<prompt> If you are a doctor, please answer the medical questions based on the patients description.i m 20 year old..and i have hypertension my blood pressure remains 150100.. my current medicines are atenolol 50mg 2 times a day amlodipine 5mg 2 times a day turosamide 5mg 1 times a day all blood test ,renal test are done and are normal ECG shows LVH ECHO SHOWS LEFT VENTRICULAR WALL THICKNESS IS 10.4MM my blood pressure is not coming down ...answer me what to do  <response>: hello being a young hypertensive youll first evaluation for cause of blood pressure. You should undergo test like renal artery Doppler, Sr cortisol and 24 hr Urinary metanephrines. Also get lipid profile and sugars tested. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week and BP should not be persistently more than 14090 MMH. I think you should continue the same and I would like to add Tab Telmisartan chlorthalidone combination4012.5 once a day in the morning. Once BP is controlled LVH will gradually decrease and no need to worry about it. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldnt abdominal fat deposition or obesity. Hope this helps you and get back if you have any doubts. 