Conversation: The conversation between human and AI assistant.
[|Human|] I have had high blood pressure for several years. Recently it has being extremely high. eg 157/102 145/95. But now it seems to reading in at 113/95. I am on BP meds. Should I be overly concerned at this reading. My doctor tells me just to take another BP pill.
[|AI|]  Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to physical or psychological stress, or any changes to your lifestyle. I agree with your doctor, in the fact that during these episodes another BP pill would help. I recommend you to closely monitor your blood pressure different times during the day. If your blood pressure values are above 130/900 mm Hg most of the time, some permanent changes to your actual therapy should be done (an increase in the dose, or adding another Chat Doctor.  Meanwhile, I would also recommend performing a careful physical examination, a resting ECG and some blood lab tests (complete blood count, PCR, sedimentation rate, kidney and liver function tests, thyroid hormone levels, fasting glucose, cortisol plasma levels, blood electrolytes, etc), to exclude other possible secondary causes of these changes to your blood pressure. A healthy lifestyle (avoid salt and caffeine intake, lose weight and perform a lot of physical activity) would be helpful, in maintaining your blood pressure under control. Hope to have been helpful! Feel free to ask any other questions, whenever you need! Greetings!