<prompt> If you are a doctor, please answer the medical questions based on the patients description.my blood pressure was 14594 and pulse 90 this morning. I have had a headache for a few days. My blood pressure was taken a few months ago and it was 13090 because of my family history she had me come back and recheck it and it was 13490. I have to go back in a couple of weeks for another check should I be concerned that it has gone up? I have been having headaches and been very tired lately.  <response>: Hello there I have read through your question and would like to tell you that headache can be attributed to a high blood pressure. I would advise you to get your blood pressure monitored for one week and if it continues to be above 13090 you should consult your physician for a complete blood work up and start an antihypertensive. If hypertension is ruled out, we may have to look for neurological causes like tension headache or migraine. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor. 