Conversation: The conversation between human and AI assistant.
[|Human|] My blood pressure is spiking after I eat. It was 133 over 94 yesterday. My middle back area, shoulders and neck ache when my blood pressure starts rising. I have an appointment next week to get results from blood tests the doctor is having run. My family has an history of strokes and I am concerned that I will have a stroke by next week.
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that in your clinical situation, it is important excluding possible secondary causes of high blood pressure. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some lab tests: - a resting ECG- a chest X-ray study-blood work (complete blood count, thyroid hormone levels, blood electrolytes, kidney and liver function tests, fasting glucose). I would also recommend performing a fibrogastroscopy as the pain in the middle of the chest after eating could also be related to hiatal hernia or fibrogastro-esophageal reflux. Hope to have been helpful! Kind regards,