Dr. Anil Sharma

Hypertension

Hypertension, commonly known as high blood pressure, is a medical condition in which the force of blood against the walls of the arteries is consistently too high. This can lead to serious health problems if left untreated, including an increased risk of heart disease, stroke, kidney damage, and other complications.

The exact cause of hypertension is often not clear, but there are several factors that can contribute to its development.

Some of the main causes and risk factors include:

Genetics:

A family history of hypertension can increase your risk of developing the condition. Certain genetic factors can make you more susceptible to high blood pressure.

Lifestyle Factors:

Unhealthy lifestyle habits can play a significant role in the development of hypertension.

These factors include:

Poor Diet: A diet high in salt, saturated fats, and cholesterol can contribute to high blood pressure. Excessive sodium intake can lead to water retention and increased blood pressure.

Lack of Physical Activity: Physical inactivity can lead to weight gain and other health problems that contribute to hypertension.

Obesity: Being overweight or obese increases the risk of hypertension. Excess body weight puts additional strain on the heart and blood vessels.

Smoking: Tobacco use can damage blood vessels and narrow arteries, leading to an increase in blood pressure.

Excessive Alcohol Consumption: Drinking too much alcohol can raise blood pressure and damage the heart.

Age: Blood pressure tends to increase with age. This is partly due to the natural stiffening of arteries over time.

Gender:

Men are generally at a higher risk of developing hypertension than premenopausal women. However, after menopause, women's risk of hypertension increases and becomes similar to that of men.

Ethnicity:

Certain ethnic groups, such as African Americans, are more prone to hypertension than others.

Chronic Kidney Disease:

Conditions that affect the kidneys, such as chronic kidney disease, can disrupt the body's fluid balance and lead to hypertension.

Hormonal Factors:

Hormonal imbalances, such as high levels of stress hormones (e.g., cortisol) or hormonal disorders, can contribute to high blood pressure.

Chronic Conditions:

Certain chronic conditions, such as diabetes and sleep apnea, are associated with an increased risk of hypertension.

Medications:

Certain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), decongestants, and birth control pills, can raise blood pressure in some individuals.

* It's important to note that hypertension is often referred to as the "silent killer" because it may not present noticeable symptoms in its early stages. Regular blood pressure monitoring and adopting a healthy lifestyle are crucial for preventing and managing hypertension. If you are concerned about hypertension or have a family history of the condition, it's advisable to consult a healthcare professional for guidance and regular check-ups.

 

Diagnosing hypertension (high blood pressure) involves measuring your blood pressure to determine if it is consistently elevated. Blood pressure is typically measured using two numbers: systolic pressure (the top number) and diastolic pressure (the bottom number). The unit of measurement is millimeters of mercury (mm Hg). The two numbers represent the pressure in your arteries during two different phases of your heartbeat: systole (when the heart contracts) and diastole (when the heart rests between beats).

The diagnostic criteria for hypertension are as follows:

Normal Blood Pressure:

Systolic < 120 mm Hg and Diastolic < 80 mm Hg

Elevated Blood Pressure:

Systolic 120-129 mm Hg and Diastolic < 80 mm Hg

Hypertension Stage 1:

Systolic 130-139 mm Hg or Diastolic 80-89 mm Hg

Hypertension Stage 2:

Systolic ≥ Hg140 mm Hg or Diastolic ≥ 90 mm

If your blood pressure readings consistently fall into the elevated or hypertension stages, your healthcare provider will likely take several steps to diagnose and manage your condition:

Blood Pressure Measurement:

Your healthcare provider will measure your blood pressure using a sphygmomanometer (blood pressure cuff) and a stethoscope, or an automated blood pressure monitor. Blood pressure should be measured on multiple occasions to confirm the diagnosis. Your doctor may ask you to monitor your blood pressure at home as well.

Medical History and Physical Examination:

Your doctor will take your medical history, including information about your lifestyle, family history, and any existing medical conditions. They will also perform a physical examination to assess your overall health.

Additional Tests:

Depending on your specific situation, your doctor may recommend further tests to evaluate the impact of hypertension on your health and to identify any underlying causes or related conditions. These tests may include blood tests, urine tests, an electrocardiogram (ECG or EKG), echocardiogram, and other cardiac assessments.

Target Organ Damage Evaluation:

Hypertension can lead to damage in various organs such as the heart, kidneys, and blood vessels. Your doctor may assess for signs of organ damage and recommend appropriate tests.

Risk Assessment:

Your doctor will evaluate your overall cardiovascular risk based on factors such as age, sex, blood pressure readings, cholesterol levels, and other health conditions. This helps determine the appropriate treatment approach.

If diagnosed with hypertension, your doctor will work with you to develop a comprehensive treatment plan that may include lifestyle modifications (such as dietary changes, increased physical activity, weight management, and stress reduction) and, if necessary, medications to lower your blood pressure and reduce your risk of complications.

Regular follow-up visits with your healthcare provider are important to monitor your blood pressure and adjust your treatment plan as needed. Remember that managing hypertension is essential for maintaining your overall health and preventing complications.

It's important to note that while some of the symptoms you've listed can be associated with hypertension, they are not exclusive to hypertension and can also be caused by various other factors. If you or someone you know is experiencing these symptoms, it's advisable to consult a healthcare professional for proper evaluation and diagnosis.

Here's some information on the potential association between these symptoms and hypertension:

Sleep Disorder:

Hypertension can sometimes be associated with sleep disturbances, such as insomnia or sleep apnea. Sleep apnea, in particular, has been linked to hypertension and other cardiovascular issues.

Reduced Concentration and Memory:

Hypertension may affect blood flow to the brain, potentially leading to cognitive changes, including reduced concentration and memory difficulties.

Body Pain:

While hypertension itself may not directly cause body pain, it can contribute to conditions like atherosclerosis, which might lead to reduced blood flow to muscles and tissues, potentially causing pain.

Small Joints Pain including Knee Pain:

Joint pain is not a typical symptom of hypertension. However, hypertension-related conditions like gout (high uric acid levels) could lead to joint pain.

Blurred Vision:

Hypertension can impact the blood vessels in the eyes, leading to retinopathy. This can potentially cause blurred vision or other vision problems.

Neck Pain:

Hypertension could contribute to muscle tension and potentially neck discomfort, but neck pain can have various other causes as well.

Headache:

Hypertension-related headaches are typically described as pulsating and often worse in the morning. However, headaches have numerous potential causes.

Mood Swing, Irritability, Aggression:

Hypertension might indirectly affect mood due to its impact on blood flow to the brain. However, mood swings, irritability, and aggression can also be influenced by various other factors.

Abdomen Fullness:

Hypertension itself is not typically associated with abdomen fullness. However, high blood pressure can contribute to the development of conditions like abdominal aortic aneurysm, which might lead to discomfort.

Lower Back Ache:

Lower back pain is not a direct symptom of hypertension. However, chronic high blood pressure can contribute to kidney damage, and kidney problems can sometimes cause lower back pain.

*Remember that each individual is unique, and symptoms can vary widely. If you're experiencing any of these symptoms, especially if they are persistent or worsening, it's essential to seek medical attention. A healthcare professional can perform a thorough evaluation, order appropriate tests, and provide guidance on the best course of action based on your specific situation.

Diagnosing hypertension (high blood pressure) involves measuring your blood pressure to determine if it is consistently elevated. Blood pressure is typically measured using two numbers: systolic pressure (the top number) and diastolic pressure (the bottom number). The unit of measurement is millimeters of mercury (mm Hg). The two numbers represent the pressure in your arteries during two different phases of your heartbeat: systole (when the heart contracts) and diastole (when the heart rests between beats).

The diagnostic criteria for hypertension are as follows:

Normal Blood Pressure:

Systolic < 120 mm Hg and Diastolic < 80 mm Hg

Elevated Blood Pressure:

Systolic 120-129 mm Hg and Diastolic < 80 mm Hg

Hypertension Stage 1:

Systolic 130-139 mm Hg or Diastolic 80-89 mm Hg

Hypertension Stage 2:

Systolic ≥ 140 mm Hg or Diastolic ≥ 90 mm Hg

If your blood pressure readings consistently fall into the elevated or hypertension stages, your healthcare provider will likely take several steps to diagnose and manage your condition:

Blood Pressure Measurement:

Your healthcare provider will measure your blood pressure using a sphygmomanometer (blood pressure cuff) and a stethoscope, or an automated blood pressure monitor. Blood pressure should be measured on multiple occasions to confirm the diagnosis. Your doctor may ask you to monitor your blood pressure at home as well.

Medical History and Physical Examination:

Your doctor will take your medical history, including information about your lifestyle, family history, and any existing medical conditions. They will also perform a physical examination to assess your overall health.

Additional Tests:

Depending on your specific situation, your doctor may recommend further tests to evaluate the impact of hypertension on your health and to identify any underlying causes or related conditions. These tests may include blood tests, urine tests, an electrocardiogram (ECG or EKG), echocardiogram, and other cardiac assessments

Target Organ Damage Evaluation:

Hypertension can lead to damage in various organs such as the heart, kidneys, and blood vessels. Your doctor may assess for signs of organ damage and recommend appropriate tests.

Risk Assessment:

Your doctor will evaluate your overall cardiovascular risk based on factors such as age, sex, blood pressure readings, cholesterol levels, and other health conditions. This helps determine the appropriate treatment approach.

 

If diagnosed with hypertension, your doctor will work with you to develop a comprehensive treatment plan that may include lifestyle modifications (such as dietary changes, increased physical activity, weight management, and stress reduction) and, if necessary, medications to lower your blood pressure and reduce your risk of complications.

Regular follow-up visits with your healthcare provider are important to monitor your blood pressure and adjust your treatment plan as needed. Remember that managing hypertension is essential for maintaining your overall health and preventing complications.

Hypertension (High Blood Pressure):

Hypertension is not typically considered a metabolic disorder. It is a condition characterized by persistently elevated blood pressure in the arteries. While it can be influenced by various factors, including age, genetics, lifestyle, and certain health conditions, it is primarily a cardiovascular issue rather than a metabolic disorder.

Nitric Oxide (Not Nitrous Oxide):

Nitric oxide (NO) is a signaling molecule that plays a crucial role in the relaxation of blood vessels' smooth muscles. It helps regulate blood vessel tone and blood flow. Nitrous oxide, on the other hand, is a different compound, commonly known as laughing gas and is used for anesthesia.

Age and Blood Vessels:

With aging, blood vessels can undergo changes that affect their elasticity and responsiveness. However, the relationship between aging and hypertension is complex, involving factors such as oxidative stress, inflammation, and changes in hormonal balance.

Nitric Oxide and Blood Vessels:

Nitric oxide is produced by the endothelial cells lining the blood vessels. It helps dilate blood vessels, promoting proper blood flow and reducing blood pressure. In conditions like hypertension, there can be decreased nitric oxide production or impaired endothelial function, leading to vasoconstriction and elevated blood pressure.

Smooth Muscle Relaxation:

Nitric oxide acts on the smooth muscle cells in blood vessel walls, causing them to relax. This relaxation contributes to vasodilation and helps maintain healthy blood pressure levels.

 

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