My blood pressure is 154 /83.i get blurred vision worse with exercise and head pressure.should i be on meds? im 34.

Yes: If your BP is above 130/90 on rest and increase and you are symptomatic and worse with exercise And this is constant you need to see your MD do a physical exam and history , evaluate causes and probably is essential hypertension most common cause , you are going to need treatment HTN is called the silent killer , people procrastinate , you are symptomatic you need to get help.

Unsure: Go through this carefully. Your symptoms are specific for High Blood pressure. But 154/83 does not cause symptoms. I suspect either your B.P reading is wrong or your symptoms are unrelated to B.P. Any how you need to check your B.P again in 2 weeks and depending on numbers treatment plan should be formulated.

Get medical help: Hypertension is a silent killer. You must have a thorough exam by a physician, including blood tests to determine how your kidneys are functioning. If you wait, you put yourself at great risk for strokes, heart attack, irreversible kidney damage, and retinopathy.