<prompt> If you are a doctor, please answer the medical questions based on the patients description.My 60 year old brother had a heart attack on Jul 29th. He was discharged from the hospital on Aug 2nd. On a blood thinner and 81mg aspirin. last week his blood pressure started rising --200143 average for days. Physician sent him back to hospital to get the blood pressure down on Aug 25th. Put back on blood pressure medicine--which he is taking daily. Tonight, feet are swelling and hands are swelling; blood pressure is 190107. Should I get him back to hospital?  <response>: Hi, I understand your concern. Your brother blood pressure BP is unstable. As he has developed swelling in feet and hands, with very high BP 190107, then, should send him back to hospital. We must determine what is causing swelling:- meds he is taking to get BP down nifedipine or amlodipine- or his heart is not working properly severe heart failureKeep monitoring his BP and send to hospital. Wish fast recovery. 