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High Blood Pressure Symptoms

Discover the symptoms, risks, and management strategies for high blood pressure. Learn why regular monitoring, healthy lifestyle changes, and effective treatments are important to prevent complications and support long-term well-being.

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Last updated on 3rd Jul, 2025

When blood flows through the blood vessels, it puts pressure on the walls. When this force is too high, it is known as high blood pressure. High blood pressure (hypertension) is often symptomless but can pose serious health risks if left untreated. It increases the likelihood of stroke, heart attack, and other complications, making timely management essential.

Nearly half of adults who have hypertension don’t realise it. Therefore, checkups are essential to keep this condition under check. 

Let us discuss in this blog how dietary changes, exercise and medicine can help you keep your blood pressure within limits. 

Common Symptoms of High Blood Pressure

Some common symptoms of high blood pressure include the following: 

Headaches

This is one of the most common symptoms among individuals with high blood pressure. High blood pressure tends to damage the blood vessels supplying blood to the brain. Apart from that, hypertension places excessive pressure on the brain, causing the blood to leak from the vessels. This leakage results in swelling, further causing headache and dizziness.  

Dizziness and Blurred Vision

High blood pressure harms the tiny blood vessels of the eyes. When blood flow to the retina is restricted, it may result in blurred vision or complete sight loss. Another condition known as choroidopathy results in fluid buildup under the retina. Blocked blood flow also tends to damage the optic nerve. This kills the nerve cells in the eyes, resulting in a condition known as optic neuropathy. 

Nosebleeds

Although uncommon, hypertension may sometimes result in nosebleeds. Uncontrolled blood pressure may damage the blood vessels in the nose, thereby resulting in bleeding. 

Less Common Symptoms

Some other symptoms of high blood pressure include: 

Shortness of Breath

High pressure inside the pulmonary arteries, the vessels carrying blood from the heart's right side to the lungs’ right side, may damage the right side of the heart muscles. This makes it difficult for the heart muscles to pump blood and oxygen less efficiently. This may result in symptoms like shortness of breath. 

Chest Pain

High blood pressure narrows the arteries that supply blood to the heart. When the blood flow to the heart is diminished, it may result in chest pain, known as angina. Angina leads to irregular heart rhythms, known as arrhythmias, or may also result in a heart attack. 

Dangers of Overlooking Symptoms

Although hypertension may be asymptomatic, it's early detection is important to avert the following risks: 

  • Damage to arteries: The cells of the inner lining of the arteries are damaged. 

  • Brain: Blockage of blood supply to the brain may lead to ministroke. 

  • Heart: High blood pressure may also lead to heart failure, artery disease, etc. 

  • Kidney: Damage of blood vessels hinders the process of filtration, ultimately leading to kidney failure. 

  • Eyes: Damaged blood vessels restrict the blood supply to the different parts of the eyes, thereby resulting in vision loss. 

Asymptomatic Nature of Hypertension

The symptoms of blood pressure are not always prominent. However, by now, we are aware of the health risks associated with high blood pressure. It is due to this reason that high blood pressure is also known as a “silent killer”. 

Regular monitoring of blood pressure allows individuals to remain adequately informed about their health condition so that possible health risks can be avoided. It also makes it easy to determine how blood pressure is responding to lifestyle and medicine changes. 

Diagnosis of High Blood Pressure

Here are a few approaches leveraged to diagnose high blood pressure.

Blood Pressure Measurement

During a blood pressure measurement, an individual has to sit comfortably in a chair. The legs shouldn't be crossed, and the arm should rest at the heart level. 

  • A cuff goes around the arm’s top part. It should fit properly for the most accurate results. 

  • A stethoscope is placed over the major artery of the upper arm for the most accurate readings. 

  • The cuff is inflated by pumping it through a small hand pump. This stops the blood flow momentarily.

  • The valve of the hand pump is then opened to deflate the cuff and restore the blood flow. 

The professional recording the measurement then listens to the blood flow and records the systolic and diastolic pressures.  

Additional Diagnostic Test

Some other tests to diagnose high blood pressure are: 

  • Ambulatory monitoring test that continues over a period of 24 hours. 

  • Tests may be done to check the blood sugar and cholesterol levels. 

  • Lab tests may be done to check the functioning of the liver, kidney, etc. 

  • An electrocardiogram and echocardiogram may be done to assess the heart’s functioning. 

When to Seek Medical Advice

Normal blood pressure range is 120/80 mmHg. Anything beyond this may indicate a condition of hypertension. However, if your blood pressure level reads 180/120, it may be considered a hypertension crisis. It may be wise to consult a doctor if you experience the following severe symptoms: 

  • Palpitations 

  • Chest pain

  • Severe headache 

  • Nosebleeds

  • Shortness of breath 

  • Anxiousness 

  • Nausea

  • Vomiting

  • Blurred vision 

  • Abnormal heart rhythm

Associated Risk Factors

Let’s take a look at the associated factors that potentially contribute to high blood pressure:

Lifestyle and Dietary Influences

The following lifestyle and dietary factors may lead to hypertension: 

  • Alcohol consumption 

  • Smoking

  • Excessive salt consumption 

  • Too much salt in diet

  • Very less potassium in diet

  • Excessive quantities of saturated and trans fats

  • Not getting enough sleep

  • Stress 

  • Being obese or overweight 

Genetic and Age-related Factors

These are some genetic and age-related factors that are responsible for hypertension: 

  • Family history of hypertension 

  • Being over 40

  • Women approaching or going through menopause 

Managing and Preventing High Blood Pressure

By implementing these simple changes, anyone can successfully manage healthy blood pressure levels.

Lifestyle Changes

The following lifestyle changes can help prevent high blood pressure and keep it under check: 

  • Maintaining the DASH diet 

  • Engaging in regular physical exercise 

  • Losing weight and maintaining it 

  • Limiting the consumption of alcohol

  • Not smoking 

  • Getting enough sleep every day 

Medication Options

The following medicines can help keep your blood pressure under check: 

  • Diuretics 

  • Beta-blockers

  • ACE inhibitors 

  • Angiotensin II receptor blockers

  • Alpha blockers 

  • Calcium channel blockers

  • Alpha-2 receptor agonists

  • Vasodilators

Conclusion

High blood pressure is a serious condition that may show no symptoms but can lead to life-threatening complications like heart attacks, strokes, kidney failure, and vision loss. When symptoms occur, they may include headaches, dizziness, blurred vision, chest pain, and shortness of breath.

Early detection through regular blood pressure monitoring is essential for effective management. Adopting healthy lifestyle changes such as following a balanced diet, exercising regularly, avoiding smoking and excessive alcohol, and managing stress can significantly lower the risk. Medications may also be necessary in some cases to keep blood pressure under control.

By staying informed and prioritising regular checkups, individuals can protect their long-term health and improve their quality of life.

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