Conversation: The conversation between human and AI assistant.
[|Human|] MY BP is averaging 183 / 130 since the beginning of the new year. I have resumed taking meds as there seemed to be no gain or lowering over several months. Have read about the dire consequences of such high BP and am at odds to find a way of bringing it down. The only area of which I am guilty is in the area of worry and stress. which I feel is made worse as we are no longer intimate ...for more than 3 years; and even before sex averaged 6 times a year. Any advice?
[|AI|]  Hello thanks for posting here. You seem to have got resistant hypertension because your BP is not under control despite being on medications. So we must look out if there are any treatable causes of this resistant high blood pressure. A block in both the arteries supplying the kidneys is on the causes of resistant hypertension. So please do a renal artery Doppler to see whether you have kidney artery disease. Another reason is a condition Called pheochromocytoma. It is a being tumor of the Chat Doctor.  To detect that a CT abdomen can be done. So my advice is first to do a renal artery Doppler and if it is normal then a CT abdomen. Meanwhile, your BP medications should be added and changed. Wishing you good health regards