What should I do if my blood pressure remains high and cannot be lowered

Continuous high blood pressure that cannot be lowered may be related to genetics, environment, physiological factors, and pathological conditions, and needs to be controlled through medication, lifestyle adjustments, and professional treatment. Common causes include hypertension, kidney disease, endocrine disorders, etc. Treatment methods include medication, dietary control, exercise intervention, and regular monitoring.

1. Genetic factors: Hypertension has a familial tendency, and people whose parents have hypertension are more likely to experience sustained increases in blood pressure. It is recommended that individuals with a family history regularly monitor their blood pressure to detect and intervene early.

2. environmental factors: Long term exposure to high-pressure work environments, emotional stress, lack of sleep, and other external factors may lead to difficulty in controlling blood pressure. Improving the living environment, reducing psychological stress, and ensuring adequate sleep are important measures.

3. Physiological factors: Age, obesity, lack of exercise, and other self factors can also affect blood pressure. It is recommended to control weight and lower blood pressure through a balanced diet and increased exercise.

4. Pathological status: Diseases such as hypertension, kidney disease, endocrine disorders, etc. may lead to sustained elevation of blood pressure. Specific diseases need to be treated, such as hypertension patients using antihypertensive drugs, kidney disease patients requiring renal function protection therapy, and endocrine disorders patients needing to regulate hormone levels.

5. Medication therapy: Commonly used antihypertensive drugs include calcium channel blockers such as amlodipine, angiotensin-converting enzyme inhibitors such as enalapril, and diuretics such as hydrochlorothiazide. Use under the guidance of a doctor and avoid adjusting the dosage on your own.

6. Dietary control: Low salt diet, reducing high-fat food intake, and increasing potassium and magnesium rich foods such as bananas and spinach can help control blood pressure. It is recommended to consume no more than 5 grams of salt per day.

7. Exercise intervention: Moderate exercise such as brisk walking, swimming, cycling, and other aerobic exercises can help lower blood pressure. Engage in at least 150 minutes of moderate intensity exercise per week and avoid strenuous activities.

8. Regular monitoring: Hypertensive patients need to measure their blood pressure regularly, record changes in blood pressure, and adjust treatment plans in a timely manner. It is recommended to use a home blood pressure monitor and measure it once a day in the morning and once in the evening.

Continuous high blood pressure that cannot be lowered requires a comprehensive approach to control, including medication treatment, lifestyle adjustments, and regular monitoring. It is recommended to develop personalized treatment plans under the guidance of doctors, adhere to long-term management, and avoid the occurrence of complications. At the same time, maintaining good lifestyle habits, such as quitting smoking and limiting alcohol consumption, and reducing psychological pressure, can help stabilize blood pressure control.