Conversation: The conversation between human and AI assistant.
[|Human|] my right leg has been hurting for a week then started swelling from thigh down and pain , today i went in for my 6 mth teeth cleaning and they took my bp it was 193 over 118,pulse 94,they waited a bit took it again it drop a little and kept a eye on it by the fourth time in a hour it was 194 over 114 they told me ,they could not clean my teeth and to seek a dr soon, i have no insurance and i dont know what to do they said it was stroke levels and would not clean my teeth ,i am very comfortable with having my teeth clean and like all in the office i wasnt nervous ,but my right leg has been swelling with lots of pain,any advice would be appreciated thank you,i am not a diabetic
[|AI|]  Dear, the swelling of the right lower limb could be due to two reasons. First DVT that means blood clots in the veins which blocks the blood flow and increases the pressure inside the blood vessels. This leads to the leakage of the plasma into the tissues surrounding the veins causing swelling and pain. Second cause could be an expanding hematoma, means an injury to the one of your leg vessels thereby leaking blood into the surrounding tissues. Usually if this injury is not very severe, it heals spontaneously but as your blood pressure is high, it can interfere with the healing of the vessel and cause continuous leakage of blood. Now coming to high BP, but you are not having any symptoms! Could be due to the fact that the high BP could have been there for quite a time so that your body has adapted to it. But still it needs to be evaluated and treated. With these possibilities, I would like to get an urgent ultrasonography and a color Doppler of your right lower limb and treat accordingly. Simultaneously, to get an ultrasonography of the kidneys and renal Doppler to rule out the secondary causes of the high BP. Also get your kidney function tests and eye check up done. And then start antihypertensives as per the reports.