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

### input:
I am 38 years old and withen the past 2 years i have endured high blood pressure. average 170/108 some times higher sometimes lower but i would call that my average. I have been extremely tired all the time also. I have had dizzy spells and had fainted a few different times once i was out for over an hour. The fainting is not a common thing but i still don know why that happened. I noticed my train of thought is not what it once was. im just spacey and sometimes I can not carry on a regular conversation. im not sure if this can all be related but I know i am not myself. especially having high blood pressure at 38 im not over weight i weigh about 120 pounds i have not had a menstural cycle for 6 months but did for 6 months before but before that i went at least 4 years without one. i do not have diabeties or low blood sugar i had that checked and it read 90 i want to get this checked out but would like maybe an idea of what to check for or look at when i go in so we can rule that out.

### output:

Hello, Regarding High Blood Pressure (BP) and train of thoughts, may I know what your job profile is? It Seems that you are taking a lot of stress, may I know are you a Smoker? I Suggest you to cut down your stress first and follow the below steps:1) Lifestyle modification - Stress free lifestyle2) Quit Smoking/Tobacco - If you are a Smoker or Tobacco Cheered these following tests done:a) MRI Stroke protocol) Thyroid Profile) Blood Read) Serum CreatininePlease see a General physician and Euro Physician as early as possible. Hope I have answered your query. Let me know if I can assist you further.