Why Hypertension In The Elderly Is A Concern in Sri Lanka

    hypertension in older adults in Sri Lanka

    Key highlights or summary

    • Hypertension in elderly Sri Lankans is growing, with nearly seven in ten in their seventies affected.
    • Diets high in salt, limited screenings, and financial or caregiving stress all contribute to the crisis.
    • Only one in five patients keeps blood pressure under proper control.
    • Prevention is possible with salt reduction, physical activity, stress management, and regular checkups.
    • Local foods like gotu kola, young jackfruit, bananas, and mukunuwenna can help lower blood pressure naturally.

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    Frequently asked questions

    Hypertension is high blood pressure that stays elevated over time. As people age, arteries stiffen and the heart must push harder, which gradually raises readings. Therefore, older adults are more likely to develop sustained high pressure unless they manage it actively.

    Risk builds from several directions at once. Aging biology narrows the margin of safety, while family food traditions often lean salty, and screening is not always easy to access. Moreover, activity levels tend to drop in later life, and some families rely on pickles or packaged foods that add even more sodium. Genetics can add another layer, which makes prevention and regular checks especially important.

    Most people feel nothing until pressure climbs very high, which is why it is called a silent condition. However, headaches, dizziness, blurred vision, chest tightness, or shortness of breath can appear. Any of these signs in an older adult should lead to a medical visit without delay.

    Meals built around salty curries, fried items, preserved fish, or instant flavor packets push sodium intake up, and blood pressure follows. Yet the same food culture offers help. When fruits, leafy greens, lentils, and fresh herbs appear more often on the plate, pressure tends to settle. Choosing fresh over preserved makes a noticeable difference.

    Prevention is realistic. Regular walking or gentle exercise, meals with less salt and oil, and a steady body weight all lower risk. Routine blood pressure checks catch problems early, which makes treatment simpler and safer.

    Uncontrolled pressure strains the heart and damages blood vessels throughout the body. Over time, it raises the likelihood of heart disease and stroke, and it can injure the kidneys and the delicate vessels in the eyes. Quality of life drops quickly when fatigue, breathlessness, or vision changes set in, so control matters.

    A practical rhythm is every three to six months for those without a diagnosis. Following a hypertension diagnosis, patients may be asked to monitor their blood pressure at home and to visit the doctor for checkups at regular intervals. Consistent records help clinicians adjust treatment before problems escalate.

    Yes. Stress can cause short spikes, and when it lingers, it can keep pressure higher than it should be. Many seniors in Sri Lanka juggle financial worries, caregiving roles, or loneliness. Simple routines like breathing exercises, prayer or meditation, community time, and regular walks help bring pressure down.

    Get started with your diet. Instead of adding salt, try using lime juice and fresh herbs for taste, and eat more fruits, vegetables, and legumes. Get moving at least once a day, get enough of sleep, and cut back or cut out smoking and heavy drinking. Gradual improvements result in more accurate results.

    For added assistance, some people turn to garlic, gotu kola, or coriander water. Along with a healthy regimen, these can work. However, they should not replace prescribed medication. Seniors should talk with their doctor before combining traditional remedies with modern treatment to keep everything safe and effective.