*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or view any of our Previous A to Z Features.

You should also know that OutUK has produced a special report about: Coronavirus Covid-19.

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This Week - B : Blood Pressure (Hypertension)

Check if you're at risk of high blood pressure

High blood pressure is very common, especially in older adults. There are usually no symptoms, so you may not realise you have it.

Things that increase your chances of having high blood pressure include:

your age - you're more likely to get high blood pressure as you get older
having close relatives with high blood pressure
your ethnicity - you're at higher risk if you have a Black African, Black Caribbean or South Asian ethnic background
having an unhealthy diet - especially a diet that's high in salt
being overweight
smoking
drinking too much alcohol
feeling stressed over a long period

Get your blood pressure checked at a pharmacy or GP surgery if:

you think you might have high blood pressure or might be at risk of having high blood pressure
you're aged 40 or over and have not had your blood pressure checked for more than 5 years

Some pharmacies may charge for a blood pressure check.

Some workplaces also offer blood pressure checks. Check with your employer.

Free pharmacy checks for over 40s

Many pharmacies offer free blood pressure checks for people aged 40 or over.

Find a pharmacy that offers free blood pressure checks

Symptoms of high blood pressure

High blood pressure does not usually cause any symptoms.

Many people have it without realising it.

Rarely, high blood pressure can cause symptoms such as:

headaches
blurred vision
chest pain

But the only way to find out if you have high blood pressure is to get your blood pressure checked.

Get help from NHS 111 if:

you often have headaches or blurred vision
you have chest pain that comes and goes
you have other symptoms you're worried could be caused by high blood pressure

You can call 111 or get help from 111 online.

Call 999 if:

you get sudden pain or discomfort in your chest that does not go away - the pain can feel like squeezing or pressure inside your chest, burning or indigestion
you get pain that spreads to your left or right arm, or your neck, jaw, stomach or back
you have chest pain and you feel sweaty, sick, light headed or short of breath

You could be having a heart attack. Call 999 straight away as you need immediate treatment in hospital.

Do not drive yourself to A&E.

The person you speak to at 999 will give you advice about what to do.

What happens at a blood pressure check

A blood pressure test involves inflating a band (cuff) around your upper arm and measuring the pressure in your blood vessels.

If the test shows you might have high blood pressure, you may be asked to:

use a blood pressure monitor at home to check your blood pressure regularly over the next few days
come back to your GP surgery a few days or weeks later to have your blood pressure checked again
wear a portable monitor that takes regular readings over 24 hours

This can confirm if you have high blood pressure.

What your blood pressure reading means

Blood pressure readings are given as 2 numbers, with the first number higher than the second (for example, 130/80).

You're usually considered to have high blood pressure if your reading is:

140/90 or higher when checked by a healthcare professional
135/85 or higher when checked at home

Check your blood pressure reading

Use our check your blood pressure reading tool to check what your blood pressure reading means, and get advice.

Risks of having high blood pressure

If your blood pressure is too high, it puts extra strain on your blood vessels, heart and other organs, such as your brain, kidneys and eyes.

If it's not treated, it can increase your risk of serious conditions such as:

Lowering your blood pressure even a small amount can help reduce your risk of these problems.

How you can help lower your blood pressure

Healthy lifestyle changes can help lower your blood pressure.

Do

have a healthy, balanced diet
exercise regularly - aim to do at least 150 minutes of exercise a week
lose weight if you're overweight

Don't

do not eat too much salt - avoid salty food or adding salt to your meals
do not drink too much alcohol - avoid drinking more than 14 alcohol units a week on a regular basis
do not drink too much caffeine - drinks high in caffeine include coffee, tea and cola
do not smoke

NHS help to get healthy

NHS Better Health has free tools and support to help you lose weight, get active, quit smoking and drink less.

Visit the NHS Better Health website

Medicines for high blood pressure

A GP will usually prescribe medicine for high blood pressure if:

your blood pressure is very high
you're at higher risk of problems linked to high blood pressure, such as a heart attack or stroke
your blood pressure is still high after making healthy lifestyle changes

There are lots of different medicines for high blood pressure. The medicine recommended for you depends on things like how high your blood pressure is, your age and your ethnicity.

Most blood pressure medicines are taken as tablets once a day. You may need to take more than 1 medicine to keep your blood pressure under control.

More about medicines

Find out more

You can get more information and advice about high blood pressure from:

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We'll have more information and advice next week on another topic in our A to Z of Gay Health. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this week's subject you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
Photos: LightFieldStudios and one of VladOrlov, Stockcube, darak77, ajr_images or rawpixel.com.