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

### input:
I have never had a high blood pressure reading.  I have been feeling very fatigued lately and thought it was due  to my connective tissue disorder.  After seeing my rhuem dr.  I informed him my new system is loud vent noise in my right ear.  He said it could be due to my blood pressure 119/98.  I am 45 years old and this was my first time having an issue with this.  Tuesday went to walgreens took my pressure it read 132/86 119 heartbeats per m.  Wed I went back it read 142/83 heartbeats still 119bmp.  Should I be concerned?

### output:

Hello welcome to Chat Doctor Since you have connective tissue disease, I presume you are or were on steroids. Steroids can cause Calcium and vitamin D deficiency in the body. It D deficiency can cause generalized fatigue, shortness of breath etc. Vito deficiency could be causing your symptoms. Please check your it D levels and take correction for the Vito as well as calcium if levels are low. You will feel better with the same. None of your BP readings are worrisome, and they must not cause you any symptoms. Among the above readings only the reading of 142/83 is slightly on the higher side and hence an acceptable reading. However, your heart rate is on the higher range. This can cause early tiredness and fatigue also. You can take tablet gabardine 5 mg twice a day to keep the heart rate under control. If despite above measures you don't feel well, I suggest you get evaluated from cardiac point of view with an ECG and a stress test (dobutamine stress echo if you are not able to walk.). These tests will show whether your symptoms are of cardiac origin. Wishing you good health. Regards