The conversation between human and AI assistant.
[|Human|] Have history of what doctors diagnosed as malignant high blood pressure over five years ago..I take meds regularly, however, last few weeks pressure continues to be high for example today it is 238 over 138.  Should I go to emergency room or see if additional meds will lower it? I am 56 and 135 pounds.  Was morbid obese 10 years ago 280 pounds but had gastric bypass surgery..have history of anemia but no other chronic issues except episodic depression - I do have issues around stress.  Could be that.
[|AI|]  Hi, This BP is really high, you should rush to ER to get down, and then you can have medicine later. You need to have medicine properly to avoid such high BP. It may lead to hemorrhagic stroke or heart failure. Avoid fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according to your capacity at least 30 min a day and 5 days a week will help. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't be abdominal fat deposition or obesity. Hope I have answered your query. Let me know if I can assist you further. 
