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

### input:
My 32 year old son has had high blood pressure since he was 18 when we found it. Yesterday 9/30/14 he called me and said he was dizzey .when I got there he was on the floor and I could not wake him up. After about 20 minutes while we were trying to get him to the car to go to the doctor he came to. he refused to go to the doctor because he was afraid he would be put in the hospital and he cant afford insurance. his blood pressure was 214/184. after about thirty minutes he said he was fine. He is stressed because his job has cut his hours to 20 a week. should we try to force him to go to the DR?

### output:

Hello there, Thank you for relying on Chat Doctor. The condition you described is an emergency which definitely needs medical care, or it might be fatal later. If he was diagnosed at an age 18,was he on antihypertensives?. If not then he should be immediately be on one. Left uncontrolled, he may wind up with a disability, a poor quality of life or even a fatal heart attack. High blood pressure might cause damage to his heart(Coronary artery disease, Enlarged left heart, heart failure), brain(Transient ischemic attack, mild cognitive impairment, stroke), kidney(failure) and a lot more if not treated. So I would suggest you to force him to see a doctor. Nothing is worth a life. In the meantime, he should follow strict diet plan like;1)Low salt and low fat diet2)eat fruits and vegetables which are rich in potassium and magnesium3)Exercise at least 30-40minutes a day to lose those extra body fat. Hope it helped. Feel free to ask any more queries.