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

### input:
Hi, may I answer your health queries right now ?  Please type your query here..My blood pressure this moringing is 161 over 111. I have never seen it this high.  I have just started taking amiloride 4 days ago, half of 5 /50mg 1 x per day for Hypercalculuria. should I call my physican. Am I at risk of stroke at this level of BP

### output:

Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer: controlled level of blood pressure decreases risk of stroke, nothing to be worried about right now.*Explanation: My opinion is that hypertension is a challenge to some doctors as it is sometimes hard to control. Hypertension is a clinical diagnosis based on multiple high readings of blood pressure on multiple occasions. If that is your case the have hypertension. Management of hypertension is not only by medications, but also lifestyle modification and healthy diet play an important rule.starting with a diuretic may be good in your case supposing that you consulted a physician. I suggest my patients the following : start with other type of antihypertensives based on their age and risk factors, accurate continuous blood pressure. At that level of blood pressure no risk of cerebrovascular incident, but you need to control it with above-mentioned measures information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about cause of hypercalcuria and investigations done to diagnose that, also if other endocrine manifestations detected in labs. *Conclusion: I suggest you monitor your blood pressure. If abnormal high readings please consult your physician.  If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.