<s>[INST] Hi Doctor, I am a 19 year old female with extremely high blood pressure, my last reading was 192 over 50. I am currently on the birth control pill microgynon. Before going on the pill I had pains in my stomach when I was ovulating, that has now gone. However, last night it came back and today I have been in exruciating pain whenever urinating and constantly feel like I need to go to the toilet but when I go nothing comes out and it hurts like hell! Help me please! [/INST] Hello, I suggest you go to the hospital and do some routine and specific blood tests. An angio CT of your body may be needed, to see for causes of your second hypertension. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anila Skenderi, General & Family Physician </s>