Paediatric Nephrology Specialist

Evaluation & Treatment of Childhood Hypertension

Systematic screening, secondary cause workup, and treatment of high blood pressure in children.

Unlike adults where high blood pressure is usually primary/essential, childhood hypertension is predominantly secondary to an underlying renal parenchymal illness, renovascular defect, or endocrine abnormality. We provide accurate percentile-based blood pressure profiling, comprehensive secondary investigations, and organ-preserving therapy.

Common Symptoms & When to Consult

Signs and clinical presentations evaluated by our pediatric team

Often entirely asymptomatic (discovered incidentally on routine well-child vitals checks)
Frequent unexplained morning headaches or dizziness
Visual blurriness or sudden episodes of nosebleeds (epistaxis)
Unexplained fatigue, irritability, or poor academic stamina
Chest tightness, palpitations, or short breath during sports

Diagnostic Workup & Clinical Evaluation

Precision testing protocols avoiding unnecessary invasive tests

1

Blood pressure staging using pediatric age-, sex-, and height-percentile normative tables

2

Confirmation with correctly sized pediatric cuffs across multiple resting visits

3

Renal Doppler ultrasound to assess renal artery flow and parenchymal architecture

4

Serum Creatinine, Electrolytes, Renin, Aldosterone, and urinalysis

5

Echocardiogram to detect early left ventricular hypertrophy (end-organ protection)

Treatment & Therapeutic Protocols

Evidence-based, child-safe management strategies

Targeted lifestyle optimization: age-appropriate dietary sodium restriction and active play

Identification and specific surgical/medical resolution of underlying renal cause

Precision titration of pediatric-approved antihypertensive medications (ACEi/ARBs, CCBs)

Serial home blood pressure monitoring logs and annual cardiovascular safety audits

The Pravas Care Guarantee

Dedicated sub-specialty blood pressure profiling for infants through adolescents
Rigorous diagnostic search for reversible secondary causes
Avoidance of indiscriminate lifelong medication when lifestyle/root cause can resolve it
Routine screening protocol applied to all children aged 3 and older
Physician's Clinical Perspective
“Pediatric blood pressure must always be measured using a cuff that covers 80-100% of the arm circumference and interpreted against height-specific percentiles.”
Dr. Pratima VermaMBBS, MD Pediatrics • MRCPCH (UK)

Frequently Asked Questions

Why should a healthy child have their blood pressure checked?

Pediatric hypertension is almost always silent. The Indian Academy of Pediatrics and AAP recommend routine blood pressure checks annually for all children from 3 years of age to catch underlying kidney conditions early.

Will my child have to take blood pressure pills forever?

Not necessarily. If the root cause is resolved (e.g., treating renal parenchymal inflammation, addressing lifestyle habits, or resolving obesity), many children successfully taper off medications under medical guidance.

Consultation Desk

Kondapur, Hyderabad

ConsultantDr. Pratima Verma
QualificationsMRCPCH (UK)
Wait TimesSame-Day Priority
Book Appointment OnlineCall 077023 45996

Clinic Location

Shop no 1, above Karachi Bakery, Narsingi, Hyderabad, Telangana 500089.

Hours (Mon - Sat):9:00 AM – 8:00 PM