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Cardiac & Vascular Health
Question #12472
348 days ago
452

What causes high BP?

Aditya

I am tryin to figure out what causes high BP because my blood pressure has been kinda all over the place lately. Just last week, I was feeling super dizzy and ended up checking it—like 160/100! I flipped out! My doctor said it might be related to stress but I don’t know, I mean I have a pretty normal life, or at least I thought I did. I work at a desk all day, which can get pretty boring, but I try to walk during lunch. Then there’s my family history, my dad had high blood pressure and my grandma too but like am I next in line just because of that? Besides stress, I was also wondering if it has anything to do with my eating habits. I’ve been trying to cut down on salt, but my love for takeout is real! Is it also true that lack of sleep can play a part in what causes high BP? I really need some insights here because I don’t want to end up on meds or worse. Would lifestyle changes actually make a difference, like, what should I be focused on more? What causes high BP really — is it just genetics or are there other sneaky things I’m missing? Help!

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Doctors' responses

High blood pressure, or hypertension, can certainly feel like a mystery, especially when it fluctuates. Your inclination that multiple factors might be involved is spot on. Let’s break it down. First off, genetics can indeed play a significant role—if high blood pressure runs in your family, you’re more likely predisposed to it. However, it’s not just all down to genes. Lifestyle factors can have a big impact on blood pressure levels. Stress is one, since it can lead to temporary spikes in blood pressure, and if it’s chronic, it might contribute to longer-term issues. Your desk job and sedentary lifestyle could be other culprits because physical inactivity is a known risk factor too. Regular physical activity can help lower blood pressure and manage stress better, so those lunch walks are a good idea—consider extending them or adding more activity throughout the week. Regarding diet, high salt intake is definitely linked to high blood pressure in some people, so cutting down on salty foods, including takeout, could be beneficial. Look for alternatives and you may see improvement. Sleep is another piece of the puzzle. Poor or insufficient sleep can affect blood pressure over time, so aim for 7-9 hours of quality rest each night. All this said, lifestyle changes can be incredibly powerful in managing blood pressure. Focus on a balanced diet like the DASH diet, increase exercise, manage weight, reduce alcohol, and quit smoking if you’re doing that. Don’t skip regular check-ups with your healthcare provider to keep tabs on your blood pressure and discuss any treatment needed. Lastly, remember that sudden high bp spikes combined with symptoms like dizziness warrant immediate medical attention, as they could signal something more serious.

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