Q: Hello, I would like to ask you some questions about treating hypertension. I hope to get your help! The patient is a 26-year-old male who was found to have hypertension during a medical checkup in July 2006, and had a detailed examination of his kidneys at the Oriental Hospital. He had taken some antihypertensive drugs with some effect, but he was very uncomfortable after eating them, so he paid attention to his diet. He has no bad habits, does not smoke, does not drink often, and is of normal weight, but his blood pressure is still high, 110 diastolic and 140 systolic. In addition, the patient has allergic rhinitis, and I wonder if this is a factor in the development of hypertension. Can you give me some treatment advice? If it is convenient for you, can you tell me the time of your specialist’s clinic, so that you can give a detailed examination? I look forward to your reply! Thank you! A: Hello: I received your email. There are some questions I can answer for you. In young people with hypertension and poor control, the first step is to rule out secondary hypertension (hypertension for which the cause can be found), and if no cause can be found, consider primary hypertension. To understand the genetic situation, parents, brothers, etc. have hypertension, blood lipids, blood sugar and urinary routine. The age of onset of hypertension is mostly around 40 years old, but currently there is a tendency for the age of onset of hypertension to decrease. Secondary hypertension is mostly looked for in terms of vascular stenosis and endocrine abnormalities, but the current blood pressure is needed to be controlled, at least down to about 140/90 mmHg first. Only then can the damage to the organs be reduced. Sometimes the exclusion of secondary hypertension takes time.