Conversation: The conversation between human and AI assistant.
[|Human|] for a few months,  as soon as I put my head on the pilot I feel like a heart beating in my right ear. After two hour sleeping I woke by the noise in it and decided to take my blood pressure, for my surprise it is 171/110, or 180/108,etc...wat can this be?
[|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 and give 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. Of course your values are pretty high, so it is necessary to treat them. Because of this high values you might experience headache, blurred vision, noise in your ear etc. Hypertension is divided into two groups. Essential hypertension, usually in older age that is a chronic disease without an identified cause and secondary hypertension meaning that is 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 a cardiac echo to evaluate heart function and walls, a full blood analyze to check renal function, an abdominal echo and 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. Hope I was helpful. Best regards, Chat Doctor.