First Steps After a High Blood Pressure Diagnosis at a Health Check-up | Haru Internal Medicine and Dermatology Clinic, Jujo Station

健診で高血圧と言われたら最初にすること|十条駅ハル内科・皮フ科クリニック

Hypertension Treatment & Regular Check-ups in Jujo | Jujo Station Haru Internal Medicine Clinic Meta description: If you've been diagnosed with high blood pressure during a health check-up, visit Haru Internal Medicine, just 1 minute from Jujo Station. Blood tests and EKGs are done on the same day. Open daily from 9 AM, including weekends and holidays. We provide prescriptions for antihypertensive drugs and lifestyle guidance.

Do you think, "I was told my blood pressure is high during a check-up, but I don't have any symptoms, so it's probably fine"? High blood pressure can quietly progress without symptoms, and if left untreated, it can lead to serious illnesses such as myocardial infarction, stroke, and kidney failure. If you're told "further examination required," it's crucial to see an internist early.

👉 Same-day walk-in appointments are also available. Please feel free to consult us first.

Walk in without appointment Web Reservation (Same-day reservations also available)
Jujo Station Haru Internal Medicine and Dermatology Clinic waiting area
Our clinic's waiting area. You can relax and wait for your examination in a bright and clean space.

Diagnostic Criteria for Hypertension

You are diagnosed with high blood pressure if your blood pressure measured in the examination room is 140 mmHg or higher systolic, or 90 mmHg or higher diastolic.

Classification

Systolic

Diastolic

Normal blood pressure

Less than 120

Less than 80

Elevated blood pressure

120-129

Less than 80

High-normal blood pressure

130-139

80-89

Stage I Hypertension

140-159

90-99

Stage II Hypertension

160-179

100-109

Stage III Hypertension

180 or higher

110 or higher

In the "elevated blood pressure" and "high-normal blood pressure" stages, treatment often begins with lifestyle changes without medication, but in some cases, early treatment may be necessary depending on risk factors.

What Happens If High Blood Pressure Is Left Untreated?

High blood pressure is also known as the "silent killer." Without almost any symptoms, damage continues to accumulate in the blood vessels, heart, kidneys, and brain, suddenly manifesting as myocardial infarction, stroke, or kidney failure. Most of these complications are difficult to recover from once they occur, so management before symptoms appear is crucial.

Flow of Hypertension Treatment at Our Clinic

For first-time patients, the examination process is as follows:

  1. Medical interview (history of current blood pressure, family history, lifestyle, medication status)

  2. Blood pressure, pulse, and weight measurement

  3. Blood tests (kidney function, electrolytes, blood sugar, lipids, etc.), urine test, EKG

  4. Doctor's examination, risk assessment, explanation of treatment plan

  5. Prescription of antihypertensive drugs and lifestyle guidance as needed

Blood tests and EKGs can be performed and results provided on the same day.

How Much Can Lifestyle Changes Lower Blood Pressure?

In mild cases of high blood pressure, blood pressure can return to a normal range through lifestyle changes alone. The main measures and expected blood pressure-lowering effects are as follows:

Lifestyle Improvement

Expected Blood Pressure Reduction

Sodium restriction (less than 6g/day)

2-8mmHg

Aerobic exercise (more than 150 min/week)

4-9mmHg

Lose 5kg of weight

Around 5mmHg

Reduce alcohol consumption

2-4mmHg

Smoking cessation

Significant reduction in cardiovascular risk

By combining these, some individuals may reach their target blood pressure without medication. However, for those with strong genetic predispositions, already high numbers, or co-existing diabetes or kidney disease, early combination of lifestyle changes and drug therapy is crucial for preventing complications.

About Antihypertensive Drugs

Current hypertension treatment offers many drugs with few side effects and ease of use. Many patients worry that once they start taking medication, they can never stop, but if blood pressure stabilizes through lifestyle improvements, reduction or discontinuation of medication may be possible under a doctor's judgment.
The main types and characteristics of antihypertensive drugs are as follows:

Type

Representative Drug

Characteristics

ARB

Telmisartan, Azilsartan

Kidney and heart protection, suitable for diabetes complications

Calcium channel blocker

Amlodipine

One of the first choices, stable effect

ACE inhibitor

Enalapril

Similar to ARB, with dry cough as a side effect

Diuretic

Hydrochlorothiazide

For salt-sensitive hypertension

Which medication is suitable is determined based on age, comorbidities, kidney function, and blood test results.

Please consult us if you relate to any of the following:

  • You were told "further examination required" or "treatment required" during a health check-up.

  • Your home blood pressure monitor often shows readings of 140 or higher.

  • You have family members with high blood pressure, stroke, or myocardial infarction.

  • You like salty foods or drink a lot of alcohol.

  • You are prescribed medication at another clinic, but the consultation hours don't suit you.

  • You've moved and want to change your clinic.

Reception
Reception. Cashless payments are also accepted.

Flow of Consultation

  1. WEB Reservation or Walk-in
    If you have severe pain or fever, please contact us by phone. We will guide you through the consultation process.
  2. Reception & Filling out the Medical Questionnaire
    Please indicate when, where, what symptoms you have, the material of your piercing, and any past piercing troubles.
  3. Doctor's Examination
    The extent and severity of inflammation will be assessed by visual inspection and palpation. Bacterial culture tests will be performed if necessary.
  4. Treatment & Prescription
    Depending on the severity, treatments such as topical/oral antibiotics, disinfection, and incision/drainage will be performed.
  5. Guidance for Home Care
    We will carefully explain how to clean and disinfect, whether to remove the piercing, and precautions for daily life.
  6. Payment & Departure
    We will inform you of the estimated time for your next visit and advise on preventing recurrence.

Consultation Hours & Access

Item Content
Clinic Name Jujo Station Haru Internal Medicine & Dermatology Clinic
Consultation Hours Monday to Sunday, open from 9 AM every morning. Closed at 8 PM on Wednesdays, 9 PM on Fridays and Saturdays, and 7 PM on Sundays.
Closed None (Irregular holidays)
Location J&MALL 1F, 2-27-1 Kami-Jujo, Kita-ku, Tokyo 114-0034
For those coming by train/on foot Approximately 1-2 minutes walk from JR Saikyo Line "Jujo Station," J&MALL 1st floor
For those coming by bus Right in front of the Kokusai Kogyo Bus "Jujo Station" bus stop
For those coming by car Please use a nearby coin parking lot
Contact TEL: 03-6698-2509 / Official LINE:https://lin.ee/AL0fp3z
Call Official LINE WEB Reservation (Priority Guidance)
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