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High Blood Pressure

Kingwood Kidney Associates

Board Certified Internal Medicine & Nephrology located in Humble, TX

More than 30% of adults in Texas have high blood pressure, which is a common chronic health condition that increases your risk of heart failure and kidney disease. Though there are many effective treatments for managing high blood pressure, some people are unable to improve their numbers despite medical intervention. Board-certified Nephrologists, Sowmya Puthalapattu, MD, and Chinonye Ogbonnaya-Odor, MD, at Kingwood Kidney Associates specialize in the treatment of difficult to control high blood pressure. If you’re struggling to keep your blood pressure numbers in check, contact the office in Humble, Texas, by phone or online today.

High Blood Pressure Q & A

What is high blood pressure?

High blood pressure, also called hypertension, is a chronic health condition in which the force of blood against your blood vessel walls is too high. 

Over time, the excess force damages your blood vessels and your organs, increasing your risk of developing other health complications such as heart disease and kidney disease.

You’re unlikely to experience any symptoms to indicate you have high blood pressure until you develop health complications. Because high blood pressure is so common, your primary care provider screens for hypertension during your annual wellness exam. 

In most cases, you can improve your high blood pressure with lifestyle modifications or blood pressure medication. However, if your blood pressure remains elevated with lifestyle changes and medication, you may have resistant hypertension. 

The experienced team at Kingwood Kidney Associates specializes in the treatment of patients who have a difficult time controlling their blood pressure despite the use of multiple medications. 

Why is my high blood pressure difficult to control?

Your high blood pressure may be difficult to control because of an underlying health issue. Some of the most common causes of resistant hypertension include:

  • Renal artery stenosis
  • Kidney failure
  • Abnormalities in the hormones that control blood pressure
  • Sleep apnea
  • Obesity
  • Heavy alcohol use


In many instances, the exact cause of your hard to control high blood pressure is unknown. 

What can I expect during a high blood pressure evaluation?

The team at Kingwood Kidney Associates specializes in the management of difficult to control blood pressure and conducts comprehensive evaluations to determine the underlying cause. 

During your exam, they ask detailed questions about your medical and family history, medication and supplement use, as well as your lifestyle habits and diet. 

Then, your provider performs a physical exam and may request diagnostic tests to better understand the cause of your high blood pressure, which may include blood tests, urinalysis, and diagnostic imaging. 

How is resistant high blood pressure treated?

The team at Kingwood Kidney Associates develops individualized treatment plans to help improve blood pressure control based on the results of your comprehensive exam. Your treatment plan may include:

  • Management of the underlying cause of your high blood pressure
  • Diet modifications
  • Exercise program
  • Stress management
  • Blood pressure medication


To assess the effectiveness of your treatment plan, your provider may request you monitor your blood pressure at home. They also schedule regular follow-up appointments so they can adjust your plan as needed.

For expert care of your difficult to control high blood pressure, contact Kingwood Kidney Associates by phone or book an appointment online today.