Conversation: The conversation between human and AI assistant.
[|Human|] I went for an unpleasant smear test last week and after it my blood pressure reading was 140/90.  I was asked to return this week for another blood pressure and this week it was 164/82.  The nurse said if the one next week is raised I will have to have further tests.  Why would my blood pressure be raised it has always been ok before.  Last reading march this year. I am 47 years old, non smoker, 10st in weight, 5 foot 6 height
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. Hypertension is divided into two groups. Essential hypertension is a chronic disease, usually in older ages. It has not an identified cause, and should be treated all live long. Secondary hypertension is common in younger ages. It means that it's a secondary house of it. This might be a renal disease, an endocrine problem or a cardiovascular anomaly. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze, an abdominal echo to evaluate renal structure, your urinary catecholamine and of course a holder pressure monitoring to evaluate your values during day and night. After all this we can better judge what we are dealing with and how to treat it. If you didn't have high values before, it doesn't mean that you would never have, it might happen, and we should find the house if it is any. Hope I was helpful. Best regards, Chat Doctor.