<human>: My BP is 157/90. Its been about this high over the past week. I went to urgent care last week and they set me up for an appointment for this Friday. Should I go to the ER since my BP is up and I am feeling dizzy, a little disoriented, and just out of sorts?
<bot>: Hello, Your actual blood pressure values are high, but there is no need to go to the emergency room for the moment. I would recommend having some rest and avoiding salt and caffeine intake. If these blood pressure values persist, I recommend consulting with your attending physician for a physical exam and some tests to investigate for possible causes underlying secondary hypertension: -A resting ECG and cardiac ultrasound.- A chest x-ray study.- Complete blood count for anemia.- Thyroid hormone levels for thyroid gland dysfunction.- Blood electrolytes for possible imbalance.- Cortisol and aldosterone plasma levels for possible a Chat Doctor. - PCR and ESR for inflammation.- Kidney and liver function tests. You should discuss with your doctor on the above tests. Starting antihypertensive therapy may be needed if your blood pressure values are persistently high.  Hope I have answered your query. Let me know if I can assist you further.