High Blood Pressure (Hypertension) Treatment in Houston Heights
What Is High Blood Pressure?
A normal blood pressure reading is generally below 120/80 mmHg. When blood pressure consistently measures 130/80 mmHg or higher, it’s considered high. Over time, this increased pressure strains your heart, damages your blood vessels, and raises your risk of heart attack, stroke, kidney disease, and other serious health problems.
Causes and Risk Factors
Some people develop secondary hypertension, which is high blood pressure caused by an underlying condition such as kidney disease, thyroid disorders, sleep apnea, or certain medications. Identifying and treating the underlying cause can help bring blood pressure back to normal.
Age also plays a role. Blood pressure tends to rise as we get older, making regular monitoring increasingly important over time.
Symptoms of High Blood Pressure
In rare cases of severely elevated blood pressure, some people may experience headaches, shortness of breath, nosebleeds, dizziness, or chest pain. However, these symptoms typically don’t appear until blood pressure has reached a life-threatening level.
How We Treat High Blood Pressure
Lifestyle Modifications
Medication Management
Ongoing Monitoring
When to See a Doctor
If you’ve already been diagnosed with hypertension, regular follow-up care is essential to ensure your treatment is working and to catch any changes early.
Related Conditions We Treat
How to lower diastolic blood pressure
Diastolic pressure is the bottom number. It is the pressure in your arteries while your heart rests between beats. If yours is 80 or above and your top number is normal, the things that bring it down are the same ones that bring down blood pressure generally, and they work best together rather than one at a time.
- Cut back on salt. Most of it is not from the salt shaker. It is in bread, deli meat, canned soup, sauces and anything from a restaurant kitchen. Reading labels for a week tells you more than guessing.
- Move most days. Thirty minutes of walking, five days a week, lowers blood pressure on its own. It does not have to be the gym.
- Lose some weight if you carry extra. Even a modest loss moves the number.
- Watch alcohol. Drinking above the recommended limits raises blood pressure, and cutting back shows up in your readings within weeks.
- Sleep. Untreated sleep apnea is a common and often missed cause of a diastolic number that will not come down.
- Check your other medications. Some decongestants, NSAIDs, steroids and birth control pills push blood pressure up. Bring your full list to your visit.
If your number stays high after a few months of this, that is not a failure. It usually means medication is the right next step, and for most people it is one low-dose tablet.
Is 130 blood pressure high?
Yes. Under the American Heart Association categories, a reading of 130 over 80 is stage 1 hypertension. Here is the full scale:
| Category | Systolic (top) | Diastolic (bottom) |
|---|---|---|
| Normal | Under 120 | and under 80 |
| Elevated | 120 to 129 | and under 80 |
| Stage 1 hypertension | 130 to 139 | or 80 to 89 |
| Stage 2 hypertension | 140 or higher | or 90 or higher |
| Hypertensive crisis | Over 180 | and/or over 120 |
Either number can put you in a category on its own. A reading of 118 over 84 is still stage 1, even though the top number looks fine. Categories are from the American Heart Association.
A reading over 180 over 120 needs attention now. Wait five minutes and take it again. If it is still that high, call your doctor. If you also have chest pain, shortness of breath, weakness, trouble speaking or changes in vision, call 911. Do not wait for an appointment.
One high reading is not a diagnosis
Blood pressure moves through the day, and it goes up in a doctor’s office for plenty of people who are fine at home. A diagnosis comes from readings taken on more than one occasion, which is why we ask patients to bring a week of home readings rather than treating a single number.
Get your blood pressure looked at properly
We see adults for blood pressure at 3822 N Shepherd Dr in Houston Heights, Monday to Friday 9 AM to 5 PM. A visit covers your readings, lab work to check what else is going on, a medication review and a plan. Most major insurance is accepted.
