I TOOK MY SON TO THE URGENT CARE CLINIC YESTERDAY AND HIS BLOOD PRESSURE WAS 147/87, I HAD IT CHECKED AGAIN ON OTHER ARM AND IT REMAINED THE SAME. THE DOCTOR WAS CHECKING HIS OTHER PROBLEM SO NEVER MENTIONED IF I SHOULD  BE CONCERNED OR WHAT I NEED TO DO. I HAVE BEEN MONITORING AT HOME AND IT HAS NOT GONE DOWN MUCH. WHAT SHOULD I DO/
Hi, He is a young hypertensive hell first evaluation for cause of blood pressure. You should undergo test like kidney function test, renal artery Doppler, Sr cortisol and 24 hr Urinary metanephrines. Also get lipid profile tested once. He should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. If his blood pressure remains above 140 then he should get treatment like telmisartan. Hope I have answered your query. Let me know if I can assist you further. 