Conversation: The conversation between human and AI assistant.
[|Human|] Ok I pissed off some docs at san juan medical center cause they wanted to operate when i had just went in to the er.my blood pressure was over 188/100.I had a spell thats what got me there.But I got scared cause they were talking stents or bypass.But is dizzyness and 188/100 cause for operation?
[|AI|]  Thank you for your query in Chat Doctor .com....well from the short history that you have posted above, all I can say is that a surgery is not always necessary for dizziness and BP 188/100...in fact, on the first place, we go for medical management for lowering blood pressure...an attack of dizziness can accompany a rise of blood pressure or there can be some other causes for it also...kindly provide me with further histories regarding your attack otherwise proper diagnosis and further management is not possible...tell me whether you had any episodes of unconsciousness, vomiting, loss of sensation, weakness of a side of body, chest pain or palpitation associated with your rise in BP...if not much of the above is present, we generally start with furosemide or amlodipine followed by beta blockers or nitroglycerin patches if required....come back to me with the answers....hope this was helpful...regards