<s>[INST] my mother is 61 years old. she has severe pain and stiffness in abdomen (precisely the area below breasts and above the belly button). At same time, the blood pressure is around 230/120. even after taking blood pressure pills, the pressure isnt coming down. Bu her major discomfort is the pain in abdomen! what could be causing it? [/INST] Hello! Welcome on Chat Doctor! I understand your concern and would recommend brining your mother to the nearest ER service for some tests: -a resting ECG and cardiac enzymes-an abdominal ultrasound-complete blood count-liver and kidney function tests-lipase and amylase for pancreatitis- a chest X-ray study. Her blood pressure values are really high, but they could be a reaction to extreme pain. Hope you will find this answer helpful! Kind regards,  </s>