I want to get my hypertension under control with the best expertise. would i change from my board certified internist and switch to a nephrologist?

Hypertension: Most internists have loads of experience treating hypertension. The decision is a personal one. If you don't have confidence in your internist, perhaps a change should be considered.

PCP/Internist first: We all cook (treat) with the same ingredients (medications) but have different recipes (approaches) that reflect awareness of other disease processes. Hypertension is ably managed by primary care physicians and internists. Difficult cases are commonly referred to cardiologists or nephrologists for a second opinion. I'd suggest talking to your doctor first.

Hypertension: If your hypertension is not controlled with at least 3 medications max dose and you are following a low salt diet , then you are entitled to see a nephrologist for so called "hard to control or resistant hypertension", but otherwise your internist/primary care physician should be able to take care of you!

HTN: Not necessarily. A physician who really knows you can serve you best. A new balance of medications may be necessary and a fresh approach may help, but don't give up your internist. Have you had tests of kidney? and adrenal glands?