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I'm a 22 year old male. Without meds, my blood pressure probably averages around 150/85 or so. On several occasions I have received readings that would be considered hypertensive crisis, the highest I remember being 190/111 after I had gone off of my meds for a week or so (simply due to carelessness on my part). I will note that these excessive readings have been taken in the clinic, and not by me. This concerned my GP enough that a couple years ago, she ordered a gamut of tests including a cardiac ECG, stress test, and ultrasound. All came up normal, despite my reaching the stress test's target heart rate of 180 bpm in 2 minutes with barely any effort.
The hypertension seems relatively well controlled on 10mg/day lisinopril. I'm kind of stumped here. I know that primary hypertension is a thing, and a common one at that, but I still worry. I'm going to list some other symptoms i've consistently had and possible contributing factors; if anyone can give me literally any shred of insight it'd be hugely appreciated. It kills me that they can't find anything wrong with me beyond this.
-22 year old male, 5'11, currently 230 lbs but active. I've struggled to lose weight and keep it off since childhood.
-Hypertension found when I was 19; 200lbs at the time
-LDL 103 mg/dL, HDL 80 mg/dL (yes the HDL is correct, it's extremely high for whatever reason)
-High sodium diet (college student) , but a month of salt restriction didn't reduce the BP numbers
-10mg/day lisinopril seems to control BP well, but I should check more regularly at home to make sure this is consistent
-long standing poor cardio endurance, even when BMI was normal and I was playing several hours rigorous high school sports on a daily basis
-frequent nausea/vomiting after intense exercise
-almost always tired, even after 12 hours of sleep
-Seemingly random spells of severe nausea, often with cold sweat
-Recurrent sinus issues and GI troubles, if that matters
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