Conversation: The conversation between human and AI assistant.
[|Human|] I have a friend 80yrs of age, about 5 10, 146 lbs.  He has torus palatinus and believes that it causes elevated blood pressure during sleep.  He can get no definitive answers from his gp or an ent.  Any  help on this would be appreciated.  He awakes to find his blood pressure 190/105.  He takes medication.
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that sometimes high blood pressure values during the night may indicate uncontrolled high blood pressure. An optimization of antihypertensive therapy is needed in such cases. But, I would also recommend excluding some other disorders (like sleeping apnea), which can lead to this symptomatology. So, I would recommend performing some tests: - a chest X-ray study and respiratory function tests- a blood gas analysis- a multiple sleep latency test or polysomnography to investigate for sleep apnea. You should discuss with him on the above issues. Hope you will find this answer helpful! Kind regards,