When you have hypertension, you may not even realize it. Many people with high blood pressure don’t start having symptoms until their readings start to spike exponentially. These symptoms can include: • Blood in the urine • Blood spots in eyes • Chest pain • Confusion • Difficulty breathing • Facial flushing  • Facial flushing • Fatigue  • Headaches • Irregular heartbeat • Nosebleeds • Shortness of breath • Trouble sleeping • Vision problems Regular wellness checks with your primary physician will help you to keep tabs on your blood pressure. Getting your blood pressure clinically checked is how many patients find out that they have hypertension, and it often represents the first step toward diagnosis and treatment.