Conversation: The conversation between human and AI assistant.
[|Human|] i am 42 year male and having blood pressure of 150/95 today morning at 10.30ama)should i start any medicine or cardio/brisk walks would be good?b)can bp medicine once started be stopped in future?c)is it true that morning bps r higher than evening ones?
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion related to your questions. You should know that we talk about hypertension if we have mean values above 140/90 mmHg. We can not judge if we have hypertension with one only value. A person might have high blood pressures after a physical or emotional stress, so it is mandatory to judge on mean values, during all day. Hypertension is divided in two groups: The fist one is Essential hypertension, without an identifiable cause, usually in older ages. It is a chronic disease that does not have a cure, but it should be treated all live. Once it is diagnosed, it should be treated always with medicine. The other group is secondary hypertension meaning that it is a second disease causing it, that might be renal, endocrinological or cardiovascular anomaly. Resolving the causing pathology might resolve the hypertension. So, the first thing to do in your case is to know if we really are dealing with hypertension or not. The second one is to know what kind of hypertension is it and then we can judge how to treat it. If I was your treating doctor I will recommend a blood pressure holder monitoring to have a full view of your values, during day and night. During mornings people have bigger activity and for this might have higher blood pressure values. I will recommend a cardiac echo to evaluate heart anatomy. After this a fool blood check up, your urinary catecholamine and an abdominal echo to see the renal situation. Only after this we can know how to treat your hypertension. If you have high values they should be treated with medications. Physical activity is not good if you have uncontrolled high blood pressure values, because during activity the values rises even more. It is necessary to start treating it and then start physical activity. If it is essential hypertension you will treat it all live. Hope I was helpful. Wish you good health. Best regards.