Understanding Hypertension: Causes, Symptoms, and Treatment Options
Home >Blogs >Understanding Hypertension: Causes, Symptoms, and Treatment Options

Understanding Hypertension: Causes, Symptoms, and Treatment Options

Cardiology | by Dr. Suman Halder on 28/08/2025

Summary

  • Around 1 in 3 Indian adults has high blood pressure
  • National health data shows that about 22 out of 100 adults in India are living with hypertension.
  • High blood pressure is more common in cities than in villages.
  • Many people do not even know they have hypertension until a routine check-up.
  • People with diabetes are more likely to also have high blood pressure.

Have you ever been told during a routine health check that your blood pressure is a little high? If yes, you are not alone.

Millions of people in India face the same issue, often without knowing it. Hypertension, also called high blood pressure, is sometimes called the “silent killer” because it usually shows no symptoms but can lead to serious health problems if ignored.

The good news is that hypertension can be managed with awareness, lifestyle changes, and the right treatment. In this blog, we will simplify everything you need to know about hypertension—its causes, symptoms, and treatment options—so you can take better care of your health.

What is Hypertension?

Hypertension, or high blood pressure, happens when the force of blood pushing against the walls of your arteries is too high. Your blood pressure is measured using two numbers:

  • The first number (systolic) shows the pressure when your heart beats.
  • The second number (diastolic) shows the pressure when your heart rests between beats.

A normal reading is usually below 120/80 mm Hg. Anything higher, over time, may be diagnosed as hypertension.

When left untreated, high blood pressure can damage your heart, kidneys, eyes, and even your brain. It increases your risk of heart attacksstrokes, and other life-threatening problems. That is why regular check-ups are important. Even if you feel healthy, you should check your blood pressure often.

Common Causes of Hypertension

Hypertension does not have just one cause. It usually develops slowly over many years. Let us look at some of the most common causes behind this health issue.

  • Eating too much salt, being overweight, drinking alcohol, and smoking can lead to hypertension.
  • Lack of physical activity or sitting for long hours increases the risk of high blood pressure.
  • High stress and anxiety levels may also contribute to hypertension.
  • If your parents have hypertension, your chances of developing it may be higher.

Health conditions such as kidney disease, diabetes, and thyroid problems can also raise blood pressure.

Types of Hypertension

  • Primary (essential) hypertension: The most common type. It develops gradually with age and lifestyle factors.
  • Secondary hypertension: Caused by another health problem, such as kidney disease, hormonal imbalance, or certain medicines.
  • Accelerated hypertension: A sudden rise in blood pressure, often leading to organ damage, and needing urgent care.
  • Gestational hypertension: High blood pressure that develops during pregnancy.
  • Resistant hypertension: When blood pressure remains high even after using several types of medications.
  • Systemic hypertension: A term used when high blood pressure affects the entire circulatory system.

Symptoms of Hypertension and When to Seek Help

Most people with high blood pressure do not notice any symptoms. That is why it is called the “silent killer.” In some cases, people may experience:

  • Headaches
  • Nosebleeds
  • Shortness of breath
  • Blurred vision
  • Dizziness

These signs usually occur when blood pressure becomes dangerously high, such as during a hypertensive emergency. In such cases, immediate medical help is needed. If ignored, it can cause stroke, kidney failure, or even death.

If you have risk factors like obesity, diabetes, or family history, visit a high blood pressure doctor regularly for check-ups, even if you feel fine.

Blood Pressure Levels

Category

Systolic (Upper Number)

Diastolic (Lower Number)

Normal

Less than 120

Less than 80

Elevated

120 – 129

Less than 80

Hypertension Stage 1

130 – 139

80 – 89

Hypertension Stage 2

140 – 179

90 – 120

Hypertensive Crisis

180 or higher

Higher than 120

Managing Hypertension with Care Plans and Lifestyle

The good news is—hypertension can be managed. A proper care plan for hypertension focuses on lifestyle changes that lower blood pressure naturally.

Lifestyle Tips for Hypertension Prevention

  • Eat a balanced diet: Follow a hypertension diet that includes fresh fruits, vegetables, whole grains, nuts, and low-fat dairy. Reduce salt, fried foods, and packaged snacks.
  • Exercise daily: Aim for at least 30 minutes of walking, cycling, or yoga.
  • Maintain a healthy weight: Even losing a few kilos can help lower blood pressure.
  • Reduce stress: Try meditation, deep breathing, or hobbies that calm your mind.
  • Quit smoking and limit alcohol: Both are major triggers for high blood pressure.
  • Regular check-ups: Keep track of your readings at home or at your doctor’s clinic.

A strong management of hypertension plan combines these lifestyle changes with medical advice.

Hypertension Medications and Treatment Options

When lifestyle changes are not enough, doctors may prescribe hypertension medications. The choice depends on your age, health condition, and severity of blood pressure.

Some common types of medicines include:

  • Diuretics: Help your body get rid of extra salt and water.
  • ACE inhibitors and ARBs: Relax blood vessels and lower pressure.
  • Calcium channel blockers: Keep blood vessels relaxed.
  • Beta-blockers: Reduce the workload on your heart.

Treatment also depends on the type of hypertension:

  • Gestational hypertension needs special care to protect both mother and baby.
  • Hypertensive heart disease, caused by long-term uncontrolled blood pressure, may need stronger medicines and regular heart check-ups.
  • Resistant hypertension may require a combination of medicines and close monitoring.

Your doctor will guide you on the best treatment, but remember—never stop your medicines without medical advice.

Final Thoughts 

Hypertension, or high blood pressure, is common but can be dangerous if left uncontrolled. It often develops silently and can cause serious health problems over time. The good news is that it can be prevented and managed.

A healthy diet, regular exercise, stress management, and proper medical care are key. Medicines may be needed in some cases, but lifestyle changes always play an important role.

If you suspect you have high blood pressure, do not wait — see a high blood pressure doctor, get a check-up, and follow a clear care plan. Taking action today will help protect your heart, kidneys, and overall health tomorrow.

FAQs

Can hypertensive patients donate blood?

Yes, people with controlled hypertension can usually donate blood if their blood pressure is within the safe range on the day of donation.

What is pregnancy-induced hypertension?

It is high blood pressure that develops during pregnancy, also known as gestational hypertension.

Can hypertension be reversed?

It cannot usually be reversed completely, but healthy lifestyle changes and treatment can control and reduce it.

How to reverse pulmonary hypertension naturally?

Pulmonary hypertension cannot be reversed naturally, but lifestyle changes like exercise, diet, and avoiding smoking may support medical treatment.

What is secondary hypertension?

Secondary hypertension is high blood pressure caused by another health condition, such as kidney disease, thyroid problems, or hormonal imbalance.

What is Stage 2 hypertension?

Stage 2 hypertension is when blood pressure readings are consistently 140/90 mm Hg or higher, needing active treatment.

Written and Verified by:

Dr. Suman Halder

Dr. Suman Halder

Visiting Consultant Exp: 20 Yr

Cardiology

Book an Appointment

Related Diseases & Treatments

Treatments in Kolkata

Cardiology Doctors in Kolkata

NavBook Appt.WhatsappWhatsappCall Now