Conversation: The conversation between human and AI assistant.
[|Human|] Why do I have numbness and tingling in my hands and feet even though I am taking three different blood pressure medications? My blood pressure still climbs often in spite of medication. My blood pressure right now, 30 minutes after taking lisinopril and clonidine is 130 over 85, heart rate 77. I take metoproloI, 25 mg, 2x a day, lisinipril, 20 mg, 2x a day and as of yesterday, clonidine, 0.1 mg, 2x a day. I still don t know why I have high blood pressure after two hospitalizations, mri, scans, blood tests and heart monitor. I don t have heart disease according to the cardiologist. I don t smoke or drink or do drugs. I do have anxiety problems but mostly controlled with Lorazepam which I rarely take. Any suggestions as to what s going on with blood pressure and tingling extremities?
[|AI|]  In your narration it is not clear whether you have persistent raised blood pressure or episodic. In my opinion, episodic high blood pressure with anxiety, sweating or tingling may be due to hormonal abnormality and pheochromocytoma should be looked for. You should be evaluated for secondary causes of raised blood pressure like renal dysfunction, pheochromocytoma. If you have continuous tingling and numbness then you should be tested for diabetes, nerve conduction studies and other test according to examination and NCV report. Wishing you good health.