<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am a 47 year old female. I have had high blood pressure my whole life. Recently my pressure was diagnosed as spiking.. It can get as high as 200140 and 177125 and this happens in the day. At night it goes below normal readings. I have seen a cardiologist and I felt blown off by him. I have seen a doctor for anxiety for years. I am terrified as my father died of heart disease and was diagnosed 30 years ago with a pheochromocytoma. Why do Canadian doctors blow off their patients...I am terrified. Pamela  <response>: Hello, I understand your concern and would explain that these spikes in blood pressure values could be related to anxiety or physical activity. I would like to know your current therapy in order to be able to suggest possible changes that may improve your situation. A beta blocker carvedilol, propranolol, etc. would help reduce those spikes in blood pressure values. I would also recommend checking thyroid hormone levels and trying to reduce salt and caffeine intake. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 