What causes high blood pressure spikes occasionally?
Patient: I have occasional episodes of high blood pressure spikes (160+/100+ with pulse 120+) combined with shivering through my whole body for 15-30 minutes. I am taking 2 meds to control hypertension and 2 for diabetes as well as Pradax blood thinner.  I did have stroke 1.5 years ago caused by atrial frib. which I have fully recovered from.  One month ago, I had a seizure like episode lasting 3 minutes which my whole face and voice muscles were frozen.  These shivering/high bp are increasing in frequency.What could be casuing thise events? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Since you had seizures in the past, we should definitely rule out recurrence of pulmonary this seizure episodes in your case. Shivering of whole body can be due to seizure activity. And diabetes and hypertension can precipitate seizure activities. So better to consult neurologist and get done clinical examination, MRI brain and EEG (electro encephalo gram). You may need regular anti epileptic drugs on the basis of above results. If all these reports are normal then get done vitamin B12 level as deficiency can also cause similar symptoms. And if deficiency then you will need supplements too. Don't worry, you will be alright. But first rule out seizures. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.