High blood pressure caused by narrowing of the arteries that lead to the kidneys is often hard to control.
One or more medicines are needed to help control blood pressure. There are many types available.
- Everyone responds to medicine differently. Your blood pressure should be checked often. The amount and type of medicine you take may need to be changed from time to time.
- Ask your doctor what blood pressure reading is right for you.
- Take all medicines the way your doctor prescribed them.
Have your cholesterol levels checked, and treated if it is needed. Your doctor will help determine the right cholesterol levels for you based on your heart disease risk and other health conditions.
Lifestyle changes are important:
- Eat a heart-healthy diet.
- Exercise regularly, at least 30 minutes a day (check with your doctor before starting).
- If you smoke, quit. Find a program that will help you stop.
- Limit how much alcohol you drink: 1 drink a day for women, 2 a day for men.
- Limit the amount of sodium (salt) you eat. Aim for less than 1,500 mg per day. Check with your doctor about how much potassium you should be eating.
- Reduce stress. Try to avoid things that cause stress for you. You can also try meditation or yoga.
- Stay at a healthy body weight. Find a weight-loss program to help you, if you need it.
Further treatment depends on what causes the narrowing of the kidney arteries. Your doctor may recommend a procedure called angioplasty with stenting.
These procedures may be an option if you have:
- Severe narrowing of the renal artery
- Blood pressure that cannot be controlled with medicines
- Kidneys that are not working well and are becoming worse
However, the decision about which patients should have these procedures is complex, and depends on many of the factors listed above.