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

### input:
i have been in cronic pain since 1998 have had 14 surgeries 2 on back 7 on rt shoulder 3 on nose,cheeks and jaws. 1 on right leg.car accidents i also have high blood pressure.taking pain meds from pain management.had piece of bone taken of rt hip to fuse lower back the first time,now rt hip is killing me and blood pressure running around 240/220 or so.tried of being in pain i do not want to be in a haze just trying to be comfortable.lost my mom and my wife within 5 days.have lost over 45 lbs in a month and a half.any ideas?

### output:

Dear patient I am so sorry for your loss. Let me fist start by saying that a blood pressure of 240/220 is very dangerous and can lead to a hemorrhagic stroke. Therefore, you need to the ER right now and get admitted else a blood vessel in your brain might start to leak. I cannot stress enough how important it is that you get your blood pressure under control. Coming to your primary question:Strongest painkillers in the market are prescription painkillers and these include tramadol, buprenorphine, methadone, morphine, fentanyl, HY Chat Doctor. These all require a prescription and I cannot prescribe them to you over the internet and nor can you buy them over the counter as per the law.Therefore, I suggest you discuss these with your doctor, and you will have access to them after he/she gives you a prescription. I should also warn you that these painkillers are highly addictive. Lastly I am truly sorry for what you are going through. I urge you to be strong and maybe go to a grief counselor to help deal with the tragedy that has befallen you as well as with the pain. Be strong