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

### input:
I m Shabbir, My blood pressure shoot up suddenly and reduce in 10-15 minutes automatically, 130-150/70-85 sometimes it reduce automatically. I m taking concor 2.5mg, es-pramoit, norvasc 5mg, ascard 75mg tablets. But still no effect in my health, I feel too much weekness, drowsiness and dizziness. In 2003 I was heart operated (by-pass) I was fine and enjoying happy life, but for last few months I was feeling stress and high blood press suddenly. Please help me

### output:

Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. It is normal for the blood pressure to fluctuate for some times a day. There are various physiological mechanisms running in the human body that can cause this, such as physical activity, sudden or chronic psychological stress and normal hormonal level fluctuations that happen throughout a day. I can see you are already on therapy for hypertension. Now, if the blood pressure, for the vast part of the day, remains under 140/90 mmHg, then it is called a controlled blood pressure. But if the blood pressure remains higher than these levels, for most parts of the day, then another Chat Doctor.  If the reason you are having these "jumps" in blood pressure, as you provided, is the psychological factor, then I would recommend you first consulting with a psychiatrist or a clinical psychologist, to evaluate the possibility of a 10-14-day trial of treatment with benzodiazepines. Because, on the other hand, if we add blood pressure-lowering therapy, we risk that, in moment with no psychological stress, we can produce lower than normal blood pressure levels, which is also undesired and not our aim. As for the symptoms of weakness, 