<s>[INST] blood pressure is 114/64 with pulse rate of 80. feelling real bad.  Nomally have high blood pressure but have had high blood pressure 180/90+ last week.  Went to walkin clinic Sat.  they said viral infection.  Got antibiotics.  With this bp and pulse rate do I need to be concerned? [/INST] Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. High BP is major risk factor form major diseases Ike HD, stroke,.HTN can be due to many reason but most of time it is due to idiopathic THT there is no cause n called essential hypertension.some causes can be renal, metabolic,endocrine etc.some time pt have only 1 read of high BP BCS of some stress.if u were my patent I would advice to take BP moving twice daily for eyelet 4-5 days n then bring to me so I can see water I need to take action or not.in high BP 1st need to do lifestyle modification include take low fatty dies n low salt dies with DEC went n inc exercise n monitor BP for up to 6 months n still inc BP then need to be put on med n then need monitor bps til to adjust dose...viral infection may lead t high BP but as I said 1 reading need no to be treated unless it is dangerous >180/110 with sign of organ damage like headache blurring vision, chest pain etc...viral infections is not treated with ABX, need antiviral if really needed most time it is self limiting n resolve itself...all u need to take good rest n symptomatic med like for pain take analgesic etc... I hope this answered your question, if you have more feel free to ask. Regards. </s>