What causes a sudden rise of pressure? I can be sitting watching tv and it will jump to 190/90 for no reason. Usually I can take an aspirin and a lorazepam and it will go down to normal within 20 minutes. I can usually tell if it's up by a tingling in the face and a pain in the back of my neck. When it goes high like that, what can I do to bring it down? I hesitate to pop another blood pressure pill for fear of taking to much. Thanks for any help.
What you describe is labile hypertension. That can be indicative of some serious conditions, such as pheochromocytoma or renal stenosis. There are some other possibilities, such as pseudopheochromocytoma, which can be emotionally driven.
I have had worse episodes than you describe and they became more debilitating despite a lot of medication. Fortunately, I have found the right med which has eliminated the serious spiking. Like you, I had various symptoms during the attacks, including flushing blotchiness on my forehead, cold fingers, severe headache, neck ache, and stomach churning.
With numbers like 190/90 or higher, you run a real risk of organ damage, like a stroke or heart damage. My eyes and ears would ache the day after an attack, and those organs are also at risk.
I recommend you see your doctor and get some blood/urine samples for pheo, and that he consider some short-acting med to counteract the attacks or at least bring down the numbers.