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While high blood pressure is more common in adults, it can also occur in children. In fact, the prevalence of high blood pressure in children has been increasing in recent years, possibly due to rising rates of childhood obesity and sedentary lifestyles.
High blood pressure in children is defined as blood pressure that is consistently above the 95th percentile for their age, sex, and height. It can be caused by a variety of factors, including genetics, obesity, sleep apnea, kidney disease, and certain medications.
Children with high blood pressure are often asymptomatic, and the condition may only be detected during routine check-ups or when screening for other conditions. In some cases, children with high blood pressure may experience symptoms such as headaches, dizziness, or nosebleeds.
Treatment for high blood pressure in children usually involves lifestyle changes and medication. Lifestyle changes such as maintaining a healthy weight, eating a healthy diet, getting regular exercise, and limiting screen time can help lower blood pressure. Medications such as ACE inhibitors or calcium channel blockers may also be prescribed to help lower blood pressure.
It is important to monitor blood pressure regularly in children and to seek medical attention if you have any concerns or symptoms. Early diagnosis and treatment of high blood pressure can help prevent serious health complications and improve outcomes.
High blood pressure in younger children is often related to other health conditions, such as heart defects, kidney disease, genetic conditions or hormonal disorders. Older children — especially those who are overweight — are more likely to have primary hypertension. This type of high blood pressure occurs on its own, without an underlying condition.
High blood pressure can be prevented in children by making the same lifestyle changes that can help treat it — controlling your child's weight, providing a healthy diet low in salt (sodium) and encouraging your child to exercise.
High blood pressure caused by another condition can sometimes be controlled, or even prevented, by managing the condition that's causing it.
If your child is diagnosed with slightly or moderately high blood pressure (stage 1 hypertension), your child's doctor will likely suggest trying lifestyle changes, such as a heart-healthy diet and more exercise, before prescribing medications.
If lifestyle changes don't help, your child's doctor might recommend blood pressure medication.
If your child is diagnosed with severely high blood pressure (stage 2 hypertension), your child's doctor will likely recommend blood pressure medications.
Medications might include:
Your child's doctor will tell you how long your child will need to stay on the medication. If your child's high blood pressure is caused by obesity, losing weight might make medication unnecessary. Treating other medical conditions your child has might also control his or her blood pressure.
Although little is known about the long-term effects of blood pressure medication on a child's growth and development, many of these medications are generally considered safe to take during childhood.
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