Symptoms of severely high blood pressure everyone should know

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Blood pressure is a vital sign of your overall health. It tells us how much force your blood uses to push against the walls of your arteries as it travels through your body. When blood pressure is within a normal range, it helps your organs and tissues get the oxygen and nutrients they need. But when blood pressure becomes too high, it can be dangerous—even deadly.

This condition is known as high blood pressure or hypertension. It’s often called the “silent killer” because most people don’t feel any symptoms, even as it quietly damages their heart, kidneys, and blood vessels. Over time, untreated high blood pressure can lead to serious health problems such as heart attacks, strokes, and kidney failure.

Although hypertension often develops without symptoms, it’s important to know the warning signs of severely high blood pressure—a medical emergency known as a hypertensive crisis. This happens when your blood pressure rises above 180/120 mm Hg. At this level, the pressure in your blood vessels becomes dangerously high and can cause immediate harm to vital organs.

Here are the signs that may indicate a hypertensive crisis:

Severe Headaches
These headaches are often described as the worst a person has ever experienced. They come on suddenly and can feel pounding or splitting. They are more intense than regular headaches and can be overwhelming.

Chest Pain
High blood pressure forces the heart to work harder, which can lead to pain or pressure in the chest. This could mean the heart isn’t getting enough oxygen, which is very serious and should not be ignored.

Shortness of Breath
When blood pressure is too high, the heart may struggle to pump properly. This can cause you to feel out of breath, even when you’re not doing anything physically demanding.

Nosebleeds
Although nosebleeds have many causes, a spontaneous nosebleed that is hard to stop may be a red flag in the context of very high blood pressure.

Severe Anxiety or Panic
Some people describe a sudden sense of dread or fear. This can happen because the body reacts to dangerously high blood pressure with a stress response.

Vision Problems
High blood pressure can damage the blood vessels in your eyes, leading to blurred vision, double vision, or even temporary loss of sight.

Nausea or Vomiting
These symptoms may seem unrelated, but when they appear alongside any of the other signs mentioned above, they may signal a medical emergency.

If you or someone you know experiences any of these symptoms, it’s critical to seek emergency medical help immediately. A hypertensive crisis can lead to organ damage or death if not treated right away.

Because high blood pressure often goes unnoticed until serious damage occurs, regular monitoring is essential—especially for those at higher risk. People with a family history of high blood pressure, those who are overweight, live a sedentary lifestyle, or eat a poor diet are more likely to develop hypertension.

Prevention and early action are your best defense. Eating healthier, reducing salt, exercising, keeping a healthy weight, cutting back on alcohol, and quitting smoking are proven ways to lower your risk. If you already have high blood pressure, taking your medication as prescribed and checking your blood pressure regularly can prevent it from reaching a crisis level.

In short, knowing the symptoms of extremely high blood pressure and acting quickly can save lives. But just as importantly, taking steps now to manage your blood pressure can help you avoid these emergencies in the first place—and lead to a longer, healthier life.

If you care about high blood pressure, please read studies that early time-restricted eating could help improve blood pressure, and natural coconut sugar could help reduce blood pressure and artery stiffness.

For more health information, please see recent studies about added sugar in your diet linked to higher blood pressure, and results showing vitamin D could improve blood pressure in people with diabetes.

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