High Blood Pressure Symptoms
and Hypertension Causes

What are the High Blood Pressure symptoms you should look out for and what are the causes of high blood pressure?

What are the Symptoms of High Blood Pressure?

Usually there are none. People with very high blood pressure can feel quite well. It is rare to feel headache, palpitations or sick until complications set in. The following Hypertension Symptoms may indicate the effects of high blood pressure on organ damage :

High Blood Pressure Headache - Headache is one of the hypertension symptoms that may occur in hypertensive patients (remember most are asymptomatic). It is typically early morning, occipital and throbbing. It appears to be related to the severity of blood pressure.

Dyspnea on exertion - This is a sensation of breathlessness that is excessive for any given level of physical activity. Patients may complain of tightness in the chest. Appropriate breathlessness following activities such as running to catch a bus is not abnormal, but may be excessive due to obesity or lack of fitness.

Chest Pains - Sudden onset of pain in chest may indicate myocardial ischaemia, especially if accompanied with left arm pain.

Ankle Oedema or Swelling

Hematuria - This is the presence of blood in urine. It may be only microscopic hematuria or the detection of red cells in the urine. Your doctor may carry out urine tests to check for possible target organ damage and possible causes of secondary hypertension.

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What causes High Blood Pressure?

In most cases (up to 95%), there is no identifiable cause, it just happens that way. The pressure in our arteries is high because the heart pumps too hard and the arteries are too narrow. This is like the pressure in a hose, the further we turn up the tap and the narrower the hose, the greater the pressure.

Sometimes hypertension is caused by a kidney problem or other rare disorder. Drinking excessive amounts of alcohol is an important cause.

Certain drugs may cause hypertension such as NSAIDs (Non-steroidal anti-inflammatory agents), corticosteroids, oral contraceptives and hormone replacement therapy.

Click here to find out ways to lower blood pressure naturally.

Hypertension Management

Pre-Hypertension to Hypertension Risks & Effects

  • Treatment with high blood pressure medication is probably for life. The medications for high blood pressure must be taken regularly as directed by your doctor and never stopped unless advised by him.
  • There is a need to reduce your weight, quit smoking, reduce salt and alcohol intake, learn relaxation techniques to reduce stress.
  • Check with your doctor what the blood pressure medication side effects are. Let your doctor know if you encounter any, rather than stop the antihypertensive drugs. Always ensure that you have sufficient supplies of your blood pressure meds.
  • Some of the blood pressure medication side effects have to be tolerated. It may take some time to find the best high blood pressure medication for you, the right dose or combination of drugs.
  • Regular follow up with your doctor is important. Arrange weekly appointments until the blood pressure is controlled and stable.
  • Thereafter, another appointment in 1 month and after that 3 monthly so that your doctor can assess your general health, the control of your blood pressure and weight, your comfort with the medications for high blood pressure and your compliance in taking the medicines. Your doctor will also check for any evidence of organ damage eg heart, kidney, retina etc.
  • Physical examination and Basic Screening tests may be carried out by your doctor to check for possible target organ damage and possible causes of secondary hypertension.

Please seek Medical attention as soon as possible if you are unsure of you or your family's health condition.

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Make your Appointment at Tel: 6694 1661


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Causes of Secondary Hypertension

Secondary hypertension (secondary high blood pressure) is high blood pressure that's caused by another medical condition. Secondary hypertension can be caused by conditions that affect your kidneys, arteries, heart or endocrine system.

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COVID-19 Sinopharm Vaccine & Booster

Sinopharm COVID-19 Vaccine is currently Out Of Stock at our clinic.

Sinopharm BBIBP-CorV vaccine has now been approved for use by private clinics in Singapore against the COVID-19 virus under the Special Access Route. It is the first China-made vaccine to be approved by the World Health Organisation (WHO).

To date, more than a billion doses of the Sinopharm BBIBP-CorV have been administered. The vaccine has also been approved for use in over 50 countries around the world.

Inactivated vaccines are a tried-and-tested form of vaccine technology which is used in other well-established vaccines, such as the Flu and Hepatitis B vaccines.

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COVID Symptoms to watch out for:

SARS-CoV-2 Virus Infection of Human Organ  Tissues through Cell ACE-2 Receptors:

Singapore Ministry of Health Recommendation:

  • For persons who have already completed their Primary series with mRNA vaccines and are recommended to get a booster, but are unable to take another dose of mRNA vaccines for medical reasons, they may boost using one dose of Sinopharm vaccine. The booster should be taken six months after mRNA dose 2 (M-M-S).

  • For persons who are unable to take the 2nd dose of mRNA vaccines for medical reasons, they may complete their vaccination with the Sinopharm vaccine. 2 doses of the Sinopharm vaccine is recommended to complete the Primary series. The 2nd Sinopharm dose should be taken 28 days after the 1st Sinopharm dose (M-S-S).

For recovered persons who had not completed a primary series before infection:

  • For persons who have recovered from a COVID-19 infection but received 1 dose or none of COVID-19 vaccination prior, they may receive 2 doses of the Sinopharm vaccine (28 days interval between doses), 3 months after the date of infection to complete a primary vaccination series (Recovered-S-S or S-Recovered-S-S or M-Recovered-S-S).

  • For persons who have recovered from a COVID-19 infection and had received 2 doses of Sinovac or Sinopharm vaccines prior, they may receive 1 dose of Sinopharm after 3 months from the date of infection to complete a primary vaccination series (S-S-Recovered-S).

Pain Relief Management & Treatment, Vaccinations, Health Screening, COVID & Allergy Testing, Dermatology Treatments, Minor Surgical Procedures

NAIS & NCIS - Singapore is free from vaccine-preventable diseases like poliomyelitis, diphtheria, tetanus and pertussis (whooping cough) because of our successful immunisation progamme.

National Adult Immunisation Schedule (NAIS) Singapore @ MD International Medical Centre. Make your vaccination appointment at Tel: 6694 1661.

Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).


Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella)

Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).


Risk Factors of COVID-19 Complication

Source : Observer Research Foundation


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Latest Influenza Vaccine

Asymptomatic patients may display no symptoms of illness. Vulnerable people should get vaccinated against Influenza which protects susceptible people from, as well as exclude the Flu and H1N1 viruses should they start to show URTI or ARI symptoms.

a. Vaccination decreases the risk of co-infection with COVID-19.

b. Vaccination reduces the burden of respiratory illnesses in the healthcare system.

The latest Influenza Vaccine is now available. It protects against the Flu and H1N1 Viruses. Ministry of Health Safety protocols are adhered to at all times for the safe vaccination of you and your family.

* Importance of Keeping your Vaccinations Up-to-date


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MD International Medical Centre

Medical Services available:

  • General Practice Family Medicine - Illnesses & Infections
  • Minor Surgical Procedures
  • IV Infusion of Medications
  • Respiratory Medicine - Influenza, Colds, Cough, Upper Respiratory Tract Infections (URTI), Acute Respiratory Infections (ARI), Sinus Infection
  • Treatment of Gastric issues, Stomach aches, Irritable Bowel Syndrome, Heartburn
  • Infectious diseases & Virology - COVID-19, Dengue, Flu, Hepatitis B etc
  • Dermatology - Skin Problems (Eczema, Acne, Rash, Boils, Dermatitis, Pigmented or Dry Skin, Moles /Skin Tags /Wart Removal)
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  • Look Younger - Botox injections
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  • Ear, Nose & Throat (ENT) - Ear Wax Removal, Ear Otitis Enterna, Nose Bleed-Epistaxis, Snoring & Sleep Apnoea, Vertigo & Dizziness, Audiogram (Hearing test)
  • Pain Management, Treatment & Therapy - Arthritis, Back & Joint Pain, Migraine, Gout
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  • Vaccinations / Immunization - Latest Flu vaccine, Sinopharm COVID Vaccine & Booster
  • Travel Health - Travel Vaccinations & Health checks, Travellers' Diarrhoea
  • Allergy tests / Allergic Rhinitis / Asthma Management
  • Health Screening / Blood tests
  • Management of Chronic Diseases - Treating Prediabetes, Diabetes & Insulin Resistance / Hypertension
  • Heart Health - ECG Heart monitoring / High Cholesterol management / Chest pains
  • Executive Health Assessment - Pre-Employment check-up / Work Permit / Employment Pass / Employment Pass
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The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

MD International Medical Centre / MD International (Singapore) Pte Ltd

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9 Taman Serasi #01-11, Botanic Gardens View

Tel : 65-6694-1661  Fax : 65-6694 1771

Email : contact@mdimc.sg

Clinic hours:

Monday to Friday: 9am-12.30pm / 2pm-6.30pm    Saturday: 9.30am-1pm

*Last registration is 30mins before the closing time

Closed on Sundays & Public Holidays

- Cashless service with most International Insurance companies and Insurance Medical cards are accepted

- Japanese, English & Mandarin-speaking Doctors and Medical staff

Please contact us at Tel: 6694 1661 to make an appointment.

Please make an appointment for the following at Tel: 6694 1661:

* Minor Surgical Procedure

* Health Screening / Blood Test

* Dermatology Treatment

* Allergy Testing

* Pain Treatment & Therapy

* Vaccination

* Pre-Departure PCR Swab Test / Serology Testing

  • 小型外科手术
  • 健康检查/验血
  • 皮肤科治疗
  • 过敏测试
  • 疼痛管理与治疗
  • 疫苗接种
  • 出发前 PCR 拭子检测
  • 血清学检测

OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Fujiwara Takanori

The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association

Physiotherapy-trained NBCE The National Board of Chiropractic Examiners

YAMAGATA Chihiro 山懸千尋

Registered Psychologist


MD International Medical Centre

Medical Services

Minor Surgical Procedures :

·       Injection for Supraspinatus or Bicipital Tendonitis / Epicondylitis / Trigger finger / Plantar Fasciitis

·       Tendon Sheath Injection

·       Excision of small Skin tumours / Lipomas / Nail bed / Ear lobe cysts / Meibomian cyst

·       Removal of Skin sutures / Skin tags / Sebaceous cysts / Various foreign bodies / Corneal foreign body

·       Liquid Nitrogen Therapy

·       Treatment of Plantar Warts / Calluses / Corns / Ganglions

·       Splinters under nails

·       Olecranon and Pre-patellar Bursitis

·       Ear syringing

·       Embedded earring stud


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