Conversation: The conversation between human and AI assistant.
[|Human|] Hi My blood pressure has been really high this week 153/109 I m not feeling well, have a headache and like a Charly horse in my right upper side of my chest area I feel exhausted like I should be in bed, but then can t sleep Should I go to the er? I have a primary care appt next week
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! I read carefully your question and understand your concern. It is important performing a complete check-up to find out the possible cause of your symptomatology. As your clinical situation has been like this for a week, and you are still with the same symptoms, I think that you should wait for an appointment with your doctor until the next week. But if your clinical situation worsens (especially with chest pain or shortness of breath) you should go to the ER to perform a resting ECG and cardiac enzymes to exclude possible acute coronary syn Chat Doctor.  It is important performing also other tests by your GP to find out the possible cause of this clinical scenario: - chest X-ray study- a cardiac ultrasound-blood lab tests (complete blood count, PCR, sedimentation rate, thyroid hormone levels, fasting glucose, kidney and liver function tests). You should closely monitor your blood pressure several times during the day and refer those values to your attending physician. An antihypertensive therapy should be started if your blood pressure stays most of the time at these levels. Meanwhile, I would recommend avoiding salt and caffeine intake with food and straining physical activity. Hope to have been helpful! Best wishes!