All week I have felt intensely nervous and light headed at times and at times my verbiage when I m speaking is not in order, my systolic is 142 diastolic is 91 pulse is 91 and these numbers are the average over the last 4 days. Should I be alarmed? I am 35 years old, 6 1, 195 pds, i do smoke approx a half a pack each day of cigarettes, however i do not drink nor use any illegal substances. I am epileptic and take anticonvulsant meds 3 times daily. Should I be concerned?
Hello, Your symptoms could be related to mild arterial hypertension, probably caused by a stressful situation.  For this reason, I would recommend having some rest and avoid smoking or caffeine intake.  It is also important checking your thyroid hormone levels for possible thyroid gland dysfunction.  Only if high blood pressure values persist, further tests may be needed (complete blood count, PCR, ESR, kidney and liver function tests, blood electrolytes, a resting ECG) and also consider starting antihypertensive therapy.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 