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

### input:
just had a d.o.t. this morning , blood pressure was 138 over 110,  my arm was not resting i had to hold my arm up my self, not sure if this was a good reading couse of that,  took again later after relaxing it was 130 over 90, i have face pressure under my eyes and small headache.  hands tingle not to bad touch and do.

### output:

Hello! Thank you for asking on Chat Doctor! I carefully passed through your question and would explain that an isolated high blood pressure (mainly diastolic) does not indicate high blood pressure. It is important to closely monitor your blood pressure (frequent times during the day in sitting position after 10 minutes of total relax) and refer those values to your doctor. If your blood pressure values are above 130/85 mm Hg most of the time, you may need to start antihypertensive therapy. From the other hand, I would recommend performing some other tests to investigate for the possible cause of elevated blood pressure values: - a chest X-ray study-some blood lab tests (complete blood count, thyroid hormone levels, PCR, sedimentation rate, blood electrolytes, fasting glucose, kidney and liver function tests, blood lipid profile)A sinus X-ray study would help exclude possible sinus infection related to the eye pressure and headache. You should discuss with your doctor on the above tests. Meanwhile, I would recommend some lifestyle modifications to help you manage your blood pressure better: - diet modifications (reduce salt and caffeine intake)- a lot of physical activity (walking, aerobics, recreational sports, etc.)- reduce weight if you are overweight. Hope you will find this answer helpful! Best wishes, 