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Willowmed
Health library

General Practice

High blood pressure

Why it usually has no symptoms, what the numbers mean, and how it is managed.

5 min read

What it is

Blood pressure is the force of blood pushing against the artery walls. It is written as two numbers: the higher one while the heart beats, the lower one while it rests. Consistently raised readings make the heart, kidneys, eyes and brain work harder over years. High blood pressure very rarely causes symptoms, which is why regular checks matter more than waiting to feel unwell.

What to look for

Usually none at all — this is the point of screening

Very high readings can occasionally cause headaches, nosebleeds or visual changes

Diagnosis is based on repeated readings, not a single measurement

Sensible things to do at home

  • Reduce added salt and processed foods; most salt comes from bread, stock and processed meat
  • Aim for regular activity, such as a brisk 30-minute walk most days
  • Limit alcohol and stop smoking
  • Take chronic medicine every day, at the same time, even when you feel fine
  • Keep a home reading log if we have asked for one

When to see us

  • You have never had your blood pressure checked, or not in the last year
  • Home readings are consistently above the target we agreed
  • You are struggling with side effects from your medicine
  • Chest pain, sudden weakness or slurred speech — this is an emergency

To book, phone the practice on 058 813 2777 or send us a message. In an emergency, go to the nearest emergency department or call 10177.