<s>[INST] Hi I went to my doctors with blurred vision and real bad pain in the back of my head he did my bp and it was 226/126 he sent me straight to the hospital where they did ct scans n chest X-rays n bloods every thing came back ok they sent me home with Ramipril and had to go back week later and have urine sample done and my bp took this time was 197/110 the doctor arranged for me to have echocardiogram done this was 2 and a half weeks ago and not heard anything since should I have had my result back by now I am 26 years old [/INST] Dear patient You have got very high blood pressure. Normal blood pressure at your age is 120 systolic and 80 diastolic and yours is 226/126. This leads to severe occipital headache and blurred vision might be due to retinal vessel damage.  We need to search for the cause of your high blood pressure which may be 1. Pheochromocytoma 2. Renal hypertension 3. Intracranial  space occupying  lesion. Please take a visit to expert physician nearby you and get yourself thoroughly  examined and investigated.  Please do not neglect this as such high blood pressure  has severe adverse effects on your health including  hemiplegia.  All the best. </s>