Conversation: The conversation between human and AI assistant.
[|Human|] My mom is 80 years old with high blood pressure and parkinsons disease...she is on blood pressure medicine everyday and today her face is red and we checked her blood pressure ...it is 196 over 99 with a pulse rate of 90...she just took more medicine...what else should we do?
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that high blood pressure in her situation should be treated like in other patients. You should know that high blood pressure is not typical of Parkinson's disease (it usually causes hypotension or orthostatic hypotension). I would like to know what is her actual antihypertensive therapy. I would recommend consulting with her attending physician for a careful physical examination, a resting ECG, chest X-ray study and some blood lab tests (complete blood count, PCR, sedimentation rate, thyroid hormone levels, kidney and liver function tests, blood electrolytes, etc.) to exclude other secondary causes of high blood pressure. You should discuss with her doctor on the possibility of adding other antihypertensive Chat Doctor.