<s>[INST] My BP keeps going up and down, It was 88/54 one morning, sometimes boes up to 153/98. I have extreme fatigue and a bit of weakness and feel shaky. Docs can t seem to figure it out. Been going on for about 2 years. At first it would only happen once every few months, now seems to be happening more often. [/INST] hello,I have gone through your query.Thanks for using HCM.such wide fluctuations of BP for two years need detail investigations.I suggest you to provide the detail of investigations done so far.Based on which i can guide you further.you should get ECG,Electrolytes ,Ultrasound Abdomen,Echocardiogram for preliminary assessment,I would be glad to guide you if you provide me feedback with reportsMy best wishesDr.Rajesh Teli,MD. </s>