High BP rarely causes symptoms, yet it damages the heart, brain and kidneys over years. We confirm your real BP, check for causes and damage, and keep it controlled with the fewest medicines that work.
Dr. Pankaj Kumar · MBBS, DNB (Family Medicine), DNHE · 16 years · Sector 6, Dwarka · In-clinic & online
A high reading at a check-up, pharmacy or home. We confirm it before starting lifelong medicine.
Readings above target despite tablets. Dose, timing, combination and lifestyle are reviewed together.
BP that swings through the day, is high only at the clinic (white-coat), or high only at home (masked).
Lower targets and kidney-protecting medicines matter more here.
BP under 40 years of age needs a search for secondary causes such as kidney, hormone or sleep apnoea problems.
Ankle swelling, cough, dizziness or tiredness. There is usually a better-suited medicine.
The goal is not one good reading at the clinic. It is steady control at home, day after day.
Correct cuff size and technique in the clinic, plus a 7-day home BP chart: two readings morning and evening. Home BP of 135/85 or more is high.
Kidney function, urine protein, sodium and potassium, sugar, cholesterol, thyroid, and an ECG. More tests only when the pattern suggests a secondary cause.
Most adults aim for below 130/80 if it is tolerated. Medicines are chosen for you, often low-dose combinations, along with salt, weight, activity, alcohol and sleep changes.
A review 2–4 weeks after a change, then every 3–6 months. Home readings can be shared on WhatsApp between visits.
For any of these, go to the nearest emergency department or call 112. Don't wait for a clinic appointment.
A clinic reading of 140/90 or more on repeated visits, or home readings averaging 135/85 or more, is high blood pressure. Readings between 120/80 and 139/89 are raised and are a good time to start lifestyle changes.
Many people do, because BP tends to rise with age. Some people who lose weight, cut salt and alcohol and become active can reduce or stop tablets, but only under supervision with regular home readings.
A validated automatic upper-arm machine with the right cuff size for your arm. Wrist machines are less reliable. Bring it to the clinic once so we can check it against ours.
In the morning before medicines, food or tea, and in the evening before dinner. Sit quietly for 5 minutes first, back supported, feet flat, arm at heart level. Take two readings a minute apart.
Usually it causes no symptoms at all, which is why it is called a silent condition. A very high BP can cause headache, and that needs urgent attention.
Yes, once you have been examined and your tests are done. Ongoing reviews of home readings and medicine changes work well as online consultations.
Doctors Lane, Pocket 2, Sector 6, Dwarka, New Delhi · Mon–Sat 10 AM–2 PM & 5–9 PM · Sun 10 AM–2 PM
This page gives general information and is not a substitute for a consultation. Treatment is decided after examination and tests. Last reviewed by Dr. Pankaj Kumar, MBBS, DNB (Family Medicine), on 21 October 2026.