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

### input:
Sir,My age is 34 i am an engineer by profession.my problem is that i usually have high BP. I have done certain tests for TSH, Cholesterol,Triglicirides  . the results are usually on higher side that means Cholesterol /Trigilcrides above normal.and TSH 10.44. from last two one year i am on low salt diet and low fat diet and i am taking medecine for TSH as well.Now the results whicChatDoctore few weeks before are very good.everything seems to be within limits.but my Blood pressure is still not coming down. Right now it used to be 140/100 which is making me very uncomfortable.like i usually have headache and my eyes are also blurring .I havent taken any hypertensive drug as yet.I am not able to understand what is the real cause of my raised Blood Pressure and how to cure it.is it safe to start taking hypertensive drugs at this age .do i have to continue taking them even if my B.P gets stable say after one week or so.Do i need to do more investigation to know the real cause and cure it accordingly ?                                     My Email Id: YYYY@YYYY

### output:

Hello, The symptoms you describe are due to higher pressure.  Particularly the lower blood pressure (diastolic) of 100 is a concern. Though 34 is a young age for having high pressure, but genetics, lifestyle, work stress are important precipitating cause. As you have already tried lifestyle modification for so long it's better to start on medication as the longer time your pressure are on higher more permanent damage it causes to your body. Once you have started the medication continue at least for 3 months and then depending on the pressure decrease the dose very gradually.  Your target blood pressure with or without medication should be less than 140 / 85 by all means. Regards Chat Doctor. 