I'm a 26yo Male 6'1" 205 good health. Fall 2006 went into ER for Migrains discoverd BP was 172/102, come to find out later after constant migraines ( that I thought were related to hypoglycemia ) were due to pulmunary hypertension. I went to my DO he and he didnt seem to have an issue with a 26yo male having a BP on a 24/hr avg 166/96, so I asked for a refferal to a cardiologist. Later I had a workup done follwoing a CT, Renal Duplex study and a Agiogram ( because they thought i had bi-lateral renal aterie stenosis, which I did'nt) Only in my Ciliac Axis was there stenosis found with an 80% occulusion. I was taking Lisinopril after having a cough I had been taken off the ACE inhibitor, now I take Hayzaar 50 12.5, on avg my B/P is 148/88. Only a daily baisis i'm borderline tachycardic 98-116. When excersising I avg 166 HR, which worries me. if I get down or lay in certain positions it feels like my head is gonna explode, and even sometime while ambulating. I don'y want kidney failure nor do I want to be stuck on meds my remainder, Does anyone have feedback on what it might be, should I have a stress echo or have my adrenal cortex checked along with my thyroid? I want to trouble shoot my disease because it prevents me from daily excersising. I also read a few blurps about chronic depleation or dehydration can cause hypertension in my case I drink less than a dialysis pt, lol because either i forget or don't thirst.