<s>[INST] I have a friend who just found out she has increased echogenicity both kidneys chronic renal disease plus simple cist right kidney. she has very high blood pressure which they can t seem to control anyway they have prescribed another blood pressure to take care of problem, does that make sense? [/INST] Hi, welcome to HCM. Looking to your friend's history, it seems that she is suffering from CKD ( chronic kidney disease)High BP in CKD is very common and it requires atleast 2-3 tablets to control it.Keep salt restriction in diet.Check S. creatinine AND BP regularly.Maintain healthy lifestyle.You can communicate with me also with detailed report, and prescription. I think this would be helpful to you.Best wishes. TC.Dr Jay Patel. </s>