Conversation: The conversation between human and AI assistant.
[|Human|] i m 20 year old..and i have hypertension my blood pressure remains 150/100.. my current medicines are atenolol 50mg   ( 2 times a day                    amlodipine 5mg ( 2 times a day turosamide 5mg ( 1 times a day  all blood test ,renal test are  done  and are normal ECG shows LVH ECHO SHOWS  LEFT VENTRICULAR WALL THICKNESS IS 10.4MM my blood pressure is  not coming down ...answer me what to do
[|AI|]  hello being a young hypertensive you'll first evaluation for cause of blood pressure. You should undergo test like renal artery Doppler, Sr cortisol and 24 hr Urinary metanephrines. Also get lipid profile and sugars tested.  You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week and BP should not be persistently more than 140/90 MMH. I think you should continue the same and I would like to add Tab Telmisartan chlorthalidone combination(40/12.5) once a day in the morning. Once BP is controlled LVH will gradually decrease and no need to worry about it.  Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity.  Hope this helps you and get back if you have any doubts.