Conversation: The conversation between human and AI assistant.
[|Human|] I am 28 years old and I have had hypertension since I was 20.  I am not on medication and its steadily up in high numbers.  I just checked it and it was 146/106 and my heart rate is 120.  I have had bad headaches for over a week now, what should I do
[|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, usaly in older age that is a chronic disease, and it should be treated all live long and secondary hypertension, meaning that it's a secondary house of it. This might be a renal disease, an endocrine problem or a cardiovascular disease. It is most common in younger ages. If you have high blood pressure values you might experience headaches, dizziness, nausea, tachycardia. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and valves, a full blood analyze, your urinary catecholamine, an abdominal echo to evaluate renal structure and a holder pressure monitoring to see your mean values. After these we can better judge what we are dealing with and how to treat it. Hope I was helpful. Best regards, Chat Doctor.