my daughter is 30. over weight. Friday night she was having numbness in her left arem down to her elbow. Hier bloodpressure was 190 over something, she had a low grade fever and kept saying she didnt feel "right". The Er did a chest x-ray and they did an ekg but the dr said it was nothing. what do you think?
Hi,190 BP is very high and you being a young hypertensive you will first need evaluation for cause of blood pressure. She should undergo test like kidney function test, renal artery Doppler, Sr cortisol and 24 hr Urinary metanephrines. Also get lipid profile and sugars tested once.  She should monitor blood pressure thrice a day, for a week followed by once or twice a week. She should be started on medicine like tab Amlodipine, Telmisartan. Blood pressure should stay below 140/90.  She should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Hope I have answered your query. Let me know if I can assist you further.