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

### input:
worried about blood pressure for the last week as high as 160/104. Was normal one month ago at docters office. I am 50 years old, normal weight and healthy on vegetarian diet and exerise every day.Do have family history of high blood pressure, mother had problems starting about 40 year old    Should I have this checked out or give it some time?

### output:

Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. As you explain, you are 50 years old, and you do have heredity for hypertension. According to this, I think we are dealing with essential hypertension. It is a chronic disease. It has not a definite cure, but it should be treated life long. In most cases' people with hypertension does not have any symptom but leaving this values untreated slowly modifies your heart muscle. So, if I was your treating doctor I will recommend a holder pressure monitoring for 24 h, to know your mean values day and night. A cardiac echo to evaluate heart chambers and a fool blood analyze. After having a fool view of the situation we can decide how to treat your hypertension. But my opinion is that you should do this thinks now and not leave them for the future because it is much better if we act and treat hypertension faster in time. Hope I was helpful. Wish you good health. Best regards.