### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, thank you for your help! I am a generally healthy 19 year old male with a height of 6 0 and a weight of 145. I have been a cross-country runner for over 5 years, and have remained physically active into my college years. My diet reflects that of typical American teenager; however, it may be slightly healthier considering the fact that the only beverage I drink is water and I generally try to be conscious of my diet (less processed foods, balanced, etc...) I am concerned about my blood pressure. Two years ago I had my blood pressure checked, on multiple occasions, at 142/90. Yesterday I had it checked at 143/88. And today, at my town s clinic I had it checked at 138/88, although I was exceptionally clam today because I am on vacation. This is highly concerning to me because I believe that my blood pressure would be even higher while in classes. In college, I often consume caffeine (about 100mg daily) and occasionally (1X/week) take stronger stimulants such as nicotine, provigil or methylphenidate, although I do not have a diagnosis of ADHD or narcolepsy. I do this to accommodate my work schedule as I am enrolled in a highly demanding elite university. I know that I have a family history of hypertension; however, none of my known family members have had hypertension at such an early age. In fact, I had my blood pressure checked alongside my 71 year old grandfather and his proved to be lower than mine (141/86). I love life and I cherish the experiences that I am able to have as an average American Joe. I am interested in prolonging my life for as long as possible, and I take this threat to my health very seriously. I haven t yet tried drastically lowering my salt intake, and I am reluctant to abate my stimulant usage, however I am certainly willing to to protect my health. I feel as though I already exercise enough, and it is quite difficult for me to permanently lower my cortisol levels. I also take my sleep habits very seriously and nearly always sleep 8-9 hours/day during the same relative time such that I maintain a stable circadian rhythm. This is why I am really at a loss as to what to do. My home clinician didn t seem to take this issue very seriously and he just told me that I shouldn t be worried and that he would check it again in a couple of months; however, I want to be taking actions to lower my blood pressure now! What do you recommend? Is this issue as serious as I am taking it? If so, what steps may I take? Is it inevitable that I will have to be prescribed a medication? Thank-you for your time! I look forward to hearing your valuable opinion.

### output:

Hi, if your blood pressure is high on successive occasion then u will check your blood pressure three times in week on one day gap in between. If it is higher than normal than u have to first go for serum lipid profile with cortisol level. If it is normal than start antihypertensive tablet for some time than measure your blood pressure again if controlled than gradually decrease dose of Chat Doctor. 