Blood pressure stays high no matter what
You cut back on salt and you walk most days. Maybe you take a pill for it too. The cuff still reads high, week after week.
Blood pressure answers to many things at once. Sleep apnea, alcohol, stress, and extra weight can all push it up. So can some drugs, like decongestants, ibuprofen, and some birth control pills.
Your kidneys or thyroid may also play a part, or your medicine dose may be too low. A cuff that is too small can read high as well. Steady high pressure wears on blood vessels over the years, including the ones in your brain.
When to see someone
Call emergency help if your reading hits 180/120 with chest pain, trouble breathing, a bad headache, blurred vision, or slurred speech. Book a doctor visit if your numbers stay above 140/90 for a few weeks. Also go if you feel dizzy, if your ankles swell, or if you snore and wake up gasping.
The list below comes from our reviewed file on stroke prevention. Each entry carries a grade for how strong the research behind it is. A grade is not a promise, so talk with your doctor and keep taking any medicine you were given.



