<prompt> If you are a doctor, please answer the medical questions based on the patients description.hi, my mother has high blood pressure it has been fairly under control for the last few months around 16070-75. in the last few days it has risen to 18090 - it can go down to 160 again with a short time. For most of this afternoon it has risen to 203100 down a little bit to 16579 and then back up again to 190 and now 20393 again. Mum is taking 50gm minax a day as well as aspirin crestor. She also has vascular dementia with underlying alz and is 82 years old. Should i be taking her to the hospital?  <response>: Hello, the blood pressure reading you have mentioned are considered high. The vascular dementia can be explained by her not so well controlled blood pressure in the past. A visit to her doctor, so that he can essentially adjust his blood pressure medication and if needed maybe increase it would surely help in preventing any future major complication, by all means it would be better if hr blood pressure is kept below 140 90 . Regards 