Conversation: The conversation between human and AI assistant.
[|Human|] Two years ago I had  surgery for carple tunnel to both my  hands Ever since this time I have sudden attacks of pupatations and if my blood pressure is taken that too is high up to 220/120,but it all seems to return to normal within an hour or less,with or with out medication . I am otherwise a healthy 54 year old post menopausal female.I would be so grateful if you could help and avise me what I should do about this as I cannot believe it can be anxiety only,as I am not aware of being anxious, it also does not seem to follow any pattern as I can wake up during the night with pulpatations.Thank you or your time.
[|AI|]  Hello, These episodes could be related to anxiety. Nevertheless, I would recommend performing some tests to investigate the possible underlying causes: - Complete blood count for anemia.- Blood electrolytes for possible imbalance.- Thyroid hormone levels for thyroid gland dysfunction.- Kidney and liver function tests.- Fasting glucose.- Cortisol and aldosterone plasma levels for a Chat Doctor.  If all these tests result normal, you should consider anxiety as the main cause of your complaints. In such a case, you should try to manage your anxiety. Yoga, meditation, and recreational sports can help in this regard. Hope I have answered your query. Let me know if I can assist you further.