My son is 18 years old and has a high blood pressure of 150 mmHg. What could be the reason?

Apr 17, 2023 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
An 18-year-old son with high blood pressure of 150 mmHg may be due to factors such as unhealthy lifestyle and diet, hyperthyroidism, glomerulonephritis, renal insufficiency, or aortic stenosis. It is recommended to visit a hospital for a thorough evaluation to establish an accurate diagnosis and receive active treatment under medical guidance to stabilize blood pressure. During treatment, ensure adequate rest, avoid strenuous exercise, and maintain a light, healthy diet.

A 150 mmHg high blood pressure in an 18-year-old boy may be caused by unhealthy lifestyle and diet, hyperthyroidism, glomerulonephritis, renal insufficiency, aortic stenosis, or other reasons.

1. Unhealthy Lifestyle and Diet

Regular consumption of high-salt, high-fat foods or prolonged alcohol intake may lead to narrowed blood vessels and reduced vascular elasticity, resulting in elevated blood pressure. It is recommended to develop healthy lifestyle and dietary habits, engage in appropriate physical activity within one's physical limits, and maintain a healthy weight to help stabilize blood pressure within the normal range.

2. Hyperthyroidism

Thyroid hormones can affect heart rate and contractility, as well as blood vessel dilation and constriction. Therefore, patients with hyperthyroidism may experience rapid heartbeat and vasodilation, leading to hypertension. It is recommended to take medications such as methimazole tablets, propylthiouracil tablets, or metoprolol tartrate tablets under medical supervision to relieve symptoms.

3. Glomerulonephritis

This condition may cause sodium and water retention in the body, increasing circulating blood volume and elevating blood pressure. It is recommended to follow medical advice and use immunosuppressive agents for treatment to alleviate symptoms. Commonly used drugs include cyclosporine capsules, tacrolimus capsules, and cyclophosphamide tablets.

4. Renal Insufficiency

In cases of renal insufficiency, the kidneys may fail to effectively excrete excess sodium and water from the body, leading to fluid retention, increased blood volume, and greater cardiac load, thereby causing blood pressure to rise above normal levels. Diuretics such as furosemide tablets, torasemide tablets, or hydrochlorothiazide tablets may be taken under medical guidance to relieve symptoms.

5. Aortic Stenosis

Aortic stenosis may impair blood supply. The areas distal to the narrowing require adequate blood flow, causing compensatory elevation in blood pressure proximal to the stenosis and increased blood volume, resulting in hypertension. Surgical interventions such as percutaneous aortic valvuloplasty or aortic valve replacement may be considered under medical guidance.

It is recommended to seek medical evaluation at a hospital for thorough examination and accurate diagnosis, followed by active treatment under medical supervision to stabilize blood pressure. During treatment, ensure adequate rest, avoid strenuous exercise, and maintain a light, healthy diet.

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