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Hypertension

Asian institute of uro oncology and robotic surgery

Hypertension, commonly known as high blood pressure, is a condition that affects millions of people worldwide. It is often referred to as the "silent killer " because it may not present noticeable symptoms but can lead to serious health problems if left unmanaged.

What is Hypertension ?

Hypertension is a condition where the force of the blood against the walls of your arteries is consistently too high. Blood pressure is measured in millimetres of mercury (mm Hg) and recorded with two numbers: systolic (the pressure when your heart beats) over diastolic (the pressure when your heart rests between beats). A normal blood pressure reading is usually around 120/80 mm Hg.

Factors that increase the risk of developing hypertension

Several factors can increase your risk of developing hypertension, including:

  • Age: Blood pressure tends to rise with age.
  • Family history: Having a family history of high blood pressure can increase your risk.
  • Lifestyle choices: Poor diet, lack of physical activity, excessive alcohol consumption and smoking can contribute to hypertension.
  • Obesity: Being overweight or obese can put additional strain on your heart and increase blood pressure.
  • Chronic conditions: Conditions such as diabetes and kidney disease can increase your risk.
  • Stress: High levels of stress over long periods can contribute to elevated blood pressure.

Management of Hypertension

Managing hypertension involves a combination of lifestyle changes and, if necessary, medication.

Here are some key strategies:

  • Diet: Adopt a heart-healthy diet, such as the DASH (Dietary Approaches to Stop Hypertension) diet. Focus on reducing salt intake and eating more fruits, vegetables, whole grains, and lean proteins.
  • Exercise: Aim for at least 150 minutes of moderate-intensity exercise per week, such as brisk walking or cycling.
  • Weight management: Maintain a healthy weight or work towards weight loss if you are overweight.
  • Limit alcohol and quit smoking: Reduce alcohol consumption and avoid smoking to lower blood pressure.
  • Medication: If lifestyle changes are not enough, your doctor may prescribe medications to help manage your blood pressure. It is important to take these medications as directed.
  • Regular monitoring: Regularly check your blood pressure and have routine check-ups with your healthcare provider to track your progress and adjust treatment if necessary.

What Happens if Hypertension is Not Addressed in Time?

If hypertension is not managed properly, it can lead to serious and potentially life-threatening health issues. Prolonged high blood pressure can damage your arteries, leading to:

  • Heart disease: Increased risk of coronary artery disease, heart attack, and heart failure.
  • Stroke: Higher likelihood of having a stroke due to the damage to blood vessels in the brain.
  • Kidney damage: Potential for chronic kidney disease or kidney failure.
  • Vision loss: Damage to the blood vessels in the eyes can lead to vision problems or blindness.
  • Aneurysms: Increased risk of aneurysms (bulging blood vessels) which can be life-threatening if they rupture.

Hypertension is a common yet serious condition that requires attention and management. By understanding what hypertension is, recognizing the risk factors, you can take control of your health. Regular monitoring and lifestyle changes, along with medical treatment if needed, play a vital role in preventing the severe consequences associated with uncontrolled high blood pressure.

Our Doctors

Dr. K KRANTHI KUMAR_HITEC City, Hyd

Dr. K Kranthi Kumar

MD, DM (Nephro)

Senior Consultant Nephrologist

HITEC City, Hyd

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Dr. B. Vijay Kiran

Dr. B. Vijay Kiran

DM (Nephro), DNB (Nephro)

Senior Consultant Nephrologistt

Siliguri, West Bengal

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Frequently asked questions :

High blood pressure, or hypertension, can damage the blood vessels in your kidneys, reducing their ability to filter waste and excess fluids from the blood. This damage can lead to chronic kidney disease (CKD), where kidneys gradually lose their function, and, over time, can lead to kidney failure if left unchecked. In turn, kidney disease can further raise blood pressure, creating a cycle that’s harmful to both kidney and heart health.

You should consider seeing a nephrologist if your high blood pressure is difficult to control with standard treatments or if you have additional risk factors, such as diabetes, chronic kidney disease, or a family history of kidney issues. A nephrologist specializes in the kidneys and can provide insights or treatments that focus specifically on protecting kidney function while managing your blood pressure.

Untreated high blood pressure can severely damage kidney tissue, leading to scarring and loss of function. Over time, this can cause chronic kidney disease, which may progress to end-stage renal disease requiring dialysis or a kidney transplant. Additionally, high blood pressure can lead to protein leakage in the urine, which is an early indicator of kidney damage.

Nephrologists have specialized knowledge in kidney health and may use a more tailored approach to managing blood pressure, especially if there’s evidence of kidney impairment. They often focus on medications that specifically protect the kidneys, may perform tests to closely monitor kidney function, and provide dietary and lifestyle guidance designed to reduce further strain on the kidneys.

Symptoms of kidney damage often include swelling in the legs, ankles, or feet, fatigue, difficulty concentrating, shortness of breath, and, in some cases, blood or protein in the urine. High blood pressure itself rarely causes symptoms, so regular check-ups are crucial if you’re at risk of kidney issues.

Yes, lifestyle changes can have a significant impact on controlling hypertension. Adopting a balanced diet low in salt, regular exercise, weight management, quitting smoking, and reducing alcohol intake are proven strategies to lower blood pressure. Additionally, managing stress and getting enough sleep play a crucial role. These changes not only help manage hypertension but also benefit overall kidney health.