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How to Prevent High Blood Pressure

Around half of American adults have high blood pressure (hypertension). Many of those people don't know they have it because there are usually no warning signs. This can be dangerous, because high blood pressure can lead to life-threatening conditions like heart attack or stroke. The good news is that you can often prevent or treat high blood pressure. Early diagnosis and heart-healthy lifestyle changes can keep high blood pressure from seriously damaging your health.

What is blood pressure?

Each time your heart beats, it pumps blood into your arteries (the blood vessels that carry blood from your heart to the tissues and organs in your body). Blood pressure is the force of your blood pushing against the walls of your arteries. Blood pressure is measured as two numbers:

  • Systolic pressure (the first and higher number) measures pressure inside your arteries when your heart beats
  • Diastolic pressure (the second and lower number) measures the pressure inside your arteries when your heart rests between beats

As an example, a blood pressure reading of 120/80 means a systolic of 120 and a diastolic of 80.

How is high blood pressure diagnosed?

High blood pressure usually has no symptoms. So the only way to find out if you have it is to get regular blood pressure checks from your health care provider. Your provider will use a gauge, a stethoscope or electronic sensor, and a blood pressure cuff. They will take two or more readings at separate appointments before making a diagnosis:

Blood Pressure CategorySystolic Blood PressureDiastolic Blood PressureNormalLess than 120andLess than 80Elevated120 - 129andLess than 80High Blood Pressure Stage 1130 - 139or80 - 89High Blood Pressure Stage 2140 or higheror90 or higherHypertensive Crisis (dangerously high blood pressure - seek medical care right away)Higher than 180andHigher than 120

For children and teens, the provider compares the blood pressure reading to what is normal for other kids who are the same age, height, and sex.

Who is more likely to develop high blood pressure?

Anyone can develop high blood pressure, but there are certain factors that can increase your risk:

  • Age. Blood pressure tends to rise with age.
  • Race/Ethnicity. High blood pressure is more common in Black adults. They also tend to have higher average blood pressure numbers and get high blood pressure earlier in life.
  • Sex. Men are more likely than women to develop high blood pressure throughout middle age. But in older adults, women are more likely than men to develop high blood pressure.
  • Lifestyle. Certain lifestyle habits can raise your risk for high blood pressure, such as eating too much sodium (salt) or not enough potassium, lack of exercise, drinking too much alcohol, and smoking.
  • Family history and genetics. High blood pressure often runs in families. Many genes are linked to small increases in high blood pressure risk.
  • Social and economic factors:
    • Research shows that factors such as income, education level, where you live, and the type of job you have may raise your risk of high blood pressure. For example, working early or late shifts can raise your risk.
    • Experiencing discrimination and poverty has been linked to high blood pressure. Also, some research has shown that trauma in childhood may raise the risk of high blood pressure.
  • Certain medicines. Some medicines can raise your blood pressure, including:
    • Certain antidepressants
    • Decongestants (medicines to relieve a stuffy nose)
    • Hormonal birth control pills
    • Non-steroidal anti-inflammatory drugs (NSAIDs), which are a type of pain reliever
  • Having certain other medical conditions, such as:
    • Some tumors
    • Chronic kidney disease
    • Diabetes
    • Metabolic syndrome
    • Overweight and obesity
    • Sleep apnea
    • Thyroid problems
How can I prevent high blood pressure?

You can help prevent high blood pressure by having a healthy lifestyle. This means:

  • Eating a healthy diet. To help manage your blood pressure, you should limit the amount of sodium (salt) that you eat and increase the amount of potassium in your diet. It is also important to eat foods that are lower in fat, as well as plenty of fruits, vegetables, and whole grains. The DASH eating plan is an example of an eating plan that can help you to lower your blood pressure.
  • Getting regular physical activity. Regular physical activity can help you maintain a healthy weight and lower your blood pressure.
  • Being at a healthy weight. Being overweight or having obesity increases your risk for high blood pressure. Maintaining a healthy weight can help you control high blood pressure and reduce your risk for other health problems.
  • Limiting alcohol. Drinking too much alcohol can raise your blood pressure. It also adds extra calories, which may cause weight gain.
  • Not smoking. Cigarette smoking raises your blood pressure and puts you at higher risk for heart attack and stroke. If you do not smoke, don't start. If you do smoke, talk to yourprovider for help in finding the best way for you to quit.
  • Managing stress. Learning how to relax and manage stress can improve your emotional and physical health and lower high blood pressure. Stress management techniques include exercising, listening to music, focusing on something calm or peaceful, and meditating.
  • Getting enough high-quality sleep.

If you already have high blood pressure, it is important to prevent it from getting worse or causing complications. You need to get regular medical care and follow your treatment plan. Your plan will include healthy lifestyle habit recommendations and possibly medicines.

NIH: National Heart, Lung, and Blood Institute

Intestinal Obstruction

An intestinal obstruction occurs when food or stool cannot move through the intestines. The obstruction can be complete or partial. There are many causes. The most common are adhesions, hernias, cancers, and certain medicines.

Symptoms include:

  • Severe abdominal pain or cramping
  • Vomiting
  • Bloating
  • Loud bowel sounds
  • Swelling of the abdomen
  • Inability to pass gas
  • Constipation

A complete intestinal obstruction is a medical emergency. It often requires surgery.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

Ischemic Stroke

What is an ischemic stroke?

A stroke happens when there is a loss of blood flow to part of the brain. Your brain cells cannot get the oxygen and nutrients they need from blood, and they start to die within a few minutes. This can cause lasting brain damage, long-term disability, or even death.

There are two main types of strokes, ischemic and hemorrhagic. Ischemic stroke is the more common type. An ischemic stroke happens when a blood clot blocks a blood vessel in the brain. Quick treatment can save a life and improve the chances of recovery.

What causes an ischemic stroke?

Ischemic strokes are usually caused by one or more of the following:

  • A blood clot. A clot can form in an artery that supplies the brain (thrombosis), or it can travel from another part of the body (embolism).
  • Atherosclerosis. A disease in which plaque, a sticky substance made up of cholesterol, fat, and other substances, builds up inside your arteries.
  • Irregular heart rhythms. Conditions like atrial fibrillation can cause clots to form in the heart, which may travel to the brain.
  • Other heart and blood conditions. Such as heart valve diseases or sickle cell disease.

A transient ischemic attack (TIA) is caused by a brief blockage of blood flow to the brain. It usually lasts a few minutes. Having a TIA can mean you are at risk for having a more serious stroke.

What are the symptoms of ischemic stroke?

Symptoms of stroke often happen suddenly. They include:

  • Sudden numbness or weakness of the face, arm or leg (especially on one side of the body)
  • Sudden confusion, trouble speaking or understanding speech
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, loss of balance or coordination
  • Sudden severe headache with no known cause

If you think someone is having a stroke, the F.A.S.T. test can help you remember what to look for. Think "FAST" and look for:

  • Face drooping on one side when smiling.
  • Arm weakness that occurs when the arms are raised, and one arm drifts downward.
  • Speech is slurred or strange.
  • Time to call 911.
How is an ischemic stroke diagnosed?

To make a diagnosis, your health care provider may do a physical exam, ask about your symptoms and medical history, and use imaging tests. Other heart tests may be done to help find the cause of the stroke.

How is an ischemic stroke treated?

It is important to treat strokes as quickly as possible. The most common treatments include:

  • Medicines such as blood thinners or thrombolytics (which break up and dissolve existing clots) may be used to prevent or treat ischemic stroke.
  • Surgery or stenting may be used to open narrowed arteries or remove plaque build-up from the carotid arteries, which supply blood to the brain.

After treatment, rehabilitation can help you regain lost skills and independence. Your provider may also order other medicines to manage your blood pressure,cholesterol, or other health problems such as diabetes that may increase your risk for stroke.

Can an ischemic stroke be prevented?

The best way to prevent stroke is by making heart-healthy lifestyle changes to lower your risk. If lifestyle changes aren't enough, your provider may prescribe medicine to help manage your risk factors.

NIH: National Institute of Neurological Disorders and Stroke

Itching

What is itching?

Itching is an irritating sensation that makes you want to scratch your skin. Sometimes it can feel like pain, but it is different. Often, you feel itchy in one area in your body, but sometimes you may feel itching all over. Along with the itching, you may also have a rash or hives.

What causes itching?

Itching is a symptom of many health conditions. Some common causes are:

  • Allergic reactions to food, insect bites, pollen, and medicines
  • Skin conditions such as eczema, psoriasis, and dry skin
  • Irritating chemicals, cosmetics, and other substances
  • Parasites such as pinworms, scabies, head and body lice
  • Pregnancy
  • Liver, kidney, or thyroid diseases
  • Certain cancers or cancer treatments
  • Diseases that can affect the nervous system, such as diabetes and shingles
What are the treatments for itching?

Most itching is not serious. To feel better, you could try:

  • Applying cold compresses
  • Using moisturizing lotions
  • Taking lukewarm or oatmeal baths
  • Using over-the-counter hydrocortisone cream or antihistamines
  • Avoiding scratching, wearing irritating fabrics, and exposure to high heat and humidity

Contact your health care provider if your itching is severe, does not go away after a few weeks, or does not have an apparent cause. You may need other treatments, such as medicines or light therapy. If you have an underlying disease that is causing the itching, treating that disease may help.

Jaundice

Jaundice causes your skin and the whites of your eyes to turn yellow. Too much bilirubin causes jaundice. Bilirubin is a yellow chemical in hemoglobin, the substance that carries oxygen in your red blood cells. As red blood cells break down, your body builds new cells to replace them. The old ones are processed by the liver. If the liver cannot handle the blood cells as they break down, bilirubin builds up in the body and your skin may look yellow.

Many healthy babies have some jaundice during the first week of life. It usually goes away. However, jaundice can happen at any age and may be a sign of a problem. Jaundice can happen for many reasons, such as:

  • Blood diseases
  • Genetic syndromes
  • Liver diseases, such as hepatitis or cirrhosis
  • Blockage of bile ducts
  • Infections
  • Medicines

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