Hypertension

Blood pressure is the force the heart uses to distribute blood throughout the body. The force created when the heart contracts is called high blood pressure, and the tension created by the vessels after the contraction is called diastolic pressure. Normal blood pressure is large 120 small 80 mmHg and below. 140/90 and above is defined as hypertension. From time to time, everyone’s blood pressure can rise due to stress, sadness, fatigue, this is temporary high blood pressure, it should not be confused with hypertension. The prevalence of hypertension over the age of 50 is 20%. If left untreated, it can cause heart attack, stroke, kidney failure, and vascular ruptures, which can be fatal. 90% of blood pressure patients are of the type we call essential HT, requiring continuous multifactorial treatment.

Diagnosis can sometimes be difficult, as high blood pressure is not always symptomatic. Headache in the form of fullness in the neck, a feeling of pressure in the ears, humming, nausea, nosebleeds may sometimes be the first finding. It is often discovered incidentally in blood pressure measurements. For this reason, I recommend that people who are over 40 years old, obese, have diabetes, night snoring, and have a family history of hypertension should have their blood pressure measured frequently. There are people who have high blood pressure but actually have normal blood pressure. This type of blood pressure is called white coat hypertension and is not treated, but should be followed closely because these people are candidates for hypertension in the future.

Since hypertension is a chronic disease and lifelong medication is required, people do not easily accept that they have HT. He begins to think the diagnosis is wrong. For this reason, we search for objective medical evidence in patients who come to our clinic with the complaint of hypertension. A high blood pressure response in the exercise test we do for control or a thickening of the heart muscles during the ultrasound examination of the heart, which we call echocardiography, may sometimes be the only finding. Again, as a result of the fundus examination performed by ophthalmologists, findings of hypertension in the eye vessels can be detected.

One of the easiest ways to make a definitive diagnosis of hypertension is blood pressure holter. A blood pressure holter is actually a blood pressure device that stays on the patient’s arm for 24 hours. This device automatically measures and records blood pressure at regular intervals, even during sleep at night. Findings are analyzed and reported on the computer, making it easier to diagnose and evaluate whether the drugs given are effective.

When it comes to the treatment of hypertension, the most important issue here is the rule that there is no disease, there is a patient. A disease such as HT manifests differently in each patient, and its treatment is also different and specific. Therefore, please do not try to take your neighbor’s or even your spouse’s medication without consulting a doctor. Some medications can have serious side effects. When it comes to hypertension treatment, the first thing that comes to mind should not be drug treatment. Depending on the severity of your condition, many treatment alternatives are offered to you, from diet to the simultaneous use of several different drugs.

Speaking of non-drug treatment of HT, reducing salt consumption is undoubtedly the foremost. The habit of pouring salt without looking at the salt of the food should be abandoned and even salt shakers should not be brought to the table. When preparing dishes, fresh herbs, spices, lemon, bitter can be used instead of salt to increase their taste. Sausage, pastrami, salami, smoked or salted meats, salty hard cheeses, chips, olives, pickles, instant soups, meat-chicken broth tablets are examples of salty foods we frequently encounter.
In the past, dietary salts contained half of normal salt. Today, however, there are dietary salts that contain no sodium at all. You can use them by adding as much as you want to the dishes you cook without salt. Include calcium-rich milk and dairy products in your diet. It is as important as using drugs to stay away from sugary carbonated artificial flavored drinks, sweets and pastries. Every extra 10 kilos will cause your blood pressure to rise by 1 unit, and if you lose weight, you may not even need to use blood pressure medication. Be sure to drink up to 2 liters of fluid per day.
I also strongly recommend exercise in the treatment of hypertension. What is meant by exercise should not be perceived as being a member of a gym and going on the band every day, cycling, or lifting weights. Of course, it is also healthy, if you can do it and go regularly, it will definitely be beneficial. But simply what is always recommended is to take a walk. However, it may not be possible to walk every day, but the thing to remember is 2.5 hours of total movement per week.

If your blood pressure has not decreased despite all this, your doctor may give you one or more medications. Do not be afraid of using drugs, on the contrary, be afraid of complications that may arise when you do not use drugs. I will also have some advice on drug use. Medicines should be taken on an empty stomach whenever possible. There are times when some drugs are more effective, for example, some are not effective at night. Find out by asking your doctor about this. Alcohol should not be taken with drugs, painkillers should not be used frequently. Medicines should be stored in a cool and shaded place without removing them from their packaging. Outdated ones should never be used. Do not use other people’s medicines and do not let anyone drink your medicines. Stopping medications or trying to reduce their dose without consulting a doctor can do you serious harm.

Even if you have no complaints, record yourself by measuring your blood pressure 2-3 times a week, but do not exaggerate this and wander around with a blood pressure monitor during the day and worry about your blood pressure. This in itself is stressful and can unnecessarily raise your blood pressure. Of course, it would be good to go for a check-up with your doctor who follows you once a year.
I wish you a good day and hope you stay well.

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