High Blood Pressure: The Silent Condition and 7 Ways to Control It
High blood pressure often has no symptoms but can lead to stroke, heart and kidney disease. Learn the numbers, the warning signs and practical, Kenyan-kitchen-friendly ways to control it.
- Written by
- Primegala Clinical Team
- Published
- Reading time
- 2 min read
On this page
Short answer: High blood pressure (hypertension) usually causes no symptoms, which is why it's called the silent killer. A reading of 140/90 mmHg or higher on repeated checks usually means hypertension. It's controlled by taking medicine daily, cutting salt, staying active and checking regularly.
Many of the people we diagnose with high blood pressure came in for something else entirely: a cough, a malaria test, an antenatal visit. They felt fine. That's exactly why every adult should know their numbers.
Understanding the numbers
| Reading (mmHg) | What it means |
|---|---|
| Below 120/80 | Normal |
| 120–139 / 80–89 | Raised: time for lifestyle changes |
| 140/90 or higher (on repeat checks) | High blood pressure |
| 180/110 or higher | Very high: needs urgent assessment |
Why it matters
Over time, uncontrolled high blood pressure damages blood vessels and can lead to stroke, heart attack, heart failure, kidney disease and vision loss.
Seek care immediately if you have
- Severe headache with blurred vision
- Chest pain or difficulty breathing
- Sudden weakness or numbness on one side, a drooping face or slurred speech. Call 999 or 112.
7 practical ways to control it
- Cut the salt. Aim for less than one teaspoon of salt a day in total. Taste food before adding salt, and go easy on stock cubes, royco, crisps and processed meats.
- Fill half your plate with vegetables. Sukuma wiki, managu, terere, cabbage, carrots, beans and fruit are all excellent.
- Move for 30 minutes a day. Brisk walking counts, and so do shamba work and cycling.
- Limit alcohol and stop smoking.
- Maintain a healthy weight. Even a few kilos lost lowers blood pressure.
- Take your medicine every day, even when you feel well. Use a phone alarm.
- Check regularly. Every visit to a facility is a chance to check.
Pregnancy and blood pressure
High blood pressure in pregnancy can be dangerous for mother and baby. That's why it's checked at every antenatal visit.
Blood pressure care at Primegala
Our diabetes and hypertension clinic at Maili Sita offers quick checks, medication reviews, refills and, if you want them, reminders. Book a check or ask at any visit.
At Primegala
Diabetes & Hypertension Clinic
Regular checks, medication reviews and lifestyle support for long-term conditions.
- Open 24 hours, every day, including public holidays
- Maili Sita, opposite Kiamaina Primary School
- SHA accepted for eligible services
Frequently asked questions
What is a normal blood pressure?
Below 120/80 mmHg is considered normal. A reading of 140/90 mmHg or higher on repeated measurements usually means high blood pressure.
Can I stop my blood pressure medicine when I feel fine?
No. Feeling fine usually means the medicine is working. Stopping suddenly can make blood pressure rise dangerously. Talk to your clinician before changing anything.
