<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi my son took his blood pressure at a drug store and it was 8:30 at night the first reading was 150103 then he took it minutes later and it was 13713799. He woke up this morning with a purple bruise at the corner of his eye where the tear duct is... should he be on meds or will diet take care of this?  <response>: Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry. Ill try to explain you something and give you my opinion. You should know that we talk about hypertension if we have mean value that exceeds 140 90 mmHg. A person might have high value during emotional and physicals trees so Its mandatory to judge on mean values. Usaly in young ages we deal with secondary hypertension meaning that its a secondary house of it. This might be a renal disease, an endocrine problem or a cardiovascular anomaly. High blood pressure values might give headache, blurred vision, ear noises, retinal hemorrhage etc. So, if I was the treating doctor I will recommend some examination like a cardiac echo to evaluate heart function and structure, a full blood analyze, your urinary catecholamine and a holder pressure monitoring to evaluate the values during day and night. After all this we can better judge if we have hypertension and how to treat it. Hope I was helpful. Wish your son good healthiest regards, Chat Doctor. 