<s>[INST] yesterday, when driving the 10 minutes to work, my hands became excruciatingly painful and I was near tears. I struggled to open the door at work and then was overcome with nausea and dizziness. My blood pressure went up to 150 over 90. I was told I looked extremely pale. What could have caused this? [/INST] Hello, Welcome to Chat Doctor. I can certainly understand your concern. I have worked through your query in detail. The symptoms in your case are directly related to elevated blood pressure.It's advisable to keep the blood pressure in control to prevent such symptoms. It is important to get the following tests at the earliest to assess the impact of high blood pressure. These are serum calcium, 2D echocardiogram, ECG, and fasting lipid profile. Further management if any is largely based on the test reports. Avoid Chat Doctor.  Avoid salty and spicy food stuffs. Review with test reports to determine further course of action.  Please check with your physician if he shares my view and if you can prescribe these medications to you. Post your further queries if any. Thank you </s>