Which department should young people with high blood pressure visit?

In general, young people with high blood pressure can visit departments such as cardiology, endocrinology, nephrology, neurology, or general medicine. Different departments focus on different aspects of hypertension diagnosis and treatment, so the appropriate department should be selected based on potential underlying causes in young individuals. Specific details are as follows:

1. Cardiology

Cardiology is the core department for diagnosing and treating hypertension, specializing in identifying essential hypertension and cardiac-related complications. Doctors assess the impact of high blood pressure on the heart through blood pressure monitoring, electrocardiograms (ECG), echocardiography, and other tests. They develop antihypertensive treatment plans and provide guidance on lifestyle modifications to help stabilize blood pressure.

2. Endocrinology

If high blood pressure in young individuals is suspected to be related to endocrine disorders, they should see an endocrinologist. This department can perform hormone level testing and imaging studies to determine whether there are endocrine abnormalities and provide targeted treatment accordingly.

3. Nephrology

Kidney disease is a common cause of secondary hypertension in young people. Nephrologists can use kidney function tests, renal ultrasound, renal artery angiography, and other methods to identify kidney abnormalities. Treating the underlying kidney condition helps control blood pressure and prevents further kidney damage.

4. Neurology

If high blood pressure is accompanied by neurological symptoms such as headache, dizziness, or limb numbness, or if it is suspected to be related to cerebrovascular disease, patients may visit the neurology department. Doctors will evaluate cerebral vascular health using brain CT scans, cerebral vascular ultrasound, and other tests, adjust antihypertensive regimens, and protect cerebrovascular function.

5. General Medicine

If the cause of hypertension has not yet been clearly identified, or if blood pressure is only mildly elevated without significant discomfort, patients may first consult a general medicine physician. General practitioners conduct initial assessments, monitor blood pressure changes, screen for common risk factors, and refer patients to specialists when necessary. They also provide long-term health management guidance.

Routinely monitor blood pressure, keep records of fluctuations, and avoid staying up late, consuming a high-salt diet, or overexertion. Maintain regular physical activity, manage body weight, quit smoking, and limit alcohol intake. Take antihypertensive medications as prescribed—do not adjust dosages or discontinue medication without medical advice. Seek prompt medical attention if significant blood pressure fluctuations, worsening dizziness, or severe headaches occur.