Is it to be concern about the high blood pressure?
Patient: I am a 30 yr old female, 5'4" 160lbs...I have PCOS and after metformin treatment I sucessfully conceived.  I had preeclampsia while pregnant with my first child, who is almost 3 yrs old.  My blood pressure reached 220/125 before I was induced.  It returned to a more normal but still elevated 135/70 within a few months.  Since January my blood pressure has gone back up to 150-160/95-105 and over the past weekend it reached 189/116 and would only go down to 150/98 when lying on my side.  I have had a severe headache that began like a stiff neck on the left side over the fourth of July holiday and the pain continued for a few weeks on that side.   I still have headache pressure in a band across my forehead and the back of my head.  Last night my neck began to swell on the right side.  I have an appointment in 3 weeks, but am wondering if this is something that I need to go to an urgent care center for now as I am fearful of a stroke with the high blood pressure. Doctor: usually blood pressure more than 180/110 is considered as hypertensive emergency and may comprise symptoms like headache,dizziness,blurring of vision,dyspnea and chesst pain .these hypertensive emergency would be treated by iv dugs iv sodium nitroprusside or iv labetalol.as i find that since january your blood pressure has been found elevated for more than 3 times(>140/90) which means you are suffering from essential hypertension and you need to take a daily dose of antihypertensive drug to control your blood preesure.choice of antihypertensive drugs varies according to other health conditions.if you are pregnant and hypertensive you can opt only few following drugs.amlodipinelabetalolmethyldopaif you are having diabetes you can opt for following drugs .captoprillosartanyou must tell your doctor other health related conditions.sometimes in young age group of 30 blood pressure may get elevated due to secondary cause which usually includesrenal artery stenosishormonal disorders use of contraceptives.you should rule out secondary causes after consulting your doctor.you must go for following lifestyle changes.avoid sedentary lifestyle.avoid eating junk and oily foods take diets full of fibres like vegetables and fruitsdo exercise daily atleast for 30 minutes.get your LDL level checked to find if you require drug to control cholesterol level or not.   thakyou.