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

### input:
I went to my doctor about 3 mohths ago for an annual physical.  My blood pressure had been about 137/85 the year before, but this year it was 160/90, so she put me on 1 Diovan 80 mg, fsily.  I have been having a lot of stress lately, so I checked my blood pressure at a machine at Sams Club.  It was 185/78.  I decided to purchase a arm cuff blood pressure monitor.  I did that two days ago.  I have been taking my reading 3-4 times a day.  Yesterday, my readings were 145/63, 179/67 and 161.71,  Today, I have taken my blood pressure 3 times.  The readings have been 175/83 at 9:30am, 180/76 at 1:00pm and 184/78 at 7:pm.  Should I be calling my doctor tomorrow and tell her about this and see if my blood pressure medicine should be adjusted, etc.?   How dangerous is it to have your blood pressure over 185 or so?

### output:

Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your blood pressure values are above the normal ranges. I recommend you to consult with your attending physician for a careful physical exam and some tests: - a resting ECG- a chest X-ray study-lab blood tests (complete blood count, thyroid hormone levels, kidney and liver function tests, blood electrolytes, blood lipid profile) to exclude possible secondary causes of high blood pressure. You should discuss with your doctor on the possibility of making some changes to your actual therapy (adding HY Chat Doctor.  Hope you will find this answer helpful! Greetings!