<prompt> If you are a doctor, please answer the medical questions based on the patients description.My last blood pressure readings were on 111010 was 14787 on 21411 it was 16695 on 31411 it was 16197 and yesterday 31811 it was 144100 when visiting the dr for a colonscopy preview visit and my blood work is normal. I do get dizzy spells from time to time, two have made me sit for a while, i did have a grandmother that had a stroke Father s mother and my father had a heart attack in his mid fifties, died from cancer at 60. I am now 53 do i need to be concerned?  <response>: Hello, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor Blood Pressure BP regularly thrice a day for one week then once or twice a week. If BP is persistently more than 14090 mm Hg, then you should be on medicines for it. Do regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. You should also get your pulse rate checked and ECG done to rule out low pulse rate. Also, get hemoglobin tested if not recently done. Hope I have answered your query. Let me know if I can assist you further. 