### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have some headech problem , My age is 38 yrs Female my MRI of brain result "Focal Stenosis of the main stem of the right middle crebral artery" My BP is very high after taking Stamlo5 twice daily my BP remains 150/96. Today  is sunday so please help.

### output:

Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your MRI findings indicate a narrowing of the main artery supplying blood to 2/3 of the right cerebral hemisphere. This means that you are at a higher risk for stroke in this artery territory. I would recommend consulting with a neurologist and performing further tests to investigate for the possible cause of this vessel narrowing. This is not a common finding in other persons of your age. Regarding your blood pressure, it does not seem to be caused by the narrowed artery. But I would explain that uncontrolled high blood pressure is a strong risk factor for possible progression of this narrowed vessel. The headache you have seems to be caused by high blood pressure. That is why, I recommend consulting with your attending physician and performing further tests to investigate for secondary causes of high blood pressure (which is not normal at your age too): - a resting ECG-chest X-ray study-blood lab tests (complete blood count, fasting glucose, blood lipid profile, PCR, sedimentation rate, kidney and liver function tests, blood electrolytes)- an abdominal ultrasoundBesides optimizing your antihypertensive therapy, in order to have a better control of your blood pressure, it would be necessary also avoiding other cardio-vascular risk factors: - treat dyslipidemia if present-modify your diet (avoid salt and caffeine intake, increase omega 3 fatty acids like fish, fish oil, walnuts, olive oil, etc.)- avoid smoking or caffeine intake-perform a lot of physical activity. Meanwhile, I would recommend taking acetaminophen or naproxen for the headache. Hope you will find this answer helpful! Kind regards, 