High blood pressure and thinness may be caused by various factors such as genetics, unhealthy lifestyle habits, chronic diseases, etc. It needs to be improved through adjusting diet, strengthening exercise, medication treatment, and other means.
1. Genetic factors. People with a history of hypertension in their family, even if they are underweight, may experience elevated blood pressure due to genetic predisposition. It is recommended that this group of people regularly monitor their blood pressure, detect abnormalities early, and intervene in a timely manner.

2. Bad lifestyle habits. Long term high salt diet, lack of exercise, irregular sleep patterns and other lifestyle habits may lead to elevated blood pressure. A high salt diet can increase the concentration of sodium ions in the body, leading to an increase in blood volume and ultimately hypertension. It is recommended to control the daily salt intake to below 5 grams and increase the intake of foods rich in potassium, magnesium, and calcium, such as bananas, spinach, milk, etc. Engage in at least 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking, swimming, and cycling.
3. Chronic diseases. Chronic diseases such as hyperthyroidism, kidney disease, diabetes, etc. may lead to elevated blood pressure. Hyperthyroidism accelerates metabolism, increases the burden on the heart, and leads to elevated blood pressure. Kidney disease can affect water and sodium metabolism, leading to elevated blood pressure. Diabetes patients are often accompanied by insulin resistance, which may lead to hypertension. It is recommended to treat primary diseases, such as hyperthyroidism patients can use methimazole, propylthiouracil and other drugs, kidney disease patients can use ACEI antihypertensive drugs, and diabetes patients need to control blood sugar levels.

4. Mental stress. Long term exposure to high pressure may lead to sympathetic nervous system excitation, vasoconstriction, and elevated blood pressure. It is recommended to relieve stress through meditation, yoga, deep breathing, and other methods to ensure adequate sleep, with a minimum of 7 hours of sleep per day.
5. Drug effects. Certain medications such as hormone drugs, birth control pills, nonsteroidal anti-inflammatory drugs, etc. may cause an increase in blood pressure. It is recommended to adjust the medication plan under the guidance of a doctor and replace the medication if necessary. Patients with high blood pressure and thinness should regularly monitor their blood pressure to understand the trend of their own blood pressure changes. It is recommended to measure blood pressure at a fixed time every day and record the measurement results. For patients with persistent hypertension, it is recommended to seek medical attention promptly and develop personalized treatment plans under the guidance of a doctor. The treatment plan may include lifestyle adjustments, medication therapy, etc. Common antihypertensive drugs include ACEI, ARB, calcium channel blockers, diuretics, etc. The specific medication should be selected according to the patient's condition. Thin body and high blood pressure are not uncommon phenomena, and their occurrence is related to multiple factors. By adjusting diet, strengthening exercise, relieving stress, and treating primary diseases, blood pressure can be effectively controlled. At the same time, regular monitoring of blood pressure and following medical advice on medication are also important measures to control blood pressure. For patients with high blood pressure and thinness, attention should be paid to blood pressure management to prevent the occurrence of cardiovascular complications.

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