<s>[INST] hi, my blood pressure has been high today, but tonight it is still 136 over 93 on average, but my head is very dizzy and I feel very weak. I have not been able to think clearly all day. I am taking high blood pressure meds. Should I seek medical help? [/INST] Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry I'll try to explain you something and give you my opinion. When we treat hypertension our goal is to have mean values below 140/90 mmHg. A value of 136/93 it is nothing to worry about, it's not an emergency to seek medical attention, but it means that the diastolic value are high, and you need to arrange your medical treatment. Excessive blood pressure values might give you headache, blurred vision, dizziness. A lot of times It doesn't give any symptoms but persistent high diastolic values slowly modifies heart muscle, so it is very important to better control them. A person might experience high blood pressure values during a physical or emotional stress, so it is mandatory to judge on mean values during day and night. So my opinion is that you should not worry you don't have two high values. If I was your treating doctor I will recommend a holder pressure monitoring to have a full graphic of your blood pressure and then we can judge if we have to rise your medications or not and decide this with your doctors. Hope I was helpful. Wish you good health. Best regards. </s>