Conversation: The conversation between human and AI assistant.
[|Human|] yes my name is Dianne , having problems with my blood pressure , going very high but when I take medication it goes down. get this burnining sensation in my lower back then it moves to my shoulders and arms and sometimes across my chest,when that happens it sends up my blood pressure. also pain and cramps in my both hands and arms , sometimes it wakes me up from sleep, also get light headed and blurry eyes. do not have the money to pay at this time.
[|AI|]  Hello, This can be a spondylosis due to compression of nerves between spine. Does this pain increase on neck movement, is it associated with tingling, numbness in arm or any neck trauma, if yes then it supports the diagnosis. Then he'll need x cervical and thoracic spine AP/ Lat view and further may need MRI. Till the time he can have tabbed erosion forte once a day which is a nerve vitamin.  You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then you should be on medicines for it. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.