What causes high BP, dizziness and fatigue?
Patient: I have really high blood pressure lately, dizziness and fatigue. Most recently I have a sensation in my leg that is painful to the skin touch.. also , once in a while I will get a pulsating pain that lasts for just a minute. Yesterday as I was sitting at my desk, I had a heat sensation in my back and then i broke out in a sweat. What might be going on? Doctor: Hello , High blood pressure per say may cause the symptoms of headache , dizziness  and fatigue . Treatment of hypertension with lifestyle change or medication such that the blood pressure reading is below 140 mg / 90 mg should be the priority here . Also if you are more than 45 years old , obese ,smoke or have other risk factors , an cardiac evaluation by doing a and ECG and If needed and 2d Echo and TMT should be considered.  However again the sweating episode can still be due to fluctuation in BP . Hopefully I could help Regards Dr. Mody