<s>[INST] I am a 67 years old male.My BP was 128/70.Since two weaks I have shooting back pain and I took Tramadol HCL 50 mg,4 times a day for about 5 days.My back pain did not come down and my BP shoots  to 188/103.Kindly help me why my BP has incresed and what remedial action I do for bringing down my BP and my back pain.My email address is  YYYY@YYYY [/INST] HelloWelcome to Healthcare Magic.Your BP raised due to backache problems, anxiety and tension.First be calm and take deep breathes whole the day to relieve worry.For bachache take complete rest in supine position for minimum 3 days.Continue painkillers.For BP conult your physician and get the x ray chest done with trademill test and also 3 times BP measurements after rest.Take low salt diet and routine exercise.Thanks for contacting.Take care... </s>