Hypertension is also very common in people who are obese and overweight.
  • Laziness- People who are physically inactive have higher heart rates. This puts a lot of pressure in the arteries resulting in high blood pressure.
  • Tobacco- Chewing or smoking tobacco can damage the lining of your arteries leading to severe Hypertension.
  • Inadequate vitamins- Very little amount of vitamin D and potassium in your diet can disturb the sodium levels in your blood causing high blood pressure.

Can you live a long life with Hypertension?

Hypertension is also called the 'silent killer'. If you leave Hypertension untreated there is a higher chance of death within a year. High blood pressure has an average survival rate of 10 months. It can even lead to stroke, blindness, heart attack, and kidney disease. So, it is advised to keep your bp level in the normal range and always keep a check on your level of Blood pressure.

What is the treatment for hypertension?

  • Patients who are aged 55 and above and patients of any age, will be started with a calcium channel blocker or a thiazide-type diuretic as the first-line treatment. If the patient is below 55 years, the initial therapy will be an ACE inhibitor or angiotensin receptor.
  • If the patient is started with calcium channel blocker or thiazide-type diuretic and if he needs a second drug, then an ACE or angiotensin will be added. If the initial therapy is started with an ACE inhibitor, then a calcium channel blocker or thiazide-type diuretic will be added.
  • If the patient requires three-drug therapy, then the combination of ACE inhibitor or an angiotensin receptor blocker, calcium channel blocker and thiazide-type diuretic will be advised.

Can Hypertension be cured?

No, Hypertension can't be cured. It's a chronic disease and in 90% of patients, the cause of Hypertension is unknown. It can be controlled with medication and with some modification in lifestyle and eating habits. It generally requires regular medical attention and regular follow up with your doctor.

Adopt a healthy lifestyle to control Hypertension:

  • Balanced diet.
  • Quit smoking.
  • Limit alcohol consumption.
  • Cut back sodium (salt).
  • Manage stress level.
  • Ensure enough sleep.
  • Maintain body weight and waistline.

What is medicine for hypertension?

Usually, hypertension is treated with thiazide diuretics, ACE inhibitors, Angiotensin II receptor blockers, calcium channel blockers. When you are not able to reach the normal BP with the above medicines, your health care professional may recommend you Alpha, Alpha-beta blockers, beta-blockers, Renin inhibitors, Aldosterone antagonists, Central-acting agents, Vasodilators.

When your blood pressure stays stubbornly high despite taking at least three variants, out of which one must be diuretic, you will be treated as a “Resistant Hypertensive Patient”. If you fall under the category, then your doctor will evaluate the underlying cause. He will consider adding an aldosterone antagonist such as spironolactone (Aldactone). It might help to control resistant hypertension.

What are the natural remedies for hypertension?

Hypertension is a condition to be treated at the right time. However, some of the natural remedies will work out for hypertension such as maintaining healthy BMI, regular exercises, cutting down excess sodium, added sugar and refined carbs, stop smoking, and alcohol intake.

Other remedies like eating well-balanced diet, reducing stress, doing breathing exercise and meditation to make your mind calm, intaking calcium and magnesium-rich food, taking natural supplements’ are primarily counted in the natural remedies account.

What are the complications of hypertension?

Hypertension brings out many complications and the problems associated to heart and blood vessels, chest pain, stroke and other brain issues such as dementia, Transient ischemic attack, mild cognitive impairment, renal diseases, eye problems, type 2 diabetes, sexual dysfunction, bone loss, sleeping trouble, etc.

Since in the initial stages the hypertension is non-symptomatic, most of the people are unaware of the condition. So, regular blood pressure monitoring is required to stay away from any negative outcome.

Why is Hypertension known as the silent killer?

Blood pressure is an important part of your health. So, early detection is very important as it is a ""Silent Killer"" because it may show no symptoms. Hypertension puts one at the risk for heart disease, stroke, heart failure, and other diseases. High blood pressure is a long-lasting condition and requires immediate medication. The higher the BP, the higher the chance of serious complications.

How can hypertension be prevented?

You can keep your blood pressure normal by following a healthy lifestyle. Maintaining a healthy weight, eating a normal and nutritious diet, indulging in physical activities, managing stress levels, limiting alcohol, avoiding smoking, cutting down caffeine helps in preventing hypertension. When you feel stressed, try to see natural views, listen to music and do meditation to relax.

If you are already a victim of hypertension, then you should be careful to prevent it from worsening or causing complications. You should always consult the doctor regularly and follow the prescribed medications without any breaks. Keep a BP monitoring device at home to check out your blood pressure periodically.

What is the best diet for hypertension?

A healthy diet can prevent you from getting hypertension. These are the few tips to consider as a part of your healthy diet

  • Reduce the intake of salt
  • Moderate the consumption of alcohol
  • Eating fruits and vegetables
  • Avoiding fat gaining foods

Read More About: Diet Chart For Hypertension - The key to a successful diet to control hypertension.

Summary: Hypertension is known as the ""silent killer"". It is a serious concern and requires immediate medical attention. 1 in 5 people with high blood pressure have the problem under control and it's a major cause of premature death. You can manage your Hypertension by keeping a check on below:
  1. Treat your high blood pressure.
  2. Reduce stress.
  3. Keep a regular check on BP level.
  4. Manage other medical conditions, if any.

Popular Questions & Answers

I'm 27. Recently i've been diagnosed with high blood pressure 160/100. I'm on prolomet t 25. I've been drinking since last 2 years. But quit it last week. please tell me is my blood pressure due to addiction or alcohol withdrawal or genetic. And how long will it take to become normal again.

DNB CARDIOLOGY , MD MEDICINE, MBBS
Cardiologist, Aurangabad
Bp is always genetic. You must be having family history of high bp. Alcohol is just a trigger for it. You need food lifestyle changes along with medicines for this bp level.

Is it true that beta blockers can make a man sexually inactive. I have been taking propranolol since 7 years bcos of palpitations and I am also hypertensive. Is there any alternative bcos doctors keep telling me that I will continue taking it. I am also taking lisinopril 5 mg and hydrochlorothiazide 12. 5mp daily and propranolol 20 mg twice daily.

DNB CARDIOLOGY , MD MEDICINE, MBBS
Cardiologist, Aurangabad
Beta blocker can cause erectile dysfunction in some people not all and that too is completely reversible once you stop it. If you do not have any sexual side effects at present then no need to stop it and no need to worry. There won't be any perma...

Sir I am having high blood pressure taking telvas beta 50 mg. Can I take coq10 as dietary supplements. Because I feel lethargic all day.

DNB CARDIOLOGY , MD MEDICINE, MBBS
Cardiologist, Aurangabad
Yes you can take no problem.
1 person found this helpful

My wife is 35 years, height 5'4" weight 69 kg suffering from hyperthyroidism and iron deficiency, she is taking 100 mg thyronorm, ferowise xt and nurokind lc. But she is still feeling weakness, dizziness, sweatiness & lose motions sometimes. She went through some medical tests which showed t4 11. 90h, tsh 7.9h, hemoglobin 9.9l, iron 21l, sugar of hba1c 5.8h and mean plasma glucose 119.8 empty stomach, 3 months avg. What should we do?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, thanks for the query. I have seen the details mentioned. The test results are 3 months old. Even in that tsh is 7.9 mu/l which is high and hemoglobin is 9 g/100 ml also low. The results suggest that she had anemia then and hypothyroidism wa...

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