My mother has previously posted a question about my uncontrollable hypertension but has left several facts out. I am a 21 year old female who has struggled with hypertension for 4 years. At age 10 I had bilateral ureteral reimplantation. I was followed up by the urologist, everything was said to be normal. At age 17 my blood pressure averaged around 200/100. I was put on HCTZ and sent to a hypertension/nephrology specialist. I have had x-rays, a VCUG, IVP, ultrasounds and many blood/urine tests. Everything came back normal. I am now on maximum doses of Procardia, Toprol and HCTZ in an attempt to bring my BP down since I was sent to ER by a general practitioner. Vast arrays of blood work, MRAs, urinalysis, etc have come back normal except for iron deficiency anemia and continuing high levels of WBCs. I do not smoke, do not take illegal drugs and I only drink rarely. When this started at age 17 I ran 3 miles a day and was a vegetarian. I have switched birth control to a POP, have drastically cut back on caffeine, and have asthma under control without use of albuterol. Summer of 2005 I was placed on a 30-day event recorder to listen for "heart flutters" I had been having, results came back normal. I now have extreme fatigue and horrendous other side effects that are interferring with normal life. Do many teenagers have essential hypertension or should I keep searching for a secondary cause? Last BP reading on all the meds was 134/74 with pulse of 64. Here is a list of all meds I am taking - Lexapro 10mg, Micronor, 1 Feosol, Procardia 120mg, HCTZ 50mg, Toprol 50mg, Advair 250