What should I do if my blood pressure is always high and can't be lowered

The inability to lower high blood pressure may be related to genetics, environmental factors, physiological status, medication effects, and lifestyle habits. In response to this situation, blood pressure can be effectively controlled by adjusting diet, regular exercise, medication treatment, and improving lifestyle.

1. Genetic factors play an important role in the onset of hypertension. If there is a history of hypertension in the family, the individual's risk of developing the disease will significantly increase. Hereditary hypertension usually requires long-term management, and it is recommended to regularly monitor blood pressure and undergo medication intervention under the guidance of a doctor. Common antihypertensive drugs include calcium channel blockers such as amlodipine, angiotensin-converting enzyme inhibitors such as enalapril, and diuretics such as hydrochlorothiazide.

2. Environmental factors such as long-term high-pressure work, noise pollution, air pollution, etc. can also lead to elevated blood pressure. Improving the living environment and reducing sources of stress are important measures for controlling blood pressure. Relaxation techniques such as meditation and deep breathing can be used to relieve stress, while keeping indoor air fresh and avoiding prolonged exposure to noisy environments. 3. Physiological factors such as obesity, lack of exercise, and insufficient sleep can also affect blood pressure levels. Overweight can increase the burden on the heart and lead to elevated blood pressure. It is recommended to control weight through a healthy diet and moderate exercise. In terms of diet, reduce salt intake and eat more potassium rich foods such as bananas, spinach, etc. In terms of exercise, engage in at least 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking, swimming, or cycling.

4. Drug effects are also one of the reasons why blood pressure is difficult to control. Certain medications such as nonsteroidal anti-inflammatory drugs and steroid drugs may increase blood pressure. If there is suspicion of drug effects, it is necessary to communicate with a doctor in a timely manner and adjust the medication plan.

5. Lifestyle habits such as smoking, drinking, staying up late, etc. can have adverse effects on blood pressure. Smoking cessation, alcohol restriction, and maintaining a regular sleep schedule are important measures for controlling blood pressure. Smoking can cause vasoconstriction and increase blood pressure; Excessive drinking can also cause blood pressure fluctuations. It is recommended to quit smoking and limit alcohol intake to no more than 1-2 cups per day.

If blood pressure cannot be lowered due to high blood pressure, comprehensive management is needed. By adjusting diet, regular exercise, medication treatment, and improving lifestyle, blood pressure can be effectively controlled. It is recommended to regularly monitor blood pressure and develop personalized treatment plans under the guidance of a doctor. For refractory hypertension, it may be necessary to combine multiple medications or further examinations to rule out the cause of secondary hypertension. Maintaining healthy lifestyle habits and a positive attitude are key to long-term blood pressure control.